精神分裂症中的情感平淡并不反映情感主观体验的减少。

Flat affect in schizophrenia does not reflect diminished subjective experience of emotion.

作者信息

Kring A M, Kerr S L, Smith D A, Neale J M

机构信息

Department of Psychology, Vanderbilt University, Nashville, Tennessee 37240.

出版信息

J Abnorm Psychol. 1993 Nov;102(4):507-17. doi: 10.1037//0021-843x.102.4.507.

DOI:10.1037//0021-843x.102.4.507

PMID:8282918

Abstract

Although accorded historical significance, affective features of schizophrenia have only begun to receive systematic empirical attention. Interestingly, both early psychopathology writers and more recent investigators have reported frequent discrepancies between schizophrenics' feelings and outward expressions of emotion. Using a more comprehensive assessment of emotion, the present study examines the relationship between emotional experience and expression in a sample of medication-free schizophrenics. Compared with their normal counterparts, schizophrenics were indeed much less facially expressive of both positive and negative emotions during emotion-eliciting films, yet they reported experiencing as much positive and negative emotion. Therefore, the blunted affect typical of some schizophrenics misrepresents their underlying emotional experience. Future research into an inhibition hypothesis is recommended.

摘要

尽管精神分裂症的情感特征具有历史意义，但才刚刚开始受到系统的实证关注。有趣的是，早期的精神病理学作家和最近的研究者都报告说，精神分裂症患者的情感与外在情绪表达之间经常存在差异。本研究采用更全面的情绪评估方法，考察了未服药的精神分裂症患者样本中情绪体验与表达之间的关系。与正常对照组相比，精神分裂症患者在观看引发情绪的影片时，面部对积极和消极情绪的表达确实要少得多，但他们报告称体验到的积极和消极情绪一样多。因此，一些精神分裂症患者典型的情感迟钝并不能反映他们潜在的情绪体验。建议未来对抑制假说进行研究。