Wolff S, McGuire R J
University of Edinburgh Department of Psychiatry, UK.
J Child Psychol Psychiatry. 1995 Jul;36(5):793-817. doi: 10.1111/j.1469-7610.1995.tb01330.x.
Child psychiatric records of 33 girls given a diagnosis of "schizoid" personality in childhood, were compared with records of a control group of other referred girls and with those of 32 pairs of "schizoid" and control boys. Seventeen "schizoid" girls were seen again in adult life and compared with 32 "schizoid" boys previously followed up at the same age. The features of "schizoid" girls in childhood and adult life were very similar to those of the boys. A striking finding, possible due to referral bias, was the high rate of antisocial conduct in "schizoid" girls, both in childhood and later life. The dilemmas of diagnostic classification of this group of patients are discussed.
对33名童年期被诊断为“分裂样”人格的女孩的儿童精神病学记录，与另一组被转诊的对照女孩的记录以及32对“分裂样”男孩和对照男孩的记录进行了比较。17名“分裂样”女孩在成年后再次接受观察，并与32名曾在相同年龄接受随访的“分裂样”男孩进行比较。“分裂样”女孩在童年期和成年期的特征与男孩非常相似。一个显著的发现，可能是由于转诊偏倚，是“分裂样”女孩在童年期和成年后期反社会行为的发生率很高。本文讨论了这组患者诊断分类的困境。
