Magaro P A
Schizophr Bull. 1981;7(4):632-61. doi: 10.1093/schbul/7.4.632.
The paranoid has traditionally been considered schizophrenic except for some rare cases which exhibit delusions but none of the other signs such as cognitive disorganization. We attempt to show that considering the paranoid as independent of schizophrenia and exhibiting varying degrees of pathology is more consistent with current research. Furthermore, we believe that there is enough description of the underlying cognitive process unique to the paranoid and distinct from the schizophrenic to warrant a separate inclusive category, and possibly the consideration of a particular personality, at least in terms of cognitive processes. We review the research in information processing and hemispheric functioning to demonstrate distinctive cognitive processing, and finally, we offer a higher order integration construct to explain the etiology of schizophrenia and paranoia in terms of thought processes.
传统上,偏执型患者一直被视为精神分裂症患者,但有一些罕见病例除外,这些病例虽表现出妄想,但没有认知紊乱等其他症状。我们试图表明,将偏执型视为独立于精神分裂症且表现出不同程度病理特征的观点更符合当前研究。此外,我们认为,有足够的描述表明偏执型患者存在独特且有别于精神分裂症患者的潜在认知过程,这足以支持设立一个单独的综合类别,并且可能需要考虑一种特定的人格,至少在认知过程方面是这样。我们回顾了信息处理和半球功能方面的研究,以证明存在独特的认知处理方式,最后,我们提供了一个高阶整合结构,从思维过程的角度解释精神分裂症和偏执狂的病因。