Hermle L, Spitzer M, Borchardt D, Gouzoulis E
Fachkrankenhaus für Psychiatrie und Neurologie Christophsbad, Göppingen.
Fortschr Neurol Psychiatr. 1992 Oct;60(10):383-92. doi: 10.1055/s-2007-1000662.
From the clinical point of view, substance-induced psychosis can be rather similar to schizophrenia. However, the question whether phenomenological resemblances represent similar underlying causal mechanisms is unsolved. Whereas the interest in experimentally induced psychosis was purely academic until the mid-1960s, the widespread use of "recreational" drugs provided this research with an important practical impact. With respect to a given case the differential diagnosis between schizophrenia and drug-induced psychosis it is often problematic. The differences in psychopathology refer to the disturbances of experience in general (Ichstörungen), the character of the hallucinations and the quality and quantity of the alterations of consciousness. Contrary to the sharp distinctions which used to be drawn between schizophrenia and drug-induced psychotic states, we hold that these states are rather similar, and may even represent a common underlying pathology. Hence, the renewed interest in the study on experimentally induced psychotic states using advanced methodology seems justified.
从临床角度来看,物质所致精神病可能与精神分裂症颇为相似。然而,现象学上的相似之处是否代表相似的潜在因果机制这一问题仍未解决。直到20世纪60年代中期,对实验性诱发精神病的研究兴趣还纯粹是学术性的,而“消遣性”药物的广泛使用给这项研究带来了重要的实际影响。对于某一特定病例,精神分裂症和药物所致精神病之间的鉴别诊断往往存在问题。精神病理学上的差异涉及一般体验的障碍(自我障碍)、幻觉的特征以及意识改变的性质和程度。与过去在精神分裂症和药物所致精神病状态之间所做的鲜明区分不同,我们认为这些状态相当相似,甚至可能代表一种共同的潜在病理。因此,使用先进方法对实验性诱发精神病状态进行研究的兴趣再度兴起似乎是合理的。