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语前聋精神分裂症患者的幻觉形式:67例回顾性分析

Hallucinatory modalities in prelingually deaf schizophrenic patients: a retrospective analysis of 67 cases.

作者信息

Schonauer K, Achtergarde D, Gotthardt U, Folkerts H W

机构信息

Department of Psychiatry, University of Münster, Germany.

出版信息

Acta Psychiatr Scand. 1998 Nov;98(5):377-83. doi: 10.1111/j.1600-0447.1998.tb10102.x.

Abstract

In order to examine the effect of congenital or early acquired deafness on hallucinatory modalities in schizophrenia, we interviewed 67 prelingually deaf schizophrenic patients (using sign language) about their hallucinatory experiences over the entire course of their illness. We also analysed the clinical records of our subjects' previous hospitalizations. In our deaf sample, visual and tactile hallucinations were plainly over-represented as hallucinatory modalities in comparison with hearing schizophrenic samples. Although some patients reported visual hallucinatory perceptions of sign language messages, the hallucinatory reception of meaningful information in deaf patients seems also to remain affiliated to the 'auditory' modality. It was concluded that the different representation of hallucinatory modalities reflects in particular the influence of 'the deaf way' of sensory experience on imagery processes.

摘要

为了研究先天性或早期获得性耳聋对精神分裂症幻觉形式的影响,我们(使用手语)采访了67名语前聋的精神分裂症患者,了解他们在整个病程中的幻觉体验。我们还分析了受试者以往住院的临床记录。在我们的聋人样本中,与听力正常的精神分裂症样本相比,视觉和触觉幻觉作为幻觉形式明显占比过高。尽管一些患者报告了对手语信息的视觉幻觉感知,但聋人患者对有意义信息的幻觉接收似乎也仍与“听觉”形式相关。研究得出结论,幻觉形式的不同表现尤其反映了“聋人方式”的感官体验对意象过程的影响。

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