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理解精神分裂症症状;妄想性陈述和行为可能具有功能性目的。

Making sense of schizophrenic symptoms; delusional statements and behavior may be functional in purpose.

作者信息

Schock K, Clay C, Cipani E

机构信息

Psychology Department, University of the Pacific, Stockton, CA 95211, USA.

出版信息

J Behav Ther Exp Psychiatry. 1998 Jun;29(2):131-41. doi: 10.1016/s0005-7916(98)00010-x.

Abstract

The present paper describes the use of a functional analysis in attempting to make sense of symptomatic delusional statements and behaviors that people diagnosed with schizophrenia present. The three categories that are used to classify symptoms are: (1) positive reinforcement function, (2) negative reinforcement function, and (3) mislabeling of private events. The paper presents a number of clinical cases whose symptoms are representative of each category. Each case is then functionally treated as a result of its "category" characteristics, thus basing treatment on the hypothesized function (or reason) for the symptom.

摘要

本文描述了如何运用功能分析来理解被诊断为精神分裂症的患者所表现出的有症状的妄想陈述和行为。用于对症状进行分类的三个类别是:(1)正强化功能,(2)负强化功能,以及(3)对自身事件的错误标记。本文呈现了一些临床病例,其症状代表了每个类别。然后,每个病例因其“类别”特征而接受功能治疗,从而使治疗基于对症状的假设功能(或原因)。

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