Bleuler M
Am J Psychiatry. 1979 Nov;136(11):1403-9. doi: 10.1176/ajp.136.11.1403.
The author traces the history of the concept of schizophrenic psychoses from Kraepelin's differentiation of dementia praecox from other mental illness and Bleuler's formulation of schizophrenia through the delimitation of the definition of schizophrenia to current thought on the etiology, treatment, and outcome of schizophrenic psychoses. He stresses the importance of our knowledge of both psychological and hereditary factors and urges that rather than searching only for a single, causal metabolic error we also accept the possibility that schizophrenia occurs in highly human, spiritual spheres and consider the schizophrenogenic influences in the lives and personalities of individual patients.
作者追溯了精神分裂症性精神病概念的历史,从克雷佩林将早发性痴呆与其他精神疾病区分开来,到布鲁勒对精神分裂症的阐述,再到精神分裂症定义的界定,直至当前关于精神分裂症性精神病病因、治疗和预后的观点。他强调了我们对心理和遗传因素两方面知识的重要性,并敦促我们,与其只寻找单一的、因果性的代谢错误,还应接受精神分裂症发生在高度人性、精神领域的可能性,并考虑个体患者生活和个性中的致分裂症影响。