Ungvari G S, White E, Pang A H
Department of Psychiatry, Chinese University of Hong Kong.
Aust N Z J Psychiatry. 1995 Dec;29(4):653-60. doi: 10.3109/00048679509064981.
Over the past decade there has been an upsurge of interest in the prevalence, nosological position, treatment response and pathophysiology of catatonia. However, the psychopathology of catatonia has received only scant attention. Once the hallmark of catatonia, speech disorders--particularly logorrhoea, verbigeration and echolalia--seem to have been neglected in modern literature. The aims of the present paper are to outline the conceptual history of catatonic speech disorders and to follow their development in contemporary clinical research.
The English-language psychiatric literature for the last 60 years on logorrhoea, verbigeration and echolalia was searched through Medline and cross-referencing. Kahlbaum, Wernicke, Jaspers, Kraepelin, Bleuler, Kleist and Leonhard's oft cited classical texts supplemented the search.
In contrast to classical psychopathological sources, very few recent papers were found on catatonic speech disorders. Current clinical research failed to incorporate the observations of traditional descriptive psychopathology.
Modern catatonia research operates with simplified versions of psychopathological terms devised and refined by generations of classical writers.
在过去十年中，人们对紧张症的患病率、疾病分类位置、治疗反应及病理生理学的兴趣激增。然而，紧张症的精神病理学却很少受到关注。言语障碍——尤其是言语增多、言语重复和模仿言语——曾是紧张症的标志性症状，但在现代文献中似乎已被忽视。本文旨在概述紧张症言语障碍的概念史，并追踪其在当代临床研究中的发展。
通过Medline检索并交叉引用过去60年英语精神病学文献中关于言语增多、言语重复和模仿言语的内容。卡尔鲍姆、韦尼克、雅斯贝尔斯、克雷佩林、布鲁勒、克莱斯特和莱昂哈德等常被引用的经典文献补充了检索结果。
与经典精神病理学资料相比，近期关于紧张症言语障碍的论文极少。当前的临床研究未能纳入传统描述性精神病理学的观察结果。
现代紧张症研究使用的是由几代经典作家设计和完善的精神病理学术语的简化版本。
