Mahorney S L, Cavenar J O
Psychiatry Service, VA Medical Center, Durham, NC 27705.
Am J Psychiatry. 1988 Sep;145(9):1130-2. doi: 10.1176/ajp.145.9.1130.
Delusions presented by patients with psychiatric disorders are often a combination of psychopathology and current events. The authors present three cases that document the delusion of having acquired immune deficiency syndrome (AIDS) in patients who were not members of high-risk groups but had psychiatric disorders. This clinical phenomenon raises psychodynamic issues as well as adds a new dimension to the controversy over AIDS testing.
患有精神疾病的患者所表现出的妄想往往是精神病理学与当下事件的结合。作者呈现了三例病例,这些病例记录了并非高危人群但患有精神疾病的患者出现获得性免疫缺陷综合征(艾滋病)妄想的情况。这一临床现象引发了精神动力学问题,也为关于艾滋病检测的争议增添了新的维度。