Cooper A F, Garside R F, Kay D W
Br J Psychiatry. 1976 Dec;129:532-8. doi: 10.1192/bjp.129.6.532.
A comparison was made of the social and domestic background, prepsychotic personality and symptomatology of deaf ('hard of hearing') and non-deaf patients aged 50 or over with paranoid or affective psychoses. The deaf patients were found to be a very heterogeneous group in respect of age of onset, duration, severity and pathological basis of their deafness, but there was a substantial subgroup of paranoid patients with deafness beginning before the age of 45 in whom the personality appeared to have been less deviating than in the remainder. It was thought that the deafness in this subgroup had possibly played a relatively specific role in causing the psychosis. Some problems in identifying deafness and assessing its significance are discussed.
对年龄在50岁及以上、患有偏执型或情感性精神病的聋人（“听力障碍者”）和非聋人患者的社会及家庭背景、精神病发作前的人格特征和症状进行了比较。结果发现，聋人患者在耳聋的发病年龄、病程、严重程度和病理基础方面是一个非常 heterogeneous 的群体，但有一个相当大的亚组，其偏执型聋人患者在45岁之前就开始出现耳聋，这些患者的人格似乎比其余患者的人格偏离程度要小。据认为，这个亚组中的耳聋可能在导致精神病方面发挥了相对特殊的作用。文中讨论了识别耳聋及其评估其重要性方面的一些问题。
