Seeman Mary V
Mary V Seeman, Department of Psychiatry, University of Toronto, Toronto, ON M5P 3L6, Canada.
World J Psychiatry. 2017 Mar 22;7(1):1-7. doi: 10.5498/wjp.v7.i1.1.
Many individuals with schizophrenia have occasional difficulty defining both to themselves and to others who they truly are. Perhaps for this reason they make attempts to change core aspects of themselves. These attempts may be delusional, but are too often unjustly dismissed as delusional before the potential value of the change is considered. Instead of facilitation, obstacles are placed in the way of hoped-for body modifications or changes of name or of religious faith. This paper discusses the various changes of identity sometimes undertaken by individuals with schizophrenia who may or may not be deluded. Ethical and clinical ramifications are discussed. The recommendation is made that, when clinicians respond to requests for help with identity change, safety needs to be the main consideration.
许多精神分裂症患者在向自己和他人界定自己的真实身份时偶尔会遇到困难。也许正因如此，他们试图改变自己的核心方面。这些尝试可能是妄想性的，但在考虑改变的潜在价值之前，它们常常被不公正地斥为妄想。人们非但不予以协助，反而对期望中的身体改造、改名或宗教信仰改变设置障碍。本文讨论了精神分裂症患者有时进行的各种身份改变，这些患者可能有也可能没有妄想。文中还讨论了伦理和临床方面的影响。建议临床医生在回应身份改变求助时，应以安全为主要考量。
