01381nas a2200301   4500000000100000008004100001260001700042653001000059653001100069653001200080653001500092653002100107653002200128653002100150653002600171653003100197653001700228100001600245700001300261700001300274700001200287700001500299245006400314300001000378490000600388520067100394022001401065       1986                            d  c1986 Jan-Mar10aGuilt10aHumans10aleprosy10aLoneliness10aMental Disorders10aObject Attachment10aSocial Isolation10aStress, Psychological10aSurveys and Questionnaires10aTuberculosis1 aD'Almeida L1 aSeck A M1 aPICARD P1 aSylla O1 aStephany J00a[The patient with Hansen's disease confronts his distress].  a59-720 v43 a<p>This article is about the effect of Hansen's disease on the personality of 29 patients of the Institute of Applied Leprology of Dakar, Foundation of the Order of Malta. This approach to the distress of these patients was done by an inquiry based on sociocultural and clinical variables and compared to a study composed of tubercular and psychiatric patients. This study reports four distress levels (loss of identity, loss of object, forlornness, culpability) which are distinguished by sex and age. The actual analysis of the experience of this distress shows the importance of support of the traditional representation of these leprous patients' psychology.</p>  a0001-5938