Schachter M
Ann Med Psychol (Paris). 1975 Oct;2(3):523-39.
The pedopsychiatric problem of severe psycho-motoric instabilities of hyperkinetic states, that we prefer to designate as psychomotoric incontinence, is at the origin of great amount of publications of inequal value. After having delimitated the concept of severe psycho-motoric instability (hyperkinetic syndrome or motoric incontinence) and a critical historic review of the problem, the author relates the various clinical aspects with twenty personal cases as example. The clinical and therapeutic experience of the author, the etiology, pathologic antecedents, neuro-psychological and electro-encephalographic data concerning this clinical condition, show that only ameliorations (in 40% of the cases), and not recoveries, are to be expeected.
多动状态下严重精神运动不稳定的儿童精神病学问题,我们更倾向于将其称为精神运动失禁,这是大量价值不等的出版物的根源。在界定了严重精神运动不稳定(多动综合征或运动失禁)的概念并对该问题进行批判性历史回顾之后,作者以20个个人病例为例阐述了其各个临床方面。作者的临床和治疗经验、关于这种临床状况的病因、病理既往史、神经心理学和脑电图数据表明,只能预期有改善(40%的病例),而非治愈。