Jauch D A, Carpenter W T
Maryland Psychiatric Research Center, Baltimore 21228.
J Nerv Ment Dis. 1988 Feb;176(2):72-81.
Reactive psychosis, schizoaffective disorder, and schizophreniform disorder have each been considered as possible third psychoses that are separate from schizophrenia and the affective psychoses. We review the history of one of these diagnoses, reactive psychosis, and critique studies that attempt to validate the category. Studies using modern research methods with well-defined criteria based on experience with patients who have received this diagnosis should test this category more rigorously. The salient features of the diagnosis are delineated by considering the rationale for its existence and examining the empirical form it has taken. In a second paper, we explore how these features may form a basis for criteria that may provide a more meaningful category in subsequent revisions of the DSM.
反应性精神病、分裂情感性障碍和精神分裂症样障碍都曾被视为可能独立于精神分裂症和情感性精神病的第三种精神病。我们回顾了其中一种诊断——反应性精神病的历史，并对试图验证该类别的研究进行了批判。使用基于接受该诊断患者经验的明确标准的现代研究方法进行的研究，应该更严格地检验这一类别。通过考虑其存在的基本原理并审视其已呈现的实证形式，来描绘该诊断的显著特征。在第二篇论文中，我们探讨这些特征如何可能为标准奠定基础，这些标准或许能在《精神疾病诊断与统计手册》后续修订版中提供一个更有意义的类别。
