Fernando S J
Br J Psychiatry. 1976 May;128:436-41. doi: 10.1192/bjp.128.5.436.
Six cases of Gilles de la Tourette's syndrome are discussed in the light of conflicting views on the aetiology of the condition. It is hypothesized that the onset of coprolalia in patients with persistent childhood tics indicates a disturbances of the normal balance between a need for tension relief by swearing and a capacity to control such vocal activity. Some conclusions are drawn on the management of the syndrome by the use of butyrophenones, massed practice of tics, and the promotion of personality development. A flexible approach geared to the individual patient's particular needs is recommended.
本文结合对抽动秽语综合征病因的不同观点，讨论了6例该综合征患者。据推测，患有持续性儿童抽动症的患者出现秽语症状，表明在通过咒骂缓解紧张的需求与控制此类发声活动的能力之间，正常平衡受到了干扰。文中就使用丁酰苯类药物、集中练习抽动动作以及促进人格发展对该综合征进行治疗得出了一些结论。建议采用一种根据个体患者具体需求灵活调整的治疗方法。
