Psychosis and fever revisited.
Psychosis and fever revisited.
复制标题
DOI：
10.1016/j.schres.2021.11.025
复制
发表时间：
2022-04
影响因子：
4.5
通讯作者：
Clementz BA
中科院分区：
文献类型：
--
作者：
Clementz BA
在DSM-5的发展过程中，当它仍然是DSM-V时，Fischer和Carpenter（Fischer & Carpenter，2009）对精神分裂症诊断中持续依赖现实扭曲感到困惑：“大脑在如此多的条件下产生幻觉和妄想，以至于很难理解[它们]是如何保持首要地位的。精神病经验对于精神疾病的诊断，就像发烧对于感染的诊断一样重要，但不是决定性的."（第2082页）。明尼苏达州有两位受过良好训练的心理学家也赞成类似的观点。其中一位是Paul Meehl（1990）：“.当前的精神病疾病分类学..第24至25段）。另一位是斯科特·利林菲尔德（Scott Lilienfeld），他在讨论精神病诊断的经验方法时说：“.在20世纪初，医生诊断出几十种不同的发烧.今天，医生们认识到发烧是一种非特异性的指标，表明了多种病理状态..."（Lilienfeld & Treadway，2016）。我们应该关心现实扭曲（幻觉和妄想）发生在人类经验的范围内，包括精神分裂症诊断的人（洛赫，2019）？毕竟，对现实扭曲患者的鉴别诊断并不完全取决于这些症状。威尔·卡彭特博士反复地、有效地指出了基本事件。那是40年前的事了在描述了许多人都知道但可能不被一些人欣赏的行为之后，我建议特别是精神分裂症的临床神经科学研究，以及一般精神病，考虑对其程序进行两次修改。
During the development of DSM-5, when it was still DSM-V, Fischer and Carpenter (Fischer & Carpenter, 2009) were perplexed by the continued reliance on reality distortion in the schizophrenia diagnosis:“the brain generates hallucinations and delusions in so many conditions that it is difficult to understand how [they] have maintained primacy…. Psychotic experience is to the diagnosis of mental illness as fever is to the diagnosis of infection–important, but non-decisive…”(p. 2082). Two great Minnesota trained psychologists favored a similar form of this argument. One was Paul Meehl (1990):“… current psychiatric nosology… is more like [a] list of ‘kinds of fever,’demarcated by… arbitrary… clumps of the descriptive syndrome, which often include distinguishing features that are quite irrelevant either in theoretical causal understanding or in therapeutic indications”(pp. 24–25). The other was Scott Lilienfeld when discussing an experiential approach to psychiatric diagnosis:“… in the early twentieth century, physicians diagnosed dozens of different fevers… and distinguished them…[by] co-occurring signs and symptoms…. Today, physicians recognize that fever is a nonspecific indicator of a plethora of pathologies…”(Lilienfeld & Treadway, 2016).Is the psychosis-fever analogy appropriate? Should we care that reality distortions (hallucination and delusions) occur across the range of human experience, including among persons with a schizophrenia diagnosis (Loch, 2019)? After all, differential diagnosis of a patient presenting with reality distortion is not completely determined by those symptoms. Dr. Will Carpenter repeatedly, and usefully, pinpoints the fundamental event. It happened 40 years ago. After describing the deed, well known to many, but perhaps not appreciated by some, I suggest that clinical neuroscience investigation of schizophrenia specifically, and psychosis generally, consider two modifications to its program.
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精神病生物型：B-SNIP联盟的复制和验证。
影响因子：
6.6
作者：
Clementz BA;Parker DA;Trotti RL;McDowell JE;Keedy SK;Keshavan MS;Pearlson GD;Gershon ES;Ivleva EI;Huang LY;Hill SK;Sweeney JA;Thomas O;Hudgens-Haney M;Gibbons RD;Tamminga CA
通讯作者：
Tamminga CA
DOI：
10.1038/npp.2009.32
发表时间：
2009-08
期刊：
Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology
影响因子：
--
作者：
通讯作者：
--
影响因子：
64.8
作者：
Insel, Thomas R.
通讯作者：
Insel, Thomas R.
影响因子：
34.7
作者：
Casey, B. J.;Craddock, Nick;Cuthbert, Bruce N.;Hyman, Steven E.;Lee, Francis S.;Ressler, Kerry J.
通讯作者：
Ressler, Kerry J.
影响因子：
4.8
作者：
Sprooten E;Rasgon A;Goodman M;Carlin A;Leibu E;Lee WH;Frangou S
通讯作者：
Frangou S