Rogers D
Br J Psychiatry. 1985 Sep;147:221-32. doi: 10.1192/bjp.147.3.221.
The motor disorder of 100 patients with severe psychiatric illness is described and the contribution of previous treatment, hospitalization and possible neurological disorder is considered. The conflict of paradigms between the concept that this motor disorder has two distinct aetiologies, psychiatric and neurological, and the concept that both motor and mental disorder are an expression of underlying cerebral disorder is discussed. An attempt is made to resolve this conflict by description of motor disorder without reference to neurological or psychiatric diagnosis.
本文描述了100例重症精神疾病患者的运动障碍，并考虑了既往治疗、住院情况及可能存在的神经障碍的影响。文中讨论了两种范式之间的冲突：一种观点认为这种运动障碍有两种不同的病因，即精神性和神经性；另一种观点则认为运动障碍和精神障碍都是潜在脑功能障碍的表现。本文试图通过不参考神经或精神诊断来描述运动障碍，以解决这一冲突。
