THE INCIDENCE OF NEUROSIS IN THE CHILDREN OF PSYCHOTICS

THE INCIDENCE OF NEUROSIS IN THE CHILDREN OF PSYCHOTICS
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精神病儿童神经症的发病率

DOI:
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发表时间:
1961
影响因子:
6.7
通讯作者:
V. Cowie
V. Cowie
中科院分区:
医学1区
文献类型:
--
作者:
V. Cowie

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精神病学普遍认为神经质和精神质明显是分开的,互不相关。这是有客观证据支持的。在这方面,艾森克(1947)的发现值得注意。利用从心理测试中获得的数据,他已经证明,将正常人与神经症联系起来的“神经质连续体”与将正常人与精神病学家联系起来的“精神质连续体”并不相同,而且彼此独立。假设神经质和精神质之间存在体质上的差异,根据遗传学假设,人们不会期望在精神病的后代中发现神经质特征的发生率增加。另一方面,伴随着父母精神病的环境影响很可能为孩子的养育提供一个令人不安的氛围。根据对儿童精神障碍的研究提供的大量证据,儿童中神经质特征的增加作为对这种环境施加的压力的反应并不是一个意外的发现。这项调查的目的是研究精神病患者的后代中神经质特征的发生率是否增加,如果是这样的话,寻找任何可能指出其原因的指标。
I t is generally accepted in psychiatry that neuroticism and psychoticism are clearly separate and unrelated. This is supported by objective evidence. In this connection the findings of Eysenck (1947) are noteworthy. Using data obtained from psychological tests he has shown that the “neuroticism continuum” linking normals to neurotics, and the “psychoticism continuum” linking normals to psychotics, are not identical and are independent of each other. Assuming that there is a constitutional differentiation between neuroticism and psychoticism, on the basis of a genetical hypothesis one would not expect to find an increased incidence of neurotic traits amongst the offspring of psychotics. On the other hand, environmental effects attendant upon psychosis in a parent might well provide a disturbing atmosphere for the upbringing of children. In the light of much evidence provided by the study of psychiatric disorders in children, an increase of neurotic traits amongst the children as a response to the stress imposed by such an environment would not be an unexpected finding. The aim of the present investigation is to examine whether or not there is an increased incidence of neurotic traits amongst the offspring of psychotic patients, and if so, to find any indicators that might point to factors in its causation.