Ishikawa Gen, Ichihashi Kayo
Department of Child and Family Psychiatry, Faculty of Medicine, Kagawa University.
Nihon Rinsho. 2007 Mar;65(3):409-18.
Bosch (1970) was the first author who used "Asperger's syndrome" in English literature. In those days, "Kanner's syndrome" i.e. autism, which had been under schizophrenic-versus-undeveloped arguments from the 1960's, was always contrasted with Asperger's "autistic psychopathy in children". From then on there have been vicissitudes over the notion of "Asperger's syndrome" and its clinical presentation. Nowadays, the restricted notion of "Asperger's syndrome" is dominant and used in both DSM-IV-TR and ICD-10. However, debates concerning the aspect of Asperger s "psychopathy" in clinical study and practice have long disappeared. In daily life, when we describe someone as "like Asperger's", it means a personality deviation that is to the degree of Asperger's "psychopathy". The history of Asperger's "psychopathy" is still developing in our culture.
博世（1970年）是首位在英文文献中使用“阿斯伯格综合征”的作者。在那个时期，“坎纳综合征”，即自闭症，自20世纪60年代起就处于精神分裂症与发育不全的争论之中，它总是与阿斯伯格所提出的“儿童期自闭性精神病态”形成对比。从那时起，“阿斯伯格综合征”的概念及其临床表现就历经了变迁。如今，“阿斯伯格综合征”的狭义概念占据主导地位，并在《精神疾病诊断与统计手册》第四版修订本（DSM-IV-TR）和《国际疾病分类》第十版（ICD-10）中都有使用。然而，在临床研究和实践中，关于阿斯伯格“精神病态”方面的争论早已消失。在日常生活中，当我们形容某人“像阿斯伯格患者”时，这意味着一种达到阿斯伯格“精神病态”程度的人格偏差。阿斯伯格“精神病态”的历史在我们的文化中仍在发展。
