Holm Lena Engelund, Jansson Lennart, Nordgaard Julie
Ugeskr Laeger. 2020 Nov 23;182(48).
Obsessive-compulsive-like symptomatology may be present in various psychiatric disorders including schizophrenia. This has been described since Kraepelin and Bleuler. In this review, we draw attention to the often ignored notion of pseudo-obsession. The concept can add to the distinction between true obsession in OCD and related psychopathological phenomena in the schizophrenia spectrum disorders and improve diagnostic practice. The recent changes in the diagnostic manuals have made this distinction more difficult by allowing a lack of insight and delusional beliefs in the diagnostic criteria for OCD.
强迫症状样表现可能存在于包括精神分裂症在内的各种精神障碍中。自克雷佩林和布鲁勒时代起就有相关描述。在本综述中，我们提请注意常被忽视的假性强迫观念这一概念。该概念有助于区分强迫症中的真性强迫观念与精神分裂症谱系障碍中的相关精神病理现象，并改善诊断实践。诊断手册最近的变化使得这种区分更加困难，因为强迫症的诊断标准中允许存在缺乏洞察力和妄想信念的情况。
