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[自我障碍的精神病理学:历史与现象学]

[The psychopathology of ego disturbances: history and phenomenology].

作者信息

Bürgy M

机构信息

Klinik für Spezielle Psychiatrie, Sozialpsychiatrie und Psychotherapie, Zentrum für Seelische Gesundheit, Klinikum Stuttgart, Tunzhofer Strasse 14-16, 70191, Stuttgart, Deutschland.

出版信息

Nervenarzt. 2010 Sep;81(9):1097-107. doi: 10.1007/s00115-010-3122-5.

Abstract

The phenomena which Kurt Schneider grouped together to form the ego disturbances have always been of particular diagnostic relevance for schizophrenia. While little importance was historically attached to accurately describing and distinguishing psychopathological symptoms, Karl Jaspers' and Kurt Schneider's descriptive psychopathology aims to draw a sharp yet differentiated distinction between psychotic and non-psychotic disorders at the symptom level. New developments in phenomenology including aspects of symptom development are presented. The depersonalization experience is focused on as a transitional phenomenon which is distinguishes from neurotic depersonalization through a disturbed sense of mineness. The ego disturbances indicate that disturbed mineness can be seen as the common denominator of first-rank symptoms of schizophrenia.

摘要

库尔特·施耐德归纳在一起构成自我障碍的那些现象,对精神分裂症而言一直都具有特殊的诊断意义。尽管历史上人们不太重视准确描述和区分精神病理症状,但卡尔·雅斯贝尔斯和库尔特·施耐德的描述性精神病理学旨在在症状层面清晰地区分精神病性障碍和非精神病性障碍。文中介绍了现象学的新进展,包括症状发展的各个方面。去人格化体验作为一种过渡现象受到关注,它通过自我感的紊乱与神经症性去人格化相区分。自我障碍表明,自我感紊乱可被视为精神分裂症一级症状的共同特征。

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