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偏执型与非偏执型精神分裂症:疾病两个阶段中驱力主导的思维及思维病理状态。

Paranoid and nonparanoid schizophrenia: drive dominated thinking and thought pathology at two phases of disorder.

作者信息

Lazar B S, Harrow M

出版信息

J Clin Psychol. 1985 Mar;41(2):145-51. doi: 10.1002/1097-4679(198503)41:2<145::aid-jclp2270410203>3.0.co;2-z.

DOI:10.1002/1097-4679(198503)41:2<145::aid-jclp2270410203>3.0.co;2-z
PMID:3980736
Abstract

A sample of acutely hospitalized paranoid and nonparanoid schizophrenics and another sample of paranoid and nonparanoid schizophrenics studied at follow-up were compared on measures of cognitive functioning, disordered thinking, and drive dominated thinking using the WAIS, the Rorschach test, the object sorting test, and an overall index of outcome functioning (N = 67). Results suggested that cognitive regression is related more to acute psychological disturbance than to the presence or absence of paranoia, that the presence of socialized drive dominated thinking during the acute phase is related to better posthospital adjustment at follow-up, and that paranoid schizophrenics show better cognitive functioning after the acute phase. Results did not support the theory that suggests an etiological relation between homosexual conflict and paranoia.

摘要

对一组急性住院的偏执型和非偏执型精神分裂症患者样本,以及另一组在随访时研究的偏执型和非偏执型精神分裂症患者样本,使用韦氏成人智力量表(WAIS)、罗夏墨迹测验、物体分类测试和一个总体结局功能指数(N = 67),在认知功能、思维紊乱和驱力主导思维等测量指标上进行了比较。结果表明,认知衰退与急性心理障碍的关系比与偏执的有无更为密切;急性期存在社会化驱力主导思维与随访时更好的出院后适应有关;偏执型精神分裂症患者在急性期后表现出更好的认知功能。结果不支持表明同性恋冲突与偏执之间存在病因学关系的理论。

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