Meurice E
l'Institut Psychiatrique Provincial de Lierneux.
Acta Psychiatr Belg. 1992;92(6):339-54.
Animal and human data suggest that neuroleptic drugs act by decreasing the special significance of some stimulations, especially those of importance for the subject. The two following hypotheses are therefore considered as a basis for the work presented in this paper: 1) the target of neuroleptic drugs is a neuro-psychological mechanism whose function is to focalize the subject on important stimulations and to involve the subject in responding; 2) schizophrenia vulnerability could imply an excessive and abnormal propensity to be over-involved, especially in existentially loaded problems. A careful clinical study of the mode of decrease, and sometimes of disappearance, of schizophrenic delusions under the influence of neuroleptic treatment confirms the hypotheses. Results are of interest for clinical treatment and for research.
动物和人类数据表明,抗精神病药物的作用机制是降低某些刺激的特殊意义,尤其是对个体而言重要的刺激。因此,以下两个假设被视为本文所呈现研究的基础:1)抗精神病药物的作用靶点是一种神经心理机制,其功能是使个体专注于重要刺激并促使个体做出反应;2)精神分裂症易感性可能意味着个体存在过度且异常的过度参与倾向,尤其是在涉及生存问题时。对在抗精神病药物治疗影响下精神分裂症妄想减轻甚至有时消失方式的仔细临床研究证实了这些假设。研究结果对临床治疗和研究具有重要意义。