Huber G, Gross G, Schüttler R
MMW Munch Med Wochenschr. 1976 Dec 17;118(51):1663-8.
Schizophrenia and its variations, the different concepts and criteria for the diagnosis of schizophrenia and the possibilities of "prognostic diagnosis" at the beginning of the disease are discussed. There is only a differential typology between schizophrenia and cyclothymia and no sharp differential diagnosis. The numerous attempts to separate the two large groups of disease types are critically reported. Uncharacteristically pure residual states which leave the center of personality intact are more frequent than typical schizophrenic personality changes; the majority of schizophrenic patients are socially cured after more than two decades. More recent investigations on the course lead to an approximation to the concept of the "homogenous psychosis" and compel a greater observation of the "stratification rule" in the diagnosis.
本文讨论了精神分裂症及其变体、精神分裂症诊断的不同概念和标准，以及疾病初期“预后诊断”的可能性。精神分裂症和环性心境障碍之间只有一种鉴别类型，不存在明确的鉴别诊断。文中批判性地报道了将这两大类疾病类型区分开来的众多尝试。人格核心未受影响的非典型单纯残留状态比典型的精神分裂症人格改变更为常见；大多数精神分裂症患者在二十多年后实现了社会治愈。最近关于病程的研究促使人们更接近“同质精神病”的概念，并迫使在诊断中更多地遵循“分层规则”。
