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[精神分裂症中现实感丧失的临床特征]

[Clinical characteristics of vital depersonalization in schizophrenia].

作者信息

Bezzubova E B

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(7):83-6.

PMID:1661492
Abstract

Vital depersonalization was observed in 59 out of 76 schizophrenic patients with the prevalence of depersonalization. Three interrelated components of vital depersonalization were distinguished. The main depersonalization component proper was manifested by the experience of estrangement and unreality of the feeling of existence ("self"). The second, affective one, was marked by vital fear and anxiety. The third one involved common sense disorders and was characterized by vital bodily sensations. Vital depersonalization had all the principal signs of depersonalization. However, it differed from the allo-, somato- and autotypes of depersonalization in disorders of the vital level: similarity to physical sensations, pain and vagueness. Vital depersonalization may be viewed as pathology of the first level of selfawareness--selfsence of awareness of vital ego or of body perception.

摘要

在76例有去人格化症状的精神分裂症患者中,观察到59例存在生命去人格化。区分出了生命去人格化的三个相互关联的成分。主要的去人格化成分本身表现为存在感觉(“自我”)的疏离感和不真实感。第二个成分是情感成分,其特征是生命恐惧和焦虑。第三个成分涉及常识障碍,其特点是生命身体感觉。生命去人格化具有去人格化的所有主要特征。然而,它在生命层面的障碍方面与异体、躯体和自体类型的去人格化不同:与身体感觉、疼痛和模糊性相似。生命去人格化可被视为自我意识第一层面的病理学——对生命自我或身体感知的自我感觉意识。

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