Spring B J, Ravdin L
Dept. of Psychology, University of Health Sciences, Chicago Medical School, IL 60064.
Schizophr Bull. 1992;18(1):15-20. doi: 10.1093/schbul/18.1.15.
Subtle cognitive deficits persist in schizophrenia even after active periods of psychosis subside. Even though early attempts to ameliorate cognitive impairments were relatively successful, the endeavor was abandoned nearly 30 years ago. We contrast this state of affairs with that of closed-head injury, in which less well-designed and less successful attempts to treat similar impairments have been greeted with much enthusiasm. Objections to cognitive remediation in schizophrenia are evaluated and the attempt is encouraged.
即使在精神病的活跃期消退后，精神分裂症患者仍存在细微的认知缺陷。尽管早期改善认知障碍的尝试相对成功，但这项努力在近30年前就被放弃了。我们将这种情况与闭合性颅脑损伤的情况进行对比，在闭合性颅脑损伤中，针对类似损伤的设计欠佳且不太成功的治疗尝试却受到了极大的热情欢迎。本文对针对精神分裂症认知康复的反对意见进行了评估，并鼓励进行这方面的尝试。
