本文選題：神經(jīng)癥 + 噩夢��； 參考：《安徽醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的運(yùn)用夢的內(nèi)容分析法研究住院神經(jīng)癥病人的噩夢，探討住院神經(jīng)癥病人噩夢的內(nèi)容特點(diǎn)。 方法收集安徽醫(yī)科大學(xué)精神衛(wèi)生臨床心理學(xué)院心理科、符合CCMD-3神經(jīng)癥診斷標(biāo)準(zhǔn)的住院神經(jīng)癥病人入院前的噩夢內(nèi)容，包括印象深刻的噩夢與反復(fù)做的噩夢，不限個(gè)數(shù)，并以Hall and Van de Castle的內(nèi)容分析方法對(duì)噩夢進(jìn)行編碼，將噩夢編碼結(jié)果錄入Dreams SAT系統(tǒng)進(jìn)行自動(dòng)統(tǒng)計(jì)分析。將結(jié)果與常模、印象深刻的噩夢與反復(fù)做的噩夢做比較分析，總結(jié)住院神經(jīng)癥病人入院前的噩夢內(nèi)容特點(diǎn)。 結(jié)果共收集40例住院神經(jīng)癥病人噩夢82個(gè)（印象深刻50個(gè)；反復(fù)做的噩夢32個(gè)）；在住院男、女性神經(jīng)癥病人的所有噩夢與常模的比較中：在人物角色方面，“家庭成員”、“死亡與虛幻者”均顯著高于同性常模，“朋友”百分比均顯著低于同性常模；女性神經(jīng)癥病人噩夢內(nèi)容中“男性/女性”及“動(dòng)物”百分比均顯著高于同性常模，差異均具有統(tǒng)計(jì)學(xué)意義；在社會(huì)交往百分比中，女性神經(jīng)癥病人噩夢內(nèi)容中“攻擊/友好”、“軀體攻擊”百分比顯著高于常模，差異具有統(tǒng)計(jì)學(xué)意義；在自我概念方面，噩夢中“自我否定”百分比、“負(fù)性情緒”百分比均高于同性常模，“夢者獲得的成功”百分比低于同性常模，且差異均具有統(tǒng)計(jì)學(xué)意義；在噩夢的背景方面，不論男、女性神經(jīng)癥病人夢中“室內(nèi)場景”百分比低于同性常模，而女性神經(jīng)癥病人噩夢中的“熟悉”場景百分比低于同性常模，差異均具有統(tǒng)計(jì)學(xué)意義；“夢中至少含有以下一項(xiàng)”的百分比方面，住院神經(jīng)癥病人“友好”、“性”、“成功”的百分比均顯著低于同性常模，“不幸”百分比顯著高于同性常模，同時(shí)，男性神經(jīng)癥病人的“幸運(yùn)”百分比低于同性常模，差異均具有統(tǒng)計(jì)學(xué)意義。 在神經(jīng)癥病人印象深刻的噩夢與反復(fù)做的噩夢內(nèi)容的比較中，印象深刻的噩夢中“男性/女性”、“死亡與虛幻者”均低于反復(fù)做的噩夢、而“熟悉人物”、“朋友”均高于反復(fù)做的噩夢，且差異均具有統(tǒng)計(jì)學(xué)意義；在人際交往方面中，神經(jīng)癥病人印象深刻的噩夢內(nèi)容中，“攻擊/友好”、“軀體攻擊”的百分比均顯著低于反復(fù)做的噩夢，差異具有統(tǒng)計(jì)學(xué)意義；噩夢背景中，印象深刻的噩夢多為熟悉場景，反復(fù)做的噩夢多為不熟悉場景，室內(nèi)場景比例相當(dāng)；自我概念方面，神經(jīng)癥印象深刻的噩夢中“自我否定”百分比及“軀體不幸”百分比均顯著低于反復(fù)做的噩夢，差異具有統(tǒng)計(jì)學(xué)意義；在“指標(biāo)至少出現(xiàn)一次的夢”方面，“幸運(yùn)”百分比顯著高于反復(fù)做的噩夢，差異具有顯著性，但“攻擊”“不幸”百分比低于反復(fù)做的噩夢，且差異無統(tǒng)計(jì)學(xué)意義。 結(jié)論住院神經(jīng)癥病人噩夢內(nèi)容中含較多家庭成員、死亡與虛幻者及動(dòng)物角色，含較多的攻擊、自我否定、負(fù)性情緒與不幸；相反，，朋友及成功、友好和性較少，噩夢場景多為室外不熟悉場景；住院神經(jīng)癥病人印象深刻的噩夢內(nèi)容中，含較多的熟悉人物與朋友角色；而反復(fù)做的噩夢內(nèi)容中，含較多的男性、死亡與虛幻者人物角色，攻擊與軀體攻擊，且自我否定與負(fù)性情緒體驗(yàn)及不幸較多，場景多為室外不熟悉場景。
[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.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R749.7

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