Fleminger S
London Hospital Medical College, UK.
Psychopathology. 1994;27(3-5):161-7. doi: 10.1159/000284865.
Delusional misidentification provides us with an excellent example of how it is necessary to take both organic brain disease and psychological processes into account when describing the development of mental symptoms. A model of delusional misidentification is proposed which was developed in an attempt to explain this interaction. The model is based on the events that occur during preconscious processing of perceptions. It predicts an inverse relationship between the presence of organic brain disease and the presence of paranoid delusions. This was tested using a retrospective analysis of case reports. A graded and inverse relationship between the degree of organic disturbance and the presence of paranoid delusions preceding the delusional misidentification was found. A satisfactory model of delusional misidentification syndromes must be able to acknowledge the way these two forces are able to interact.
妄想性错认向我们提供了一个绝佳的例子，说明在描述精神症状的发展过程时，有必要同时考虑器质性脑疾病和心理过程。本文提出了一个妄想性错认模型，该模型是为解释这种相互作用而构建的。该模型基于感知在前意识加工过程中发生的事件。它预测器质性脑疾病的存在与偏执妄想的存在之间呈反比关系。通过对病例报告的回顾性分析对此进行了检验。研究发现，在妄想性错认之前，器质性障碍的程度与偏执妄想的存在之间存在分级反比关系。一个令人满意的妄想性错认综合征模型必须能够认识到这两种力量相互作用的方式。
