住院神经症病人噩梦的内容分析研究

发布时间：2018-06-01 08:08

本文选题：神经症 + 噩梦　；参考：《安徽医科大学》2012年硕士论文

【摘要】：目的运用梦的内容分析法研究住院神经症病人的噩梦，探讨住院神经症病人噩梦的内容特点。方法收集安徽医科大学精神卫生临床心理学院心理科、符合CCMD-3神经症诊断标准的住院神经症病人入院前的噩梦内容，包括印象深刻的噩梦与反复做的噩梦，不限个数，并以Hall and Van de Castle的内容分析方法对噩梦进行编码，将噩梦编码结果录入Dreams SAT系统进行自动统计分析。将结果与常模、印象深刻的噩梦与反复做的噩梦做比较分析，总结住院神经症病人入院前的噩梦内容特点。结果共收集40例住院神经症病人噩梦82个（印象深刻50个；反复做的噩梦32个）；在住院男、女性神经症病人的所有噩梦与常模的比较中：在人物角色方面，“家庭成员”、“死亡与虚幻者”均显著高于同性常模，“朋友”百分比均显著低于同性常模；女性神经症病人噩梦内容中“男性/女性”及“动物”百分比均显著高于同性常模，差异均具有统计学意义；在社会交往百分比中，女性神经症病人噩梦内容中“攻击/友好”、“躯体攻击”百分比显著高于常模，差异具有统计学意义；在自我概念方面，噩梦中“自我否定”百分比、“负性情绪”百分比均高于同性常模，“梦者获得的成功”百分比低于同性常模，且差异均具有统计学意义；在噩梦的背景方面，不论男、女性神经症病人梦中“室内场景”百分比低于同性常模，而女性神经症病人噩梦中的“熟悉”场景百分比低于同性常模，差异均具有统计学意义；“梦中至少含有以下一项”的百分比方面，住院神经症病人“友好”、“性”、“成功”的百分比均显著低于同性常模，“不幸”百分比显著高于同性常模，同时，男性神经症病人的“幸运”百分比低于同性常模，差异均具有统计学意义。在神经症病人印象深刻的噩梦与反复做的噩梦内容的比较中，印象深刻的噩梦中“男性/女性”、“死亡与虚幻者”均低于反复做的噩梦、而“熟悉人物”、“朋友”均高于反复做的噩梦，且差异均具有统计学意义；在人际交往方面中，神经症病人印象深刻的噩梦内容中，“攻击/友好”、“躯体攻击”的百分比均显著低于反复做的噩梦，差异具有统计学意义；噩梦背景中，印象深刻的噩梦多为熟悉场景，反复做的噩梦多为不熟悉场景，室内场景比例相当；自我概念方面，神经症印象深刻的噩梦中“自我否定”百分比及“躯体不幸”百分比均显著低于反复做的噩梦，差异具有统计学意义；在“指标至少出现一次的梦”方面，“幸运”百分比显著高于反复做的噩梦，差异具有显著性，但“攻击”“不幸”百分比低于反复做的噩梦，且差异无统计学意义。结论住院神经症病人噩梦内容中含较多家庭成员、死亡与虚幻者及动物角色，含较多的攻击、自我否定、负性情绪与不幸；相反，，朋友及成功、友好和性较少，噩梦场景多为室外不熟悉场景；住院神经症病人印象深刻的噩梦内容中，含较多的熟悉人物与朋友角色；而反复做的噩梦内容中，含较多的男性、死亡与虚幻者人物角色，攻击与躯体攻击，且自我否定与负性情绪体验及不幸较多，场景多为室外不熟悉场景。
[Abstract]:Objective to study the nightmare of hospitalized neurosis patients by using the method of dream content analysis, and to explore the content characteristics of nightmare in hospitalized neurosis patients.
Methods to collect the nightmares of the hospitalized neurosis patients before admission to the psychiatric department of the psychiatric clinic of Medical University Of Anhui, which was in line with the diagnostic criteria of CCMD-3 neurosis, including the deep and repeated nightmare, the number of nightmare, and the coding of nightmares with the content analysis method of Hall and Van de Castle and the nightmares. The code results were recorded in the Dreams SAT system for automatic statistical analysis. The results were compared with the usual model, the impressive nightmare and the repeated nightmare, and the characteristics of the nightmares before hospitalization were summarized.
Results a total of 82 nightmares of 40 patients with neurosis (50 impressions and 32 repeated nightmares) were collected. In the comparison of all nightmares between the inpatient and the female neurosis, the "family members", the "death and the illusory" were significantly higher than those of the same sex norm, and the percentage of "friends" was significantly lower in the characters. The percentages of "male / female" and "animal" in female neurosis were significantly higher than those of homosexual norm, and the difference was statistically significant. In the percentage of social interaction, the percentage of female neurotic nightmare "attack / friendly", and the percentage of "body attack" were significantly higher than those of the norm. In terms of self-concept, the percentage of "self negation" and "negative emotion" in nightmares were higher than that of homosexual norm, and the percentage of success of dreamers was lower than that of homosexual norm, and the difference was statistically significant; in the background of nightmare, male and female neuroses were in the "indoor scene". The percentage of "familiar" scene in female neurosis was lower than that of homosexual norm, and the difference was statistically significant. The percentage of "at least one in the dream" was "friendly", "sex" and "successful" in hospitalized neurosis patients were significantly lower than the same sex norm. The percentage of "unlucky" was significantly higher than that of same-sex norms. Meanwhile, the percentage of "lucky" of men with neurosis was lower than that of same-sex norms, and the differences were statistically significant.
In the comparison of the profound nightmares and the repeated nightmares of neurotic patients, the "male / female", "death and the illusory" are all lower than the repeated nightmare in the impressive nightmare, and "familiar" and "friends" are higher than the repeated nightmare, and the difference is statistically significant; in interpersonal communication, In the deep nightmare of neurotic patients, the percentage of "attack / friendly", "somatic attack" is significantly lower than that of repeated nightmare, and the difference is statistically significant; in the background of nightmare, most of the nightmares are familiar to the familiar scene, and the repeated nightmares are unfamiliar, the proportion of the indoor scene is equal; the self concept side is the same. The percentages of "self negation" and "somatic misfortune" were significantly lower than those of repeated nightmares, and the difference was statistically significant. In the "dream at least once," the percentage of "lucky" was significantly higher than the repeated nightmare. The difference was significant, but "attack" was not. Fortunately, the percentage was lower than that of repeated nightmares, and the difference was not statistically significant.
Conclusion there are more family members in the nightmare of hospitalized neurosis patients, death and illusory and animal roles, including more attack, self denial, negative emotion and misfortune; on the contrary, friends and success, friendliness and less sex, and nightmare scenes are mostly outdoor unfamiliar scenes, and more of the deeply impressed nightmares of the patients with hospital neurosis, contain more They are familiar with characters and friends, and the repeated nightmares include more men, death and illusory characters, attacks and somatic attacks, self negation and negative emotional experience and misfortune, and scenes are mostly outdoor unfamiliar scenes.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.7

【参考文献】