The appropriate use of criteria for schizophrenia.
The appropriate use of criteria for schizophrenia.
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精神分裂症标准的适当使用。
DOI：
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发表时间：
1985
影响因子：
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通讯作者：
M. Taylor
中科院分区：
文献类型：
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作者：
R. Abrams;M. Taylor
致编辑McGuffin等人使用了他们声称的精神分裂症的标准，发现这些标准不可靠，而且“不能令人满意地检测精神分裂症的家族性”。“我们的答复如下。1.我们在1978年对我们的标准进行了实质性的修改，在纳入标准中增加了一级症状和清醒意识的要求，在排除标准中增加了可诊断的情感障碍的存在，并且只要求存在一个（而不是所有三个）诊断精神分裂症的纳入标准。尽管如此，McGuffin等人选择使用我们1975年的标准3 ;他们这样做的理由是什么？2.我们1975年的标准并没有被麦高芬等人准确地描述出来，我们没有提到“不连贯的言语”，而是指定“阻塞，不符合逻辑的，新词，词近似和赘言”作为形式思维障碍的类型。仅靠“限制影响”并不能满足我们的要求
To the Editor.— McGuffin et al 1 used what they purported to be our criteria for schizophrenia and found them to be unreliable and "unsatisfactory for detecting the familiality of schizophrenia." Our response is as follows. 1. We substantially revised our criteria in 1978 2 by adding the requirements of first-rank symptoms and a clear consciousness to the inclusion criteria, and the presence of diagnosable affective disorder to the exclusion criteria, and by requiring the presence of only one (rather than all three) inclusion criterion for a diagnosis of schizophrenia. Nonetheless, McGuffin et al chose to use our 1975 criteria 3 ; what was their rationale for doing so? 2. Our 1975 criteria were not accurately portrayed by McGuffin et al. We nowhere referred to "incoherent speech," but specified "blocking, nonsequiturs, neologisms, word approximations, and verbigeration" as the types of formal thought disorder required. A "restricted affect" alone could not satisfy our