Molchan S E, Martinez R A, Lawlor B A, Grafman J H, Sunderland T
Laboratory of Clinical Science, Unit of National Institute of Mental Health, NIH Clinical Health Centre, Bethesda, MD 20892.
Br J Psychiatry. 1990 Oct;157:605-8. doi: 10.1192/bjp.157.4.605.
Two patients with moderately severe AD, when asked directly, could identify their own images in a mirror, but also consistently misidentified their own reflections as that of another person. Both patients were paranoid and mildly depressed at times, but had no evidence of other concurrent psychotic symptoms. It appeared that mood substantially modified the nature of the symptom and the patients' reaction to it over time. These cases illustrate the ability of an organic symptom to be modified by a concurrent affective state, indicating the importance of the interaction between biological and psychological factors in the expression of such symptoms.
两名患有中度严重阿尔茨海默病（AD）的患者，在被直接询问时，能够在镜子中认出自己的影像，但也一直将自己的倒影错认成他人的。两名患者有时都患有妄想症且有轻度抑郁，但没有其他并发精神病症状的证据。随着时间推移，情绪似乎极大地改变了症状的性质以及患者对其的反应。这些病例说明了一种器质性症状能够被并发的情感状态所改变，表明了生物因素和心理因素之间的相互作用在这类症状表现中的重要性。
