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“精神分裂症”患者个人陈述中的诊断差异。

Diagnostic discrepancy in personal accounts of patients with 'schizophrenia'.

作者信息

North C, Cadoret R

出版信息

Arch Gen Psychiatry. 1981 Feb;38(2):133-7. doi: 10.1001/archpsyc.1981.01780270019001.

DOI:10.1001/archpsyc.1981.01780270019001
PMID:7194022
Abstract

Five published accounts of patients with "schizophrenia" were reviewed in the light of the DSM-III diagnostic criteria. None of the accounts unequivocally met the DSM-III criteria for schizophrenia, but all did meet the criteria for some other psychiatric condition, especially affective disorders. The survey results suggest that popular accounts of "schizophrenia" present a confusing picture of schizophrenia. Inasmuch as these accounts often are invoked to support "cures," the reading pubic is doubly misled, as when a naturally remitting condition such as depression is mistakenly called schizophrenia. The psychiatric profession has a responsibility to clarify diagnostic misconceptions put forth in popular literature, and DSM-III might provide more objective guidelines for this much-needed clarification.

摘要

根据《精神疾病诊断与统计手册第三版》(DSM - III)的诊断标准,对五篇已发表的关于“精神分裂症”患者的报告进行了回顾。这些报告中没有一篇明确符合DSM - III中精神分裂症的标准,但都符合其他一些精神疾病的标准,尤其是情感障碍。调查结果表明,关于“精神分裂症”的通俗报道对精神分裂症的描述令人困惑。由于这些报道常常被用来支持“治愈方法”,阅读大众就会受到双重误导,比如像抑郁症这种自然缓解的病症被错误地称为精神分裂症。精神病学界有责任澄清通俗文学中提出的诊断误解,而DSM - III可能为这一急需的澄清提供更客观的指导方针。

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