Department of Psychiatry, University Hospital Center Sestre milosrdnice, Vinogradska 29, 10000 Zagreb, Croatia,
Psychiatr Danub. 2021 Spring-Summer;33(Suppl 4):529-534.
The traditional medical model of schizophrenia assumes a categorical view of the syndrome. On the contrary, the dimensional approach to schizophrenia infers that schizophrenia is not a discrete illness entity, but that psychotic symptoms differ in quantitative ways from normal experiences and behaviours. Schizotypy comprise a set of inherited traits reflected in personality organization, which presents as qualitatively similar to schizophrenia. Schizotipy is in line with continuum hypothesis of schizophrenia where different combinations of genes and environmental risk factors result in a range of different phenotypic expressions lying on a continuum from normal through to clinical psychosis. We discuss evidences for the continuity of psychotic symptoms to normal experiences and theoretical and future research implications of such a continuum.
传统的精神分裂症医学模式假设综合征是一种分类的观点。相反，精神分裂症的维度方法推断出精神分裂症不是一种离散的疾病实体，而是精神病症状在数量上与正常的体验和行为不同。精神分裂症特质包含一组反映在人格组织中的遗传特征，其表现与精神分裂症相似。精神分裂症特质符合精神分裂症的连续体假说，其中不同的基因和环境风险因素组合导致一系列不同的表型表达，从正常到临床精神病都存在于连续体上。我们讨论了精神病症状与正常体验的连续性的证据，以及这种连续体的理论和未来研究意义。
