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- Publisher
- Wiley
- Copyright
- © 2021 John Wiley & Sons Ltd.
- ISSN
- 1742-3341
- eISSN
- 1556-9187
- DOI
- 10.1002/aps.1680
- Publisher site
- See Article on Publisher Site
Abstract
Adverse childhood experiences (ACE) are considered as risk factors for myocardial infarction (MI). It is unknown how ACE affects the experience of MI patients. In a qualitative study, a total of 25 MI patients with and without ACE (ACE: n = 20, N‐ACE: n = 5) were asked about their biography and the heart attack. A content analysis was carried out. Inter‐rater reliability showed a good to complete agreement. ACE patients reported primarily on experiences of loss and violence in their childhood and youth. ACE patients tend to dissimulate symptoms, and there is a hazardous latency of seeking medical help. The potential helpers are experienced as “impossible objects.” Primary care providers should pay special attention to the situation of ACE patients and be aware of their countertransference, that is, that the condition is not recognized as seriously as it should be.
Journal
International Journal of Applied Psychoanalytic Studies – Wiley
Published: Dec 1, 2021
Keywords: adverse childhood experiences; early trauma; impossible objects; myocardial infarction; risk factor