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“反社会人格障碍”及其同义词:儿童精神病学中的不恰当诊断

"Sociopathy" and its synonyms: inappropriate diagnoses in child psychiatry.

作者信息

Lewis D O

出版信息

Am J Psychiatry. 1975 Jul;132(7):720-2. doi: 10.1176/ajp.132.7.720.

Abstract

The use of the diagnosis "sociopathy" and its synonyms hinders the search for other kinds of symptomatology, the recognition of which might lead to appropriate therapeutic intervention. The authors therefore suggest that the terms "sociopathic personality," "antisocial personality," and "acting out aggressive reaction of childhood or adolescence" be eliminated as primary diagnoses from the psychiatric nomenclature for children or adolescents. Two case reports are presented to emphasize the damage these diagnoses can cause.

摘要

使用“反社会人格障碍”这一诊断及其同义词会阻碍对其他症状学的探寻,而识别这些症状可能会带来恰当的治疗干预。因此,作者建议将“反社会人格”“反社会型人格”以及“童年或青少年期的攻击性外化反应”等术语从儿童或青少年的精神科命名法中作为主要诊断予以剔除。本文呈现了两个病例报告以强调这些诊断可能造成的危害。

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