Amador X F, Gorman J M
Department of Psychiatry, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Psychiatr Clin North Am. 1998 Mar;21(1):27-42. doi: 10.1016/s0193-953x(05)70359-2.
The earlier conceptualization of positive and negative symptom topologies for schizophrenia has given way to more complex models that propose three-and-four dimensions of psychopathology. These constructs may relate to neurobiologic heterogeneity and discrete symptom clusters have been shown to have distinct anatomical and cognitive correlates. Insight is an excellent example and the understanding of insight at psychopathologic and cognitive levels has facilitated new approaches to treatment and enhanced medication compliance.
精神分裂症阳性和阴性症状拓扑学的早期概念已被更复杂的模型所取代,这些模型提出了三到四个维度的精神病理学。这些结构可能与神经生物学异质性有关,并且离散的症状群已被证明具有不同的解剖学和认知相关性。自知力就是一个很好的例子,在精神病理学和认知层面上对自知力的理解促进了新的治疗方法并提高了药物依从性。