Pfuhlmann B
Psychiatrische Klinik und Poliklinik der Universität Würzburg.
Fortschr Neurol Psychiatr. 1997 Nov;65(11):516-23. doi: 10.1055/s-2007-996358.
Although formal thought disorders, due to their outstanding ability of revealing underlying cognitive changes in schizophrenic psychoses, are amongst the most widely examined psychopathological phenomena in these psychoses, agreement with regard to the diagnostic significance is lacking. Contradictory findings in psychopathological research concerning these complex phenomena might be one possible reason. Since the quest for establishing a characteristic schizophrenic thought pathology was unsuccessful, it seems obviously advisable to abandon the hypothesis of a uniform kind of schizophrenic thought disorder. Therefore, a more detailed classification based on exact clinical observation seems desirable. Karl Leonard has developed a differentiation of formal thought disorder with diagnostic significance, which possibly allows for more convincing results. The phenomenology of formal thought disorder along the lines of Leonard is presented according to his theoretical views, and further research perspectives are shown that support this differentiation and illustrate the pathogenetic background with regard to linguistic methods.
尽管形式思维障碍因其在揭示精神分裂症性精神病潜在认知变化方面的突出能力，是这些精神病中研究最为广泛的精神病理现象之一，但在其诊断意义上仍缺乏共识。关于这些复杂现象的精神病理学研究中相互矛盾的发现可能是一个原因。由于寻求建立一种特征性的精神分裂症思维病理学未获成功，显然放弃统一类型的精神分裂症思维障碍这一假设似乎是明智的。因此，基于精确临床观察进行更详细的分类似乎是可取的。卡尔·伦纳德已发展出一种具有诊断意义的形式思维障碍的区分方法，这可能会带来更具说服力的结果。本文根据伦纳德的理论观点呈现了形式思维障碍的现象学，并展示了进一步的研究视角，这些视角支持这种区分，并从语言方法方面阐明了发病机制背景。
