Roskin G, Rabiner C J, Blum M H, Oliver H
Dis Nerv Syst. 1977 Apr;38(4):269-71.
In classical descriptive psychiatry the term 'paranoid' is often used ambiguously -- referring to a variety of clinical processes which should be more clearly differentiated. Specifically, in this paper, we have differentiated three distinct sets of clinical phenomena all usually lumped together as 'paranoid': 1. Paranoid from a Sense of Guilt, 2. Paranoid from a sense of Low Self-Esteem, and 3. Paranoid from a Sense of Persecution. These three processes are distinct descriptively, dynamically and genetically. Further, this differentiation is most significant pragmatically as the treatment is different for each type.
在经典的描述性精神病学中，“偏执”一词的使用常常含糊不清——它指的是一系列临床过程，而这些过程应该得到更清晰的区分。具体而言，在本文中，我们区分了三组通常都被归为“偏执”的不同临床现象：1. 源于内疚感的偏执，2. 源于自卑的偏执，3. 源于受迫害感的偏执。这三个过程在描述、动态变化和成因方面都是不同的。此外，这种区分在实际应用中最为重要，因为每种类型的治疗方法都有所不同。
