Rehm H, Pfitzner R
Abteilung für Psychotherapie und Psychosomatik, Universität München.
Prax Kinderpsychol Kinderpsychiatr. 1990 Oct;39(8):283-93.
In clinical practice the problem of diagnosis and illness concept in adolescent psychiatry is related to the highly important consequences concerning various therapeutic approaches. Though the socalled diagnostic category "adolescent crisis" is not a real psychiatric one it serves for this purpose. The first part of this report is a review on the development and common use of this concept. The second part is an attempt to investigate the phenomena of adolescent disorder which constitute the diagnosis. For this research we use the Rorschachtest based on the study of 10 catamnestically controlled single cases. Evidence for the prognostic value of the Rorschach-results is-with respect to the question "adolescent crisis or schizophrenia?--the patients' clinical state and Rorschach-findings 5 years after their first hospitalization. In addition an attempt is made for find a Rorschach-syndrome which is related to the diagnosis "adolescent crisis".
在临床实践中，青少年精神病学的诊断和疾病概念问题与各种治疗方法的高度重要后果相关。尽管所谓的诊断类别“青少年危机”并非真正的精神病学类别，但它为此目的服务。本报告的第一部分是对这一概念的发展和普遍应用的综述。第二部分试图研究构成该诊断的青少年障碍现象。对于这项研究，我们基于对10例经随访对照的单病例研究使用了罗夏测验。关于“青少年危机还是精神分裂症？”这一问题，罗夏测验结果的预后价值证据是患者首次住院5年后的临床状态和罗夏测验结果。此外，还试图找到一种与“青少年危机”诊断相关的罗夏综合征。
