Braff D L
Dept. of Psychiatry, UCSD Medical Center 92103.
Schizophr Bull. 1992;18(1):37-8. doi: 10.1093/schbul/18.1.37.
These interesting articles on cognitive deficits and rehabilitation in schizophrenic patients stimulate many questions, two of which are discussed in this reply. First, it seems likely that skepticism regarding the utilization and efficacy of cognitive rehabilitation strategies is born of despair that these treatments will ever be funded and delivered. This unfortunate state of affairs can only be corrected by effective social and political lobbying for adequate funding for mental health care. Second, the traditional tension between allocation and stage models of attention/information-processing deficits in schizophrenic patients may now be resolved by emerging theories that creatively integrate elements of stage and allocation theories. As we test these integrated theories, old "distinctions" seem to disappear and a clearer picture of information-processing dysfunctions in schizophrenic patients is emerging.
这些关于精神分裂症患者认知缺陷与康复的有趣文章引发了诸多问题，本回复将探讨其中两个问题。其一，对于认知康复策略的应用和疗效持怀疑态度，似乎源于对这些治疗能否获得资金支持及得以实施的绝望。这种不幸的状况唯有通过有效的社会和政治游说，争取为精神卫生保健提供充足资金才能得以纠正。其二，精神分裂症患者注意力/信息处理缺陷的分配模型与阶段模型之间传统的紧张关系，如今或许可通过创造性地整合阶段理论与分配理论要素的新兴理论来解决。在我们检验这些整合理论时，旧有的“区分”似乎正在消失，精神分裂症患者信息处理功能障碍的更清晰图景正逐渐显现。
