Maj M
Neuropsychobiology. 1984;11(1):7-13. doi: 10.1159/000118042.
A brief survey is given of the evolution of the concept of schizoaffective psychosis in the United States. The following phases are singled out: a first, 'prehistorical', one including description of 'mixed' psychotic syndromes regarded as subtypes of manic-depressive psychosis; a second, which covers the subsequent 30 years, in which the concept of schizoaffective psychosis is gradually included under the heading of schizophrenia, in accordance with the broad Bleulerian concept of this illness prevailing in those years; a third one, in which, under the influence of a number of factors, schizoaffective psychosis is shifted from the schizophrenic to the affective area, and even good-prognosis schizophrenia and DSM III schizophreniform disorder (a syndrome characterized by the same clinical picture of schizophrenia, but which lasts less than 6 months) are regarded as variants of affective illness. It is emphasized that the history of the evolution of the American concept of schizoaffective psychosis is, indeed, the history of the vicissitudes of the American conceptions of schizophrenia and manic-depressive psychosis.
本文简要回顾了美国精神分裂情感性精神病概念的演变。以下几个阶段被区分出来：第一个阶段是“史前”阶段，包括对被视为躁狂抑郁症亚型的“混合”精神病综合征的描述；第二个阶段涵盖随后的30年，在此期间，根据当时盛行的宽泛的布鲁勒式精神分裂症概念，精神分裂情感性精神病的概念逐渐被纳入精神分裂症范畴；第三个阶段，在多种因素的影响下，精神分裂情感性精神病从精神分裂症领域转移到情感障碍领域，甚至预后良好的精神分裂症和《精神疾病诊断与统计手册》第三版中的精神分裂症样障碍（一种具有与精神分裂症相同临床表现但持续时间少于6个月的综合征）被视为情感性疾病的变体。需要强调的是，美国精神分裂情感性精神病概念的演变史实际上就是美国对精神分裂症和躁狂抑郁症概念变迁的历史。
