Hogarty G E, Flesher S
Western Psychiatric Institute and Clinic, University of Pittsburgh, School of Medicine, PA 15213.
Schizophr Bull. 1992;18(1):51-7. doi: 10.1093/schbul/18.1.51.
The apparent neglect of neuropsychologic deficits in schizophrenia as the basis for therapeutic intervention, together with only isolated attempts at remediating them, probably reflect the nature of impairments, the functional significance of which is uncertain. A critique of the limitations inherent in the appealing cognitive remediation of the closed-head injured is followed by positive suggestions for the restructuring of cognitive schema that appear to underlie schizophrenic disability in social and vocational functioning.
精神分裂症中神经心理缺陷作为治疗干预基础的明显被忽视，以及对其进行补救的孤立尝试，可能反映了损伤的性质，而其功能意义尚不确定。在对闭合性颅脑损伤颇具吸引力的认知补救所固有的局限性进行批判之后，针对似乎是精神分裂症患者社会和职业功能障碍基础的认知模式重构提出了积极建议。
