Hallucinations and delusions as points on continua function. Rating scale evidence.

Hallucinations and delusions as points on continua function. Rating scale evidence.
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幻觉和妄想作为连续体功能上的点。

DOI:
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发表时间:
1969
影响因子:
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通讯作者:
J. Strauss
J. Strauss
中科院分区:
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文献类型:
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作者:
J. Strauss

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精神病症状评定量表可用于测试和重新制定临床概念以及对患者进行分类。幻觉和妄想是两种症状,当在这种量表中进行更操作性的定义时,它们就有了新的含义。对这些症状进行充分的概念化是特别重要的,因为它们是精神病特别是精神分裂症的关键诊断标准。即使是那些把幻觉和妄想归为“继发性”的人,也倾向于用这些症状来确定精神病的诊断,因为它们是临床上更容易识别的症状之一。一般来说,幻觉和妄想被认为是离散的和不连续的,病人要么有,要么没有。这些症状的离散性的概念鼓励了精神病和精神分裂症的概念,这些状态也是离散的,不连续的,进一步的概念是,这些诊断的患者在某种程度上与其他患者有质的不同
PSYCHIATRIC symptom rating scales can be used for testing and reformulating clinical concepts as well as for categorizing patients. Hallucinations and delusions are two symptoms that take on new meanings when defined more operationally for use in such scales. It is especially important to conceptualize these symptoms adequately because they are key diagnostic criteria of the psychoses, especially of schizophrenia. Even those who classify hallucinations and delusions as "secondary" tend to use these symptoms to establish the diagnosis of psychosis since they are among the easier symptoms to identify clinically. Generally hallucinations and delusions are considered to be discrete and discontinuous, a patient either has them or he does not. The notion of the discreteness of these symptoms encourages the conception of psychosis and schizophrenia as states that are also discrete and discontinuous and the further conception that patients with these diagnoses are somehow qualitatively different from other