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强迫型人格障碍与记忆

Obsessional personality disorder and remembering.

作者信息

Reed G F

出版信息

Br J Psychiatry. 1977 Feb;130:177-83. doi: 10.1192/bjp.130.2.177.

DOI:10.1192/bjp.130.2.177
PMID:837037
Abstract

Patients suffering from obsessional personality disorder (anankasts) have been described as possessing 'superior memories', because of the detailed precision of their accounts. At the same time, such classical phenomena as doubt, checking and rumination imply faulty recall. This paradox is discussed, and some predictions drawn from a hypothesis regarding the cognitive charactteristics of obsessional disorder. Findings are presented which indicate that, by comparison with matched psychiatric controls, anankasts do not excel in the long-term recall of factual information or meaningful anecdotal material. But they show the following mnemonic features: (a) Superiority of immediate memory span, reflecting high levels of attention. (b) Superior recall of ambiguous anecdotal material, reflecting a tendency to the pointless 'rehearsal' of such material. (c) Weak redintegration in personal reminiscence. It is suggested that anankasts' doubts about their remembering refer not so much to the correctness of what is being recalled as to the quality of the recalling itself.

摘要

患有强迫型人格障碍(强迫性人格)的患者因其叙述的详细精确性而被描述为拥有“超强记忆力”。与此同时,诸如怀疑、检查和反复思考等典型现象意味着记忆存在缺陷。本文对这一悖论进行了探讨,并从关于强迫障碍认知特征的假设中得出了一些预测。研究结果表明,与相匹配的精神科对照相比,强迫性人格者在事实性信息或有意义的轶事材料的长期记忆方面并不出色。但他们表现出以下记忆特征:(a)即时记忆广度优势,反映出高度的注意力。(b)对模糊轶事材料的回忆优势,反映出对这类材料进行无意义“复述”的倾向。(c)个人回忆中的再整合能力较弱。有人认为,强迫性人格者对自己记忆的怀疑与其说是针对所回忆内容的正确性,不如说是针对回忆本身的质量。

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