Kutcher S, Marton P, Szalai J, Kennedy B
Department of Psychiatry, Sunnybrook Health Science Centre, University of Toronto Clinic, Ontario, Canada.
J Am Acad Child Adolesc Psychiatry. 1992 Jul;31(4):699-701; discussion 701-2. doi: 10.1097/00004583-199207000-00018.
The specificity of psychodynamic hypotheses regarding the onset of adolescent psychosis was assessed in a group of rigorously diagnosed psychotic (N = 75) and depressed (N = 53) adolescents. None of the four operationally defined psychodynamic hypotheses purported to be etiologically specific in the onset of adolescent psychotic illness: success and its opportunities; intimacy and its attempts; intent to act autonomously; or involved in insight-oriented psychotherapy was more commonly observed in the psychotic than the depressed group, thereby not supporting the hypotheses. The consequences of this finding are discussed.
在一组经过严格诊断的患有精神病（N = 75）和抑郁症（N = 53）的青少年中，评估了关于青少年精神病发作的心理动力学假设的特异性。在青少年精神病性疾病发作方面，四个从操作上定义的心理动力学假设均未被认为在病因上具有特异性：成功及其机会；亲密关系及其尝试；自主行动意图；或参与以洞察为导向的心理治疗。在精神病组中比在抑郁症组中更常见这些假设的情况并未出现，因此不支持这些假设。本文讨论了这一发现的后果。
