von Trostorff S
Psychiatr Neurol Med Psychol (Leipz). 1980 Jul;32(7):430-42.
Since I have dealt with hospitalised patients I could on principle hardly make any contribution to the question whether there is a connection between reduced endowments and endogenic psychosis. It is, however, very remarkable that half of the patients showed bad school performances, that 3.3 per cent had difficulties in learning, 40.4 per cent stayed down at school and 6.1 per cent attended a special school. In view of the fact that the patients with cyloid and unipolar phasic psychoses also showed bad performances at school, one cannot derive a connection between endowments and schizophrenia. Probably the peculiar findings are due to the fact that psychic patients who at the same time show reduced endowments are much more frequently hospitalised than others. Also with regard to the vocational development, the patients with cycloid psychoses do not show any better results than those with schizophrenia. Because of the large number of patients, it was not possible to ascertain afterwards with sufficient accuracy to what extent vocational failures are due to reduced endowments and to what extent they are due to a beginning psychosis.
由于我接触过住院患者,原则上我很难就禀赋降低与内源性精神病之间是否存在关联这一问题提供任何见解。然而,非常值得注意的是,一半的患者在校成绩不佳,3.3%的患者存在学习困难,40.4%的患者留级,6.1%的患者就读于特殊学校。鉴于患有环形和单相阶段性精神病的患者在校表现也不佳,所以不能得出禀赋与精神分裂症之间存在关联的结论。可能这些特殊发现是由于同时存在禀赋降低的精神病患者比其他患者更频繁地住院这一事实。同样在职业发展方面,环形精神病患者的结果并不比精神分裂症患者更好。由于患者数量众多,事后无法足够准确地确定职业失败在多大程度上是由于禀赋降低,以及在多大程度上是由于早期精神病。