Kim K, Hwu H, Zhang L D, Lu M K, Park K K, Hwang T J, Kim D, Park Y C
Department of Neuropsychiatry, Hanyang University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2001 Feb;16(1):88-94. doi: 10.3346/jkms.2001.16.1.88.
In this transcultural study of schizophrenic delusions among patients in Seoul, Shanghai and Taipei, we discovered that both the frequency and content of delusions differed among the three groups; and that these differences could perhaps be explained by varying sociocultural and political situations. Delusional themes that are sensitive to sociocultural or political situations include guilt, love/sex, religion, somatic damage, economy/business and politics. Delusions regarding longevity, love/sex, dysmorphophobia/dysosmophobia, religion or supernatural matters, and espionage/spy stories were most frequent in Seoul patients. Those in Taipei predominantly had delusions about possession, religion or supernatural matters, hypnotism, and mass media/computers. Shanghai patients often had delusions of poisons, being prickled by poisoned needles, their brain and viscera extracted and being a family member of political authorities.
在这项针对首尔、上海和台北患者的精神分裂症妄想跨文化研究中,我们发现三组患者的妄想频率和内容均存在差异;这些差异或许可以通过不同的社会文化和政治状况来解释。对社会文化或政治状况敏感的妄想主题包括罪恶感、爱情/性、宗教、躯体损伤、经济/商业和政治。关于长寿、爱情/性、畸形恐怖症/嗅觉恐怖症、宗教或超自然事物以及间谍/间谍故事的妄想在首尔患者中最为常见。台北患者主要有关于附身、宗教或超自然事物、催眠术以及大众媒体/计算机的妄想。上海患者常常有中毒妄想、被毒针刺伤妄想、大脑和内脏被摘除妄想以及是政治当局家庭成员的妄想。