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[精神分裂症与偏执型——内源性精神病的二分法或三分法]

[Schizophrenic and paranoid - bi- or trisection of endogenous psychoses].

作者信息

Kirov K

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1977 Jan;29(1):14-22.

PMID:847041
Abstract

The fundamental differences between the syndromes united under the term of schizophrenia are demonstrated. Attempts to reduce these syndromes to a common denominator of a nosological unit bearing the same designation have failed. Important arguments are advanced against the identification, widespread in practice, of the terms "paranoid" and "schizophrenic". It is pointed out that these two terms are incompatible to some extent. There is a fundamental difference between the nature of paranoia and the symptoms characteristic of schizophrenia (Dementia praecox). Paranoia is far more dependent on the personality than on the pathological process. A division into three aspects - schizophrenia, paranoid psychoses and MDP instead of the dichotomy schizophrenia/MDP, is proposed for a better theoretical and practical understanding in the field of endogeny. Further semantic arguments are advanced against the term "schizophrenia" indicating its iatrogenic effect.

摘要

文中展示了归类于精神分裂症这一术语下的各种综合征之间的根本差异。试图将这些综合征归结为具有相同名称的疾病分类单元的共同特征的尝试已告失败。文中提出了重要论据,反对在实践中广泛存在的将“偏执型”和“精神分裂症的”这两个术语等同起来的做法。文中指出,这两个术语在某种程度上是不相容的。偏执狂的本质与精神分裂症(早发性痴呆)的特征性症状之间存在根本差异。偏执狂更多地取决于人格而非病理过程。为了在内源性领域获得更好的理论和实践理解,建议将其分为三个方面——精神分裂症、偏执性精神病和躁狂抑郁性精神病,而不是二分法的精神分裂症/躁狂抑郁性精神病。文中还提出了更多语义方面的论据,反对“精神分裂症”这一术语,指出其医源性影响。

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