Prüter C, Kawohl W, Hoff P
Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum, Medizinische Fakultät der RWTH Aachen.
Nervenarzt. 2004 Jan;75(1):63-6. doi: 10.1007/s00115-003-1590-6.
In routine clinical work, the psychopathology of some patients makes distinct diagnosis more difficult for the psychiatrist. In schizophrenia, especially those patients with dominant autism, eccentric behaviour, and abnormalities of affect with no evidence of positive symptoms pose special diagnostic problems. We report a case with formal thought disorder, autism, altered interactional behaviour, and disturbed emotional expression with no characteristic schizophrenic perception disorders, delusions, or other positive symptoms. With the help of this exemplary case, we discuss the diagnostic dilemma in careful use of diagnostic criteria in diagnosing schizophrenia in such cases.
在日常临床工作中，某些患者的精神病理学表现使精神科医生更难做出明确诊断。在精神分裂症中，尤其是那些以孤独症、怪异行为和情感异常为主导且无阳性症状证据的患者，会带来特殊的诊断问题。我们报告一例存在形式思维障碍、孤独症、互动行为改变和情感表达障碍但无典型精神分裂症感知障碍、妄想或其他阳性症状的病例。借助这个典型案例，我们讨论在此类病例中诊断精神分裂症时谨慎使用诊断标准所面临的诊断困境。
