人格病理学与精神分裂症。
Personality Pathology and Schizophrenia.
机构信息
Psychiatric Research Unit, Region Zealand, Slagelse, Denmark.
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
出版信息
Schizophr Bull. 2018 Oct 17;44(6):1180-1184. doi: 10.1093/schbul/sby053.
Abstract
The interaction of personality pathology and schizophrenia has conceptually been a topic of considerable interest in psychiatry. Recent advances in taxonomy and assessment of relevance to the clinician and researcher is presented. Cluster A and avoidant personality disorders are regarded as risk factors or antecedents for the development of schizophrenia. Some features of borderline personality disorder may resemble schizophrenia. With both a hierarchical structure and symptom-focused classification systems, personality pathology and personality disorder comorbidities can be overlooked. They can remain untreated because they are seen as part of the psychotic syndrome or superseded. A case formulation of a patient with schizophrenia is likely enriched by considering both these facets and may highlight comorbid personality disorder that warrants independent treatment.
摘要
人格病理学与精神分裂症的相互作用在精神病学中一直是一个备受关注的概念。本文介绍了与临床医生和研究人员相关的分类学和评估方面的最新进展。聚类 A 和回避型人格障碍被认为是精神分裂症发展的危险因素或前兆。边缘型人格障碍的一些特征可能类似于精神分裂症。具有层次结构和以症状为重点的分类系统，人格病理学和人格障碍共病可能被忽视。它们可能得不到治疗，因为它们被视为精神病综合征的一部分或被取代。考虑到这两个方面，对患有精神分裂症的患者进行病例构建可能会更加丰富，并可能突出需要独立治疗的共病人格障碍。
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