Anker J M
Pavlov J Biol Sci. 1979 Apr-Jun;14(2):97-103. doi: 10.1007/BF03001825.
Despite the fact that the diagnosis of schizophrenia, or dementia praecox, has been in use for over 80 years, there remains a great lack of clarity about the nature of this "disease." An impressive array of clinical and experimental data has been accumulated which pertains to the characteristics of "schizophrenics" but there are virtually no data which are schizophrenia specific. Quite to the contrary, the emerging picture is one of a complex and interacting field of several continuous dimensions or factors. Three underlying factors are suggested in an ad hoc fashion; the internal environment, the physical environment, and the human environment. It is suggested that these basic dimensions and their interactions over time should be the object of further investigation and definition, hopefully developing more adequate and productive description of clinical syndromes, rather than continuing the preoccupation with "schizophrenia" as a diagnostic label.
尽管精神分裂症（或早发性痴呆）的诊断已经使用了80多年，但对于这种“疾病”的本质仍存在很大的不明确性。已经积累了大量令人印象深刻的临床和实验数据，这些数据与“精神分裂症患者”的特征有关，但实际上没有针对精神分裂症的特异性数据。恰恰相反，新出现的情况是一个由几个连续维度或因素组成的复杂且相互作用的领域。以一种临时的方式提出了三个潜在因素：内部环境、物理环境和人文环境。有人认为，这些基本维度及其随时间的相互作用应该是进一步研究和定义的对象，希望能对临床综合征进行更充分和有效的描述，而不是继续将注意力集中在作为诊断标签的“精神分裂症”上。
