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多重人格:一场精神医学的意外事件。

Multiple personality: a psychiatric misadventure.

作者信息

Seltzer A

出版信息

Can J Psychiatry. 1994 Sep;39(7):442-5. doi: 10.1177/070674379403900711.

Abstract

Though multiple personality disorder has been diagnosed with increasing frequency over the past decade, its validity has been called into question. A brief review of the literature indicates a likelihood of socio-cultural influences and iatrogenicity in many if not most cases. Symptoms of multiple personality disorder parallel other psychiatric syndromes but are usually given diagnostic priority. The author has described five cases diagnosed multiple personality disorder by another health professional in which iatrogenic influences are clearly evident. All renounced both the diagnosis and the alleged sex abuse etiology. The patients possess insight into the role their attachment and dependency on their former therapist played in the development of their apparent multiple personality disorder.

摘要

尽管在过去十年中,多重人格障碍的诊断频率越来越高,但其有效性却受到了质疑。对文献的简要回顾表明,在许多(如果不是大多数)病例中,存在社会文化影响和医源性因素的可能性。多重人格障碍的症状与其他精神综合征相似,但通常被优先诊断。作者描述了五例被另一位健康专业人员诊断为多重人格障碍的病例,其中医源性影响明显。所有患者都放弃了该诊断以及所谓的性虐待病因。患者能够洞察到他们对 former 治疗师的依恋和依赖在其明显的多重人格障碍发展中所起的作用。 (注:原英文中“former”可能有误,暂按原文翻译)

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