Lindqvist G, Malmgren H
Department of Neurosurgery, Sahlgren Hospital, Göteborg, Sweden.
Acta Psychiatr Scand Suppl. 1993;373:5-17. doi: 10.1111/j.1600-0447.1993.tb05611.x.
A new diagnostic system for organic psychiatry is presented. We first define "organic psychiatry", and then give the theoretical basis for conceiving organic-psychiatric disorders in terms of hypothetical psychopathogenetic processes, HPP:s. Such hypothetical disorders are not strictly identical to the clusters of symptoms in which they typically manifest themselves, since the symptoms may be concealed or modified by intervening factors in non-typical circumstances and/or in the simultaneous presence of several disorders. The six basic disorders in our system are Astheno-Emotional Disorder (AED), Somnolence-Sopor-Coma Disorder (SSCD), Hallucination-Coenestopathy-Depersonalisation Disorder (HCDD), Confusional Disorder (CD), Emotional-Motivational Blunting Disorder (EMD) and Korsakoff's Amnestic Disorder (KAD). We describe their usual etiologies, their typical symptoms and course, and some forms of interaction between them.
本文介绍了一种用于器质性精神障碍的新诊断系统。我们首先对“器质性精神障碍”进行定义，然后依据假设的精神致病过程（HPP），给出构想器质性精神障碍的理论基础。这类假设的障碍与它们通常所表现出的症状群并不完全相同，因为在非典型情况下和/或同时存在多种障碍时，症状可能会被干预因素掩盖或改变。我们系统中的六种基本障碍为：虚弱-情感障碍（AED）、嗜睡-昏睡-昏迷障碍（SSCD）、幻觉-内感性不适-人格解体障碍（HCDD）、意识模糊障碍（CD）、情感-动机迟钝障碍（EMD）和科萨科夫遗忘障碍（KAD）。我们描述了它们常见的病因、典型症状和病程，以及它们之间的一些相互作用形式。
