Blein G, Azorin J M, Dufour H, Tissot R
Clinique de psychiatrie et psychologie médicale, Centre hospitalo-universitaire de Marseille.
Ann Med Psychol (Paris). 1990 Dec;148(10):841-56.
Not being able to equilibrate affirmations and negations, the schizophrenic patient accedes only exceptionally to the majoring equilibrations of the second and third levels. In the logico-mathematic field, he does not approach the constructive synthetizing generalisations of reasoning. Lacking reflective abstraction, he cannot balance his logico-mathematic reasoning and differentiate what is structurally possible from what is materially possible, thus explaining his inaccessibility to perceive logic necessities, contrasting with the certainties of his delirium. In the logico-experimental domain, he reaches only rarely clause reasoning generalisation, and relapses regularly to the level of inappropriate generalisations of the extended inductive type. It is useless to try to find the "primum movens" of his difficulties, either in his imbalance assimilation/accommodation, or in his impossibility to see his contradictions, or even in his incapacity to equilibrate affirmations and negations. The majoring equilibrations, of which he is unable, are the functional expression of structures which do not follow the linear causality of Laplace's determinism but the circular causality characteristic of teleonomic processes. After a month of neuroleptic treatment, the decompensated schizophrenic's balance between assimilation and accommodation is partially restored.
精神分裂症患者由于无法平衡肯定与否定,所以只能偶尔达到第二和第三层次的主要平衡。在逻辑数学领域,他无法进行建设性的综合推理概括。由于缺乏反思性抽象,他无法平衡自己的逻辑数学推理,也无法区分结构上可能的与实际可能的,这就解释了他为何无法理解逻辑必然性,与他妄想的确定性形成对比。在逻辑实验领域,他很少能达到条件推理概括,并且经常退回到扩展归纳类型的不适当概括水平。试图在他同化/顺应失衡、无法认识到自身矛盾甚至无法平衡肯定与否定中找到其困难的“首要动因”是徒劳的。他无法达到的主要平衡是一些结构的功能表现,这些结构不遵循拉普拉斯决定论的线性因果关系,而是目的论过程特有的循环因果关系。经过一个月的抗精神病药物治疗,失代偿性精神分裂症患者同化与顺应之间的平衡得到部分恢复。