Gilliéron E, Müller C
Schweiz Arch Neurol Neurochir Psychiatr. 1976;119(1):109-43.
Clinical study of two groups of females beyond age of 65, institutionalized for delusional manifestations of schizophrenic nature and presenting also, at the time of examination, a pronounced paranoid state. In the first group: the manifestations had arisen before the age of 45. In the second group, after the age of 65. This study has demonstrated certain psychopathological characteristics suggesting the presence of personality problems definitely more profound in patients of the first group: autistic state, asthenia, thought disorder, incoherence and vagueness of delusional subjects, ordinarily much more unreal are characteristics of the first group in comparison to the second. This seems to bring evidence that these two paranoid states (paranoid schizophrenia in adult age and paranoid state in senility) are, at first sight, pathological entities based on personality problems of very different intensity.
对两组65岁以上女性进行的临床研究,她们因精神分裂症性质的妄想表现而被收容入院,且在检查时还呈现出明显的偏执状态。第一组:这些表现在45岁之前就已出现。第二组:在65岁之后出现。这项研究显示了某些精神病理学特征,表明第一组患者中存在明显更深刻的人格问题:自闭状态、虚弱、思维紊乱、妄想主题的不连贯和模糊性,与第二组相比,第一组的这些特征通常更不真实。这似乎证明,这两种偏执状态(成年期偏执型精神分裂症和老年期偏执状态)乍一看是基于强度非常不同的人格问题的病理实体。