Rossi Monti M
Department of Neurological and Psychiatric Sciences, UO Clinical Psychology and Psychotherapy, University of Florence, Italy.
Psychopathology. 1998;31(5):225-33. doi: 10.1159/000029044.
Thanks to the analysis of delusional perception's formal binary structure, generations of psychiatrists believed that the problem of delusion, at least from a descriptive point of view, had been resolved. The first-rank Schneiderian symptoms, and delusional perception in particular, had become reference points for the diagnosis of delusion and schizophrenia. Today, however, the phenomenon of delusional perception no longer seems to be taken into serious consideration by psychiatrists and psychopathologists. The crisis of the nosographic specificity of Schneiderian first-rank symptoms and the development of a transnosographic perspective in the study of delusion have definitively loosened the ties that existed in traditional psychopathology between delusional perception, delusion and schizophrenia. Despite the fact that delusional perception has lost its fundamental role in the nosographic sector, it still maintains its importance when studied in an interpersonal context. The significance of formal discontinuity evident in delusional perception authorized the psychiatrist to pause on the threshold of delusion without making allowances for the disastrous lack of comprehension so typical of delusional perception, which in turn must be studied from an interpersonal perspective, not as if it were an aseptic object in a laboratory. The therapeutic relationship can therefore provide an opportunity to recuperate those experiences which the patient was unable to store in his memory and concentrated in delusional perception.
得益于对妄想性知觉形式二元结构的分析，一代又一代的精神科医生认为，至少从描述的角度来看，妄想问题已经得到解决。一级施耐德式症状，尤其是妄想性知觉，已成为妄想和精神分裂症诊断的参考点。然而如今，妄想性知觉现象似乎不再被精神科医生和精神病理学家认真考虑。施耐德式一级症状的疾病分类特异性危机以及妄想研究中跨疾病分类视角的发展，已彻底 loosened 了传统精神病理学中妄想性知觉、妄想和精神分裂症之间存在的联系。尽管妄想性知觉在疾病分类领域已失去其基本作用，但在人际背景下进行研究时，它仍然具有重要性。妄想性知觉中明显的形式不连续性的重要性，使得精神科医生能够在妄想的门槛上驻足，而不必考虑妄想性知觉典型的灾难性理解缺失，而这种理解缺失反过来必须从人际角度进行研究，而不是将其视为实验室中无菌的对象。因此，治疗关系可以提供一个机会，来恢复那些患者无法存储在记忆中并集中在妄想性知觉中的体验。
