Spivak B, Mester R, Babur I, Mark M, Bleich A, Weizman A
Geha Psychiatric Hospital, Beilinson Medical Center, Tel Aviv, Israel.
Psychopathology. 1990;23(3):181-4. doi: 10.1159/000284657.
A modern complaint--fear of AIDS--is making its way into the world of psychopathology and is becoming a symptom of a wide range of psychiatric disorders, including severe ones. We present a case of a young man who developed a pathological bizarre preoccupation of having AIDS and underwent various unnecessary medical procedures, until finally he was diagnosed as suffering from a paranoid schizophrenic disorder. With the high media profile that AIDS has achieved in recent years, it is expected that AIDS has become the object of psychopathological processes. However, the length of time elapsed between the onset of symptoms and the appropriate psychiatric diagnosis, despite being examined by other medical professionals, is surprising. The discussion focuses on the diagnostic questions and on issues related to primary and secondary psychiatric prevention.
一种现代的恐惧——对艾滋病的恐惧——正在进入精神病理学领域,并正成为一系列精神疾病(包括严重精神疾病)的一种症状。我们报告一例年轻男性病例,他对感染艾滋病产生了病理性的怪异执念,并接受了各种不必要的医疗程序,直到最终被诊断为患有偏执型精神分裂症。鉴于近年来艾滋病在媒体上的高度曝光,预计它已成为精神病理过程的对象。然而,尽管该患者已接受其他医学专业人员的检查,但从症状出现到做出恰当的精神科诊断之间所经过的时间之长,令人惊讶。讨论集中在诊断问题以及与一级和二级精神预防相关的问题上。