Sigmund D
Psychiatrische Universitätsklinik, Heidelberg.
Nervenarzt. 1998 May;69(5):390-400. doi: 10.1007/s001150050288.
Taking into account the different concepts of delusion and analysing rational and intuitive cognition, the present phenomenological-conceptual study aims at defining the essential nature of delusion. Intuitive cognition as a result of holistic processing is founded in the development of polysensoric-kinaesthetic basic pictures (eidetic matrices), which are recognized preverbally and prereflexively by subliminal perception of corresponding eidetic structures. A positive match between a matrix and a given phenomenon produces an eidetic feeling. This eidetic feeling encompasses three aspects. The first is a preverbal knowledge of something as something definite. As a direct self-reference, the second is the feeling of an object-inherent significance of the given phenomenon for the subject itself. Thirdly, a power vector is perceived to derive from the object. The application of this concept allows us to consider delusion as a disturbance in the system of holistic information processing. This disturbance is characterized by a disinhibition and actualization of eidetic matrices in different ways. The resulting eidetic feeling we call delusion; its expression in thoughts and words we call a delusional idea. All features of an eidetic feeling can be demonstrated in delusion. Owing to their special intensity and suspended reason, they mostly appear to be unique. The analysis of the eidetic structures of delusion allows a deeper understanding of delusion and facilitates both its diagnosis and its differentiation. Heterogeneous terms, such as delusional mood, idea of meaning, idea of reference, delusional notion and delusional perception emerge in an understandable context.
考虑到妄想的不同概念,并分析理性认知和直觉认知,本现象学概念研究旨在界定妄想的本质。作为整体加工结果的直觉认知建立在多感官 - 动觉基本图像(意象矩阵)的发展基础上,这些图像通过对相应意象结构的阈下感知而在言语前和反思前被识别。矩阵与给定现象之间的积极匹配会产生一种意象感觉。这种意象感觉包括三个方面。首先是对某物作为某种确定事物的言语前认知。其次,作为一种直接的自我参照,是给定现象对主体自身所具有的对象固有意义的感觉。第三,会感知到一种源自对象的力量向量。这一概念的应用使我们能够将妄想视为整体信息加工系统中的一种干扰。这种干扰的特征是以不同方式对意象矩阵的去抑制和激活。我们将由此产生的意象感觉称为妄想;其在思想和言语中的表达我们称为妄想观念。妄想的所有特征都可以在意象感觉中体现出来。由于它们特殊的强度和理性的悬置,它们大多显得独特。对妄想的意象结构进行分析有助于更深入地理解妄想,并促进其诊断和鉴别。诸如妄想心境、意义观念、牵连观念、妄想性概念和妄想性知觉等异质术语在一个可理解的背景中浮现出来。