Modestin J, Bachmann K M
Psychiatrische Universitätsklinik, Zürich.
Schweiz Arch Neurol Psychiatr (1985). 1992;143(4):307-23.
Undoubtedly there exist atypical functional psychoses which differ significantly from schizophrenia and manic depressive illness. However, the atypical psychoses are conceptualized in various ways and they represent a quite heterogenous group of disorders. Regarding their main characteristics, they can be classified as 1. schizoaffective psychoses with a predominantly atypical phenomenology, 2. cycloid psychoses with a predominantly atypical course, and 3. psychogenic psychoses with a predominantly atypical etiology. For heuristic and clinical reasons it is recommendable: 1. to separate atypical psychoses from schizophrenia and manic depressive disorder and 2. to handle each of the three depicted forms of atypical psychoses as a different and independent group, regardless of possible overlaps.
毫无疑问，存在一些非典型功能性精神病，它们与精神分裂症和躁狂抑郁症有显著差异。然而，非典型精神病有多种概念化方式，它们代表了一组相当异质性的疾病。就其主要特征而言，可分为：1. 以非典型现象学为主的分裂情感性精神病；2. 以非典型病程为主的环性精神病；3. 以非典型病因为主的心因性精神病。出于启发式和临床原因，建议：1. 将非典型精神病与精神分裂症和躁狂抑郁症区分开来；2. 将所描述的三种非典型精神病形式中的每一种都作为不同且独立的组来处理，而不考虑可能的重叠情况。
