Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
Psychiatr Q. 2013 Mar;84(1):93-102. doi: 10.1007/s11126-012-9230-6.
Clinicians are frequently asked for advice on what to tell prospective marriage partners about a history of mental illness. The aim of this paper is to develop guidelines for disclosure. An electronic search was conducted of the stigma, secrecy, communication, sociology, and matchmaking literatures as they pertain to mental illness, especially to schizophrenia. The conclusion was that pre-existing psychiatric conditions must be shared with prospective marriage partners once these partners have proven trustworthy. The recommendation is that disclosure be done in stages and that discussions continue, with attempts made to address all relevant issues and address the partner's concerns. Although schizophrenia does not define who a person is, the diagnosis and its implications are important and need to be shared with prospective marriage partners.
临床医生经常被要求就如何向潜在的婚姻伴侣告知精神病史提供建议。本文旨在制定披露准则。对与精神疾病特别是精神分裂症相关的耻辱感、保密、沟通、社会学和婚姻匹配文献进行了电子检索。结论是，一旦潜在的婚姻伴侣被证明值得信赖，就必须与他们分享先前存在的精神疾病。建议分阶段披露，并继续讨论，努力解决所有相关问题和伴侣的担忧。虽然精神分裂症不能定义一个人是谁，但诊断及其影响很重要，需要与潜在的婚姻伴侣分享。
