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精神分裂症症状发病机制的心理生物学模型。

A psychobiological model of the pathogenesis of schizophrenic symptoms.

作者信息

Koukkou M, Tremel E, Manske W

机构信息

Research Department, University Hospital of Psychiatry, Zurich, Switzerland.

出版信息

Int J Psychophysiol. 1991 Jan;10(3):203-12. doi: 10.1016/0167-8760(91)90030-2.

Abstract

Schizophrenic symptoms are non-specific and are modifiable by unspecific drugs, by environmental input and 'spontaneously'. An information-theory-based model of their pathogenesis is presented. The model is based on data and theories which suggest memory-driven and state-dependent brain operations for the organization of human behavior in normal or in psychopathological states. The data are integrated in the concept of EEG-defined functional states of the brain with state-dependent information processing. The brain's functional state is multifactorially defined, reflects at each moment the memory storages accessible to the operations of information processing and is continuously readjusted to the demands made on the organism by current received information as estimated by the cerebral mechanisms of initiation of the orienting reaction and of its 'habituation'. Major conclusions of evoked potentials and of EEG-reactivity studies on information processing anomalies in schizophrenia integrated into the model suggest the following: schizophrenic symptoms reflect the behavioral manifestations of brain's information processes which have access to memory storages which contain mnemonic representations of skills and of cognitive-emotional coping strategies which are inadequate to recognize the age- and state-corresponding significance of the current information for the organism.

摘要

精神分裂症症状是非特异性的,可通过非特异性药物、环境输入以及“自发地”改变。本文提出了一种基于信息论的发病机制模型。该模型基于数据和理论,这些数据和理论表明,在正常或精神病理状态下,人类行为的组织是由记忆驱动和状态依赖的大脑运作所决定的。这些数据被整合到脑电图定义的大脑功能状态概念中,其中包括状态依赖的信息处理。大脑的功能状态是由多种因素定义的,它在每一时刻都反映了信息处理操作可访问的记忆存储,并根据大脑启动定向反应及其“习惯化”的机制对当前接收到的信息对机体提出的需求进行不断调整。纳入该模型的关于精神分裂症信息处理异常的诱发电位和脑电图反应性研究的主要结论表明:精神分裂症症状反映了大脑信息处理的行为表现,这些信息处理可以访问记忆存储,其中包含技能和认知 - 情感应对策略的记忆表征,而这些表征不足以识别当前信息对于机体的年龄和状态相应的意义。

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