Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland.
Psychiatr Danub. 2012 Sep;24 Suppl 1:S65-9.
Different environmental factors are thought to be responsible for 15-20% of schizophrenia pathogenesis. Religion has long been considered a major force in human life, regardless of economic, social or political affiliation. How the perception of religion has changed over time, especially in the context of mental illness, was the focal point of this long-term comparative study.
A random selection of 100 case histories from the years 1932, 1952, 1972 and 1992 was selected. By reviewing the subject history and medical notes, information on the presence of religious hallucinations and/or delusions were collected and grouped.
Religious topics were demonstrated in 46.8% of the test population. Whereas there was a clear diversity of religious-themed delusions, "God", "Christ", "Mary", "Satan/devil" and "hell" all figured prominently across all reviewed years. There is a progressive decrease in the number of religious topics in paranoid schizophrenia. The transfer of holiness from historical saints onto a subject was observed. Evil dominates over good in productive symptoms in paranoid schizophrenia. The phenomenon of apocalyptic subjects in paranoid hallucinations and delusions increased after the Second World War.
Religious topics of hallucinations and delusions change over time and relate to objective historical events and reflect changes in religiosity in society.
不同的环境因素被认为与 15-20%的精神分裂症发病机制有关。宗教一直被认为是人类生活的主要力量，无论其经济、社会或政治背景如何。宗教观念是如何随着时间的推移而变化的，尤其是在精神疾病的背景下，这是这项长期比较研究的重点。
从 1932 年、1952 年、1972 年和 1992 年随机选择了 100 例病历。通过回顾病史和病历，收集和分组了存在宗教幻觉和/或妄想的信息。
在测试人群中，有 46.8%表现出宗教主题。虽然存在着明显不同的宗教主题妄想，但“上帝”、“基督”、“玛丽”、“撒旦/魔鬼”和“地狱”在所有审查的年份都占据了重要地位。偏执型精神分裂症中宗教主题的数量呈逐渐减少的趋势。从历史圣徒身上转移到主体身上的神圣性被观察到了。在偏执型精神分裂症的创造性症状中，邪恶压倒了善良。在第二次世界大战后，偏执性幻觉和妄想中的世界末日主题增加了。
幻觉和妄想中的宗教主题随着时间的推移而变化，与客观的历史事件有关，并反映了社会宗教信仰的变化。
