Arenz D, Dudova K, Traxler S, Sieg J
Zentrum für Psychiatrie, Psychotherapie und Neurologie, Rhein-Mosel Fachklinik Andernach.
Psychiatr Prax. 2000 Nov;27(8):412-3.
The present paper initially discusses the possible transitions existing between posttraumatic stress disorder (PTSD) and delusional disorder. With respect to the latter, the main focus is on the psychopathological concept of the so-called sensitive delusion of reference. A patient who developed a delusional disorder secondary to PTSD, which had been precipitated by his involvement in a serious auto accident, is then described. The details of this case seem to lend some support to the hypothesis of a clinical continuum provided that the "trauma" found in PTSD, on the one hand, and the "crucial experience" associated with the sensitive delusion of reference, on the other, positively correlate with the presence of prominent sensitive traits of personality.
本文首先探讨创伤后应激障碍（PTSD）和妄想障碍之间可能存在的转变。关于后者，主要关注所谓的敏感关系妄想的精神病理学概念。接着描述了一名患者，他在卷入一场严重的汽车事故后患上了创伤后应激障碍继发的妄想障碍。该病例的细节似乎为临床连续体假说提供了一些支持，前提是创伤后应激障碍中发现的“创伤”，一方面，与敏感关系妄想相关的“关键经历”，另一方面，与突出的敏感人格特质的存在呈正相关。
