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心理病理学中的建构表征与定义:妄想的案例

Construct representation and definitions in psychopathology: the case of delusion.

作者信息

Rodrigues Adriano C T, Banzato Claudio E M

机构信息

Health Sciences Centre, Federal University of Piauí - UFPI, Teresina, Piauí, Brazil.

出版信息

Philos Ethics Humanit Med. 2010 Feb 25;5:5. doi: 10.1186/1747-5341-5-5.

DOI:10.1186/1747-5341-5-5
PMID:20184769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2841081/
Abstract

BACKGROUND

Delusion is one of the most intriguing psychopathological phenomena and its conceptualization remains the subject of genuine debate. Claims that it is ill-defined, however, are typically grounded on essentialist expectations that a given definition should capture the core of every instance acknowledged as delusion in the clinical setting.

OBJECTIVE

In this paper, we attempt to show the major limitations of the definition of delusion from a non-essentialist point of view.

METHOD

The problem is analyzed within the framework of constructs and their translation into definitions. Different linguistic and epistemological perspectives that do concur when one deals with psychopathological phenomena are also considered.

RESULTS

The 'construct of delusion', rather than its clinical instances, is the reference in which its definition appears inept. Here we claim that the broad contextual and pragmatic bases that underpin the construct of delusion tend to be either overlooked or downplayed in the quest for a satisfactory definition of this phenomenon.

摘要

背景

妄想是最引人入胜的精神病理现象之一,其概念化仍是一个真正有争议的话题。然而,认为妄想定义不明确的观点通常基于本质主义的期望,即给定的定义应抓住临床环境中被视为妄想的每个实例的核心。

目的

在本文中,我们试图从非本质主义的角度展示妄想定义的主要局限性。

方法

在构念及其转化为定义的框架内分析该问题。还考虑了在处理精神病理现象时确实一致的不同语言和认识论观点。

结果

“妄想构念”而非其临床实例,是其定义显得不恰当的参照。我们在此声称,在寻求对这一现象的满意定义时,支撑妄想构念的广泛背景和实用基础往往被忽视或淡化。

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引用本文的文献

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Respice...prospice: philosophy, ethics and medical care- past, present, and future.回首往事……展望未来:哲学、伦理与医疗——过去、现在与未来。
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本文引用的文献

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[Dementia praecox or the group of schizophrenias].[早发性痴呆或精神分裂症群组]
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On the ontological assumptions of the medical model of psychiatry: philosophical considerations and pragmatic tasks.论精神病学医学模式的本体论假设:哲学思考与实际任务。
Philos Ethics Humanit Med. 2010 Jan 28;5:3. doi: 10.1186/1747-5341-5-3.
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Philos Ethics Humanit Med. 2006 Mar 17;1(1):E2. doi: 10.1186/1747-5341-1-2.
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Understanding the clinical concept of delusion: from an estranged to an engaged epistemology.理解妄想的临床概念:从疏离的认识论到参与的认识论。
Int Rev Psychiatry. 2004 Aug;16(3):225-35. doi: 10.1080/09540260400003966.
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