Springmann R R
Abarbanel Mental Health Center, Bat-Yam and Sackler School of Medicine, Tel Aviv University.
Harefuah. 1995 Nov 1;129(9):316-9, 367.
A series of 4 schizophrenic patients is described. In 2 it was unequivocally shown that acute outbreaks of "positive" symptoms were expressions of intrapsychic conflicts and in 1, the result of a therapist's error. In the first case, when the conflict was resolved, symptoms disappeared. 2 other cases were in the chronic phase. In both, long-term dynamically oriented psychotherapy resulted in reappearance of "lost" cognitive and affective functions. Thus, "negative" symptoms (so-called post-psychotic defects) are amenable to psychotherapy and potentially reversible. Concern is expressed about the exclusive biological approach to the understanding and treatment of schizophrenia.
本文描述了4例精神分裂症患者。其中2例明确显示，“阳性”症状的急性发作是内心冲突的表现，1例是治疗师失误的结果。在第一个病例中，当冲突得到解决时，症状消失。另外2例处于慢性期。在这两例中，长期的动力学取向心理治疗导致“丧失”的认知和情感功能重新出现。因此，“阴性”症状（所谓的精神病后缺陷）适合心理治疗且可能是可逆的。人们对理解和治疗精神分裂症的排他性生物学方法表示担忧。
