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[关于心理效能诊断在酒精中毒诊断与治疗中的价值的评论——对谢夫奇克就我们的《慢性酒精中毒与心理效能》一文的回应]

[Remarks on the value of psychological efficiency diagnostics for the diagnosis and therapy of alcoholism--response to Szewczyk on our "Chronic alcoholism and psychological efficiency"].

作者信息

Nickel B, Wolfram H

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1982 Apr;34(4):216-21.

PMID:7100331
Abstract

For a clarification of different viewpoints with respect to the importance of efficiency-diagnostic studies in chronic alcoholism, First the question is studied whether there is a common basis of judgement with Szewczyk. On the basis of examples it is shown that there is no agreement with regard to essential facts and contrary conclusions are drawn. The necessity of efficiency-psychological studies of the amnestic psychosyndrome as a constituting components of alcoholic changes of the personality is, for example, derived from diagnostic and therapeutical questions concerning the degree of severity and the pattern of the course of the disease. In progressing alcoholism, the constituting component "amnestic psychosyndrome" is frequently the dominating component in the sense of a pronounced organic psychosyndrome. After long-term abstinence, remarkable improvements of cognitive performances have been found with differentiating efficiency-diagnostic methods. From these facts alone the conclusion can be drawn that there is a wide range of indications for efficiency-diagnostic longitudinal and cross-sectional studies in chronic alcoholics.

摘要

为了澄清关于慢性酒精中毒中效率诊断研究重要性的不同观点,首先研究了是否存在与谢夫奇克一致的判断基础。通过实例表明,在基本事实方面没有达成共识,并且得出了相反的结论。例如,遗忘性精神综合征作为酒精性人格改变的构成成分,对其进行效率心理学研究的必要性源于有关疾病严重程度和病程模式的诊断与治疗问题。在进展性酒精中毒中,构成成分“遗忘性精神综合征”在明显的器质性精神综合征意义上常常是主导成分。长期戒酒之后,通过差异化的效率诊断方法发现认知表现有显著改善。仅从这些事实就可以得出结论,慢性酒精中毒患者进行效率诊断纵向和横断面研究有广泛的适应症。

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