First Episode and Early Psychosis Program, Massachusetts General Hospital, 32 Fruit Street, Yawkey 6A, Boston, MA 02114, USA.
Augusta University/University of Georgia Medical Partnership, Health Science Campus, Russell Hall, 1425 Prince Avenue, Athens, GA 30602, USA.
Child Adolesc Psychiatr Clin N Am. 2020 Jan;29(1):1-13. doi: 10.1016/j.chc.2019.08.002. Epub 2019 Sep 25.
Psychotic experiences may be part of normal development or indicate a wide range of mental disorders. This article shows how a systematic, domain-based, phenomenological approach to assessing psychotic symptoms in youth facilitates the gathering of the nuanced clinical information necessary to understand a child's specific experience. Mapping this information onto a narrative timeline, while understanding the evolution and developmental context of psychotic experiences, is essential in making an accurate diagnostic formulation and appropriate treatment plan for youth presenting with psychotic experiences.
精神病性体验可能是正常发育的一部分，也可能表明存在广泛的精神障碍。本文展示了一种系统的、基于领域的、现象学的方法，用于评估青年的精神病症状，这种方法有助于收集细致的临床信息，从而了解儿童的特定体验。将这些信息映射到叙述时间轴上，同时了解精神病性体验的演变和发展背景，对于为出现精神病性体验的青年做出准确的诊断和制定适当的治疗计划至关重要。
