Jablensky A, Woodbury M A
University Department of Psychiatry, Royal Perth Hospital, Australia.
Eur Arch Psychiatry Clin Neurosci. 1995;245(4-5):202-9. doi: 10.1007/BF02191798.
Grade of Membership (GoM) analysis, a multivariate classification technique based on fuzzy-set mathematics, was applied to the demographic, history, and mental-state data on 53 dementia praecox cases and 134 manic-depressive insanity cases admitted to Kraepelin's University Psychiatric Clinic in Munich in 1908. The original data recorded by Kraepelin and his collaborators on special Zählkarten (counting cards) were rated and coded in terms of the Present State Examination (PSE) Syndrome Check List. The statistical analysis resulted in a high degree of replication of Kraepelin's clinical entities. However, the dichotomy of dementia praecox and manic-depressive insanity was not fully supported. The catatonic syndrome tended to occupy an intermediate position between the two major psychoses. The possibility is discussed that catatonia in Kraepelin's time shared certain clinical features with the later diagnostic groupings of schizoaffective disorder, cycloid psychoses, and other "atypical" forms of psychotic illnesses.
会员等级（GoM）分析是一种基于模糊集数学的多变量分类技术，应用于1908年 admitted to Kraepelin's University Psychiatric Clinic in Munich的53例早发性痴呆病例和134例躁狂抑郁症病例的人口统计学、病史和精神状态数据。克雷佩林及其合作者在特殊的计数卡上记录的原始数据，根据现况检查（PSE）综合征检查表进行评分和编码。统计分析结果高度重现了克雷佩林的临床实体。然而，早发性痴呆和躁狂抑郁症的二分法并未得到充分支持。紧张症综合征倾向于在两种主要精神病之间占据中间位置。文中讨论了一种可能性，即克雷佩林时代的紧张症与后来的分裂情感性障碍、环性精神病和其他“非典型”形式的精神病性疾病诊断分组具有某些共同的临床特征。 （注：原文中“admitted to Kraepelin's University Psychiatric Clinic in Munich”表述不太完整准确，推测可能是“收治于慕尼黑的克雷佩林大学精神病诊所”之类意思，但按要求未作修改。）
