Ciompi L
Sociopsychiatric University Clinic, Berne, Switzerland.
Br J Psychiatry Suppl. 1994 Apr(23):51-5.
The integrative concept of 'affect logic' is based on a hypothesis concerning the laws of interaction between emotion and cognition. 'Affects' are defined as global psychophysiological states which determine the prevailing functional 'logic', i.e. the specific ways in which cognitive elements are selected and linked together. This leads to an integrative psycho-socio-biological evolutionary model of schizophrenia, in which a specific affective-cognitive vulnerability is built up in a first phase, through escalating interactions between unfavourable genetic-biological and psychosocial influences. In a second phase, the mental system is decompensated by psychosocial or biological stressors which induce psychosis. The great variability in long-term course (third phase) is conditioned by the complex interplay of many biological and psychosocial variables. The organising functions of affects are evident in schizophrenic core phenomena such as ambivalence, incoherence, and emotional flattening. This proposed model has numerous practical and theoretical implications.
“情感逻辑”这一综合概念基于一个关于情感与认知相互作用规律的假设。“情感”被定义为决定主导功能“逻辑”的整体心理生理状态，即认知元素被选择并联系在一起的特定方式。这导致了一种精神分裂症的综合心理 - 社会 - 生物学进化模型，其中在第一阶段，通过不利的遗传生物学和心理社会影响之间不断升级的相互作用，形成了特定的情感 - 认知易损性。在第二阶段，心理社会或生物应激源会导致精神系统失代偿，进而引发精神病。长期病程（第三阶段）的巨大变异性受到许多生物和心理社会变量复杂相互作用的制约。情感的组织功能在诸如矛盾情感、语无伦次和情感平淡等精神分裂症核心现象中很明显。这个提出的模型有许多实际和理论意义。
