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[偏执综合征、偏执反应、偏执狂]

[Paranoid syndrome, paranoid reaction, paranoia].

作者信息

Pavlovský P

机构信息

Psychiatrická klinika 1. LF UK a VFN, Praha.

出版信息

Cas Lek Cesk. 2006;145(3):178-80.

Abstract

The term paranoid is derived from the Greek word paranoia meaning nadnese. It does not only mean self-reference, but there are various personality features as they are hostility, a tendency towards aggressiveness, irritability, a lack of sense of humour, feelings of overestimation of one-self and a tendency towards accusations. These features may appear also within normal psychology and they becomeclinically important after thein increase of intensity and conspicuousness (los sof hearing, long-term abuse of alcohol and psychostimulants) and organic disorders of the brain may contribute to the development of paranoidity. A mechanism of projection is considered as a decivise factor from the point of view of dynamic psychiatry. Clinically unimportant sign sof paranoidity can be observed due to unusual situations. If a paranoid reaction becomes more serious, formation of a paranoid delusion should be taken to account. In our koncept the term paranoid and paranoidity should be used only as a psychopathological term.

摘要

“偏执的”一词源自希腊语“paranoia”,意为疯狂。它不仅意味着自我参照,还存在各种人格特征,如敌意、攻击性倾向、易怒、缺乏幽默感、自我高估的感觉以及指责倾向。这些特征在正常心理状态下也可能出现,而当它们的强度和显著性增加(听力丧失、长期酗酒和使用精神兴奋剂)且大脑的器质性疾病可能导致偏执状态发展时,它们就具有了临床重要性。从动态精神病学的角度来看,投射机制被认为是一个决定性因素。由于特殊情况,可能会观察到临床上不重要的偏执迹象。如果偏执反应变得更加严重,就应考虑偏执妄想的形成。在我们的概念中,“偏执的”和“偏执状态”这两个术语仅应作为精神病理学术语使用。

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