Suslow T, Arolt V
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum, Albert-Schweitzer-Strasse 11, 48149, Münster, Deutschland.
Nervenarzt. 2009 Mar;80(3):343-50. doi: 10.1007/s00115-008-2589-9.
According to DSM-IV the cluster A personality disorders include paranoid, schizoid, and schizotypal personality disorders. There exists a phenomenological similarity between the experience and behaviour of the so-called odd or eccentric personality disorders and the symptoms of schizophrenia. Evidence of common etiological factors is still the best for the schizotypal personality disorder. The cluster A personality disorders are among the less common personality disorders with a high co-occurrence. Present findings about the neurobiological substrate of the schizotypal personality disorder are discussed also taking neuropsychological results into consideration. A central prerequisite of psychotherapeutic and pharmacological treatment of cluster A personality disorders is a strong therapeutic patient relationship.
根据《精神疾病诊断与统计手册第四版》(DSM-IV),A类人格障碍包括偏执型、分裂样和分裂型人格障碍。所谓的古怪或怪异人格障碍的体验和行为与精神分裂症的症状之间存在现象学上的相似性。对于分裂型人格障碍来说,共同病因因素的证据仍然是最充分的。A类人格障碍是较不常见但共病率高的人格障碍。本文还结合神经心理学结果讨论了目前关于分裂型人格障碍神经生物学基础的研究发现。A类人格障碍心理治疗和药物治疗的一个核心前提是建立牢固的治疗医患关系。