Tanaka K
Department of Psychiatry, San'ai Hospital.
Seishin Shinkeigaku Zasshi. 1995;97(1):31-63.
Fujinawa, A. and his co-researchers have categorized symptoms of ego disorder into two opposing symptoms; "egorrhea symptoms" having the direction of "Inside to Outside" in their symptomatological structure and "symptoms of being influenced" having the direction of "Outside to Inside". They have also proposed, for ideal cases, the following: (1) "Egorrhea symptoms" are schizophrenic ego disorders. (2) These two types of symptoms are independent and opposing series of ego disorder. (3) There exists a new entity named "egorrhea type of schizophrenia" which is mainly characterized by "egorrhea symptoms" and opposed to the common type of schizophrenia which is mainly characterized by "symptoms of being influenced". The author, however, indicated several faults in their propositions and revised them from their same viewpoint. The author then proposed, from the viewpint of intentionality, the following: (1) Any symptom exhibits one of two opposite direction of intentionality; one exhibits intentionality to an object ("object experiencial type") and the other exhibits intentionality to the subject itself ("subject experiencial type"). (2) Symptoms of each "experiencial type" are related to each other and therefore make the state be composed mainly of them. The author attempted to compare his theory with Fujinawa. A. and his co-researchers theory and the revised one. 58 hallucinatory-delusional cases (29 schizophrenic cases, 29 non-schizophrenic cases) were examined. Some results were as follows: (1) "Egorrhea symptoms" are not peculiar to schizophrenia. (2) A special type of auditory hallucination, which occurs when the patient sees others, is statistically related to "egorrhea symptoms". (3) The other common type of auditory hallucination, which occurs when the patient cannot see others, is statistically related to "symptoms of being influenced". The theory proposed by the author explains these results satisfactorily compared with the former two theories. That is, (1) is not against the theory, and (2) is considered to be caused by the relation between the special type of auditory hallucination and "egorrhea symptoms" having the same object experiencial type of symptoms, and (3) is considered to be caused by the relation between the common type of auditory hallucination and "symptom of being influenced" having the same subject experiencial type of symptoms. The author further deduced the developmental series of symptoms and states from his theory and examined them with the data from the above 58 cases and other cases reported by other researchers. As a result, much of the data was successfully explained by his theory.(ABSTRACT TRUNCATED AT 400 WORDS)
藤川明和他的共同研究者将自我障碍的症状分为两种相反的症状;“自我流露症状”在其症状结构上具有“从内到外”的方向,而“受影响症状”具有“从外到内”的方向。他们还针对理想情况提出了以下观点:(1)“自我流露症状”是精神分裂症的自我障碍。(2)这两种症状是自我障碍的独立且相反的系列。(3)存在一种名为“自我流露型精神分裂症”的新实体,其主要特征是“自我流露症状”,与以“受影响症状”为主要特征的常见精神分裂症类型相对。然而,作者指出了他们观点中的几个错误,并从相同的视角对其进行了修正。然后,作者从意向性的角度提出了以下观点:(1)任何症状都表现出两种相反意向性方向中的一种;一种表现出对客体的意向性(“客体体验型”),另一种表现出对主体自身的意向性(“主体体验型”)。(2)每种“体验型”的症状相互关联,因此使状态主要由它们构成。作者试图将自己的理论与藤川明和他的共同研究者的理论以及修正后的理论进行比较。对58例幻觉 - 妄想病例(29例精神分裂症病例,29例非精神分裂症病例)进行了检查。一些结果如下:(1)“自我流露症状”并非精神分裂症所特有。(2)一种特殊类型的幻听,即当患者看到他人时出现的幻听,在统计学上与“自我流露症状”相关。(3)另一种常见类型的幻听,即当患者看不到他人时出现的幻听,在统计学上与“受影响症状”相关。与前两种理论相比,作者提出的理论能够令人满意地解释这些结果。也就是说,(1)与该理论不矛盾,(2)被认为是由特殊类型的幻听与具有相同客体体验型症状的“自我流露症状”之间的关系所导致的,(3)被认为是由常见类型的幻听与具有相同主体体验型症状的“受影响症状”之间的关系所导致的。作者进一步从他的理论中推导出症状和状态的发展系列,并使用上述58例病例以及其他研究者报告的其他病例的数据对其进行了检验。结果,他的理论成功地解释了许多数据。(摘要截取自400字)