Mojtabai R
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, N.Y., USA.
Psychopathology. 1998;31(2):90-5. doi: 10.1159/000029028.
This study assessed how well the current classification system of the delusional misidentification syndromes (DMSs) represents the full range of misidentification phenomena encountered in self-descriptions of psychotic patients. To this end, a sample of 58 self-descriptions of ex-patients who had suffered from an episode of psychosis were reviewed. Misidentifications fitting the definition of one of the DMSs were identified in only 3 cases, whereas those fitting a general and broad definition were identified in 16 cases. It is argued that the restrictive nature of the currently dominant DMSs classification may have led to the neglect of a wide range of misidentification phenomena which do not fit the descriptions of any one of the classic DMSs. Proper identification, description and classification of these non-DMS misidentification phenomena is needed.
本研究评估了当前妄想性错认综合征（DMSs）的分类系统在多大程度上能够全面呈现精神病患者自我描述中所遇到的错认现象。为此，我们回顾了58例曾经历过精神病发作的康复患者的自我描述样本。符合DMSs其中一种定义的错认仅在3例中被识别出来，而符合广义定义的错认在16例中被识别出来。有人认为，当前占主导地位的DMSs分类的局限性可能导致了对一系列不符合任何经典DMSs描述的错认现象的忽视。需要对这些非DMS错认现象进行正确的识别、描述和分类。
