Lorenzi P, Ardito M
Dipartimento di Scienze Neurologiche e Psichiatriche, Università degli Studi, Firenze.
Minerva Psichiatr. 1996 Mar;37(1):21-8.
The authors propose to group some clinical entities as Delusional hypochondria, Dysmorphophobia, Nervous Anorexia, under the term of Body Psychosis. These are considered as psychoses endowed in the body (naturally we are speaking not about the anatomical body, but the phenomenological one, the personal experienced body). The specific clinical frame is justified by the following considerations: 1) in a psychopathological light all the disorders imply an altered relationship with the personal experienced body; 2) in a prognostic light the "experienced body" involvement given specific and common features; 3) clinically a one-other manifestation change is always possible; 4) relationally the human contact (and the medical one too) with this kind of patient got very specific features that often provoke dramatic and perverse changes in the same relation, especially in a sadomasochistic sense. The personal nosological frame is stressed within the actual psychiatric diagnostic classification (ICD 10, DSM IV).
作者们提议将一些临床实体归类为妄想性疑病症、畸形恐惧症、神经性厌食症，统称为躯体精神病。这些被视为在身体方面存在的精神病（当然，我们这里说的不是解剖学上的身体，而是现象学意义上的身体，即个人体验到的身体）。具体的临床框架基于以下几点考量：1）从精神病理学角度来看，所有这些障碍都意味着与个人体验到的身体的关系发生了改变；2）从预后角度来看，“体验到的身体”的参与具有特定且共同的特征；3）临床上，总是有可能出现单一的其他表现变化；4）从关系角度来看，与这类患者的人际接触（包括医疗接触）具有非常特殊的特征，这些特征常常会在这种关系中引发戏剧性和反常的变化，尤其是在施虐受虐狂的意义上。在实际的精神病诊断分类（ICD - 10、DSM - IV）中强调了个人疾病分类框架。
