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癔症(布里凯综合征)临床诊断的有效性及意义

The validity and significance of the clinical diagnosis of hysteria (Briquet's syndrome).

作者信息

Guze S B

出版信息

Am J Psychiatry. 1975 Feb;132(2):138-41. doi: 10.1176/ajp.132.2.138.

Abstract

The author states that a valid diagnostic classification based on the medical model is a sine qua non for progress in psychiatric research and treatment and that such classification requires follow-up and family studies. To illustrate this point he reports on studies showing that hysteria, or Briquet's syndrome, is a valid clinical entity that follows a predictable course and clusters in certain families. He also reports that an association between hysteria and sociopathy has been demonstrated, suggesting that the two conditions may arise from sililar etiologic and pathogenetic factors.

摘要

作者指出,基于医学模式的有效诊断分类是精神科研究与治疗取得进展的必要条件,且这种分类需要进行随访研究和家族研究。为说明这一点,他报告了一些研究,这些研究表明癔症或布里凯综合征是一种有效的临床实体,其病程可预测且在某些家族中呈聚集性。他还报告称,已证实癔症与反社会人格障碍之间存在关联,这表明这两种病症可能源于相似的病因和发病机制因素。

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