Dammann Gerhard, Walter Marc
Psychiatrische Universitätsklinik Basel, Schweiz.
Psychiatr Prax. 2003 Sep;30(6):304-11. doi: 10.1055/s-2003-42163.
This paper reviews findings and problems of differential diagnosis between Borderline personality disorders and schizophrenic illness in adolescents and young adults with psychotic symptoms.
Therefore relevant especially psychodynamically oriented publications were analysed and related to clinical experiences.
Differential diagnostic classification of psychotic symptoms in this age group is difficult, especially when disorder criteria are not yet completely met. Differential diagnostic hints which can indicate severe adjustment problems, Borderline personality disorder and schizophrenia as well as specific diagnostic difficulties are presented in this paper.
Well-reasoned differential diagnosis reveals significant findings for treatment options.
本文回顾了有精神病性症状的青少年和青年中边缘性人格障碍与精神分裂症鉴别诊断的研究结果及问题。
因此，对相关的尤其是精神动力学导向的出版物进行了分析，并与临床经验相关联。
该年龄组精神病性症状的鉴别诊断分类很困难，尤其是在尚未完全满足疾病标准时。本文给出了可提示严重适应问题、边缘性人格障碍和精神分裂症的鉴别诊断线索以及特定的诊断困难。
合理的鉴别诊断可为治疗方案提供重要发现。
