Psychiatr Clin (Basel). 1975;8(1-2):20-30.
The author stresses the lack of nosological entities in psychiatry, and also the necessity of a classification system. Paranoid symptoms are found in most types of psychoses, both functional and organic psychoses. Among the functional psychoses the schizophrenias often have a paranoid picture, and paranoid traits may be found even in the affective psychoses. The Scandinavian concept of reactive psychoses is presented, including reactive psychoses is presented, including reactive psychoses of paranoiac, paranoid and schizophreniform type. Finally, the author presents his own personal follow-up study of paranoid psychoses after an observation time of 5-18 years. This study demonstrates 81% cured, of the patients with the discharge diagnosis of reactive psychoses, as against 23% cured, of the patients with the discharge diagnosis of schizophrenia. The author suggests a continuum of the paranoid psychoses from the schizophrenias via the schizophreniform and paranoid reactive psychoses to the more affective psychoses with slight tendency to paranoid symptomatology.
作者强调了精神病学中缺乏疾病分类实体,以及分类系统的必要性。偏执症状在大多数类型的精神病中都有发现,包括功能性精神病和器质性精神病。在功能性精神病中,精神分裂症常常呈现偏执症状,甚至在情感性精神病中也可能发现偏执特征。文中介绍了斯堪的纳维亚地区关于反应性精神病的概念,包括偏执型、偏执型和精神分裂症样型的反应性精神病。最后,作者展示了自己对偏执性精神病长达5至18年的个人随访研究。该研究表明,出院诊断为反应性精神病的患者中81%治愈,而出院诊断为精神分裂症的患者中只有23%治愈。作者提出,偏执性精神病存在一个连续谱,从精神分裂症开始,经精神分裂症样和偏执反应性精神病,到具有轻微偏执症状倾向的情感性精神病。