Baba A, Hamada H
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
Psychopathology. 1999 Sep-Oct;32(5):242-51. doi: 10.1159/000029096.
There have been many reports of musical hallucinations in deafness, organic brain disease and epilepsy, but few reports of their occurrence in schizophrenia. Musical hallucinations tend to be regarded as specific manifestations of deafness and organic brain disease rather than of schizophrenia. However, since schizophrenic musical hallucinations are less distressing to schizophrenic patients than verbal hallucinations and psychiatrists have little interest in them, they may be missed. We treated schizophrenic patients who experienced musical hallucinations and traced the symptomatic changes. They exhibited semeiological changes similar to the changes in verbal hallucinations. Musical hallucinations are clearly a symptom of schizophrenia. By reporting these cases, we encourage concern about this symptom, which may be missed when psychiatrists interview patients.
已有许多关于耳聋、器质性脑疾病和癫痫中出现音乐幻觉的报道，但关于其在精神分裂症中发生的报道较少。音乐幻觉往往被视为耳聋和器质性脑疾病的特殊表现，而非精神分裂症的表现。然而，由于精神分裂症患者的音乐幻觉比言语幻觉给患者带来的痛苦要小，且精神科医生对此兴趣不大，它们可能会被漏诊。我们对有音乐幻觉的精神分裂症患者进行了治疗，并追踪症状变化。他们表现出与言语幻觉变化相似的症状学变化。音乐幻觉显然是精神分裂症的一种症状。通过报告这些病例，我们鼓励关注这一症状，精神科医生在问诊患者时可能会遗漏这一症状。
