Harper D J
Psychology Service, Whiston Hospital, Prescot, Merseyside, UK.
Br J Med Psychol. 1992 Dec;65(4):357-69. doi: 10.1111/j.2044-8341.1992.tb01717.x.
This paper examines the related concepts of paranoia and delusion from a broadly social constructionist perspective. Through an analysis of the American Psychiatric Association's (1987) definition of delusion, inherent inconsistencies and implied philosophical assumptions are highlighted. It is argued that psychiatric definitions are not merely academic and clinical but are a site of political and professional interest. The implications of such an analysis are discussed with particular reference to developing new directions for research and clinical practice.
本文从广义的社会建构主义视角审视了偏执狂和妄想的相关概念。通过对美国精神病学协会（1987年）妄想定义的分析，突出了其中固有的不一致性和隐含的哲学假设。有人认为，精神病学定义不仅仅是学术性和临床性的，而且是政治和专业利益的所在。本文特别参照为研究和临床实践开辟新方向，讨论了这种分析的意义。
