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Study on the mode of perception and symptom formation in autism

自闭症患者感知模式和症状形成的研究

基本信息

批准号：
08671110
负责人：
KOBAYASHI Ryuji
金额：
$ 1.6万
依托单位：
Tokai University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1996
资助国家：
日本
起止时间：
1996 至 1998
项目状态：
已结题

项目摘要

1. We proposed the concept of "perception metamorphosis phenomenon (PMP)" as the mode of perception peculiar to autistics. This mode of perception is notable to some degree in infancy and adolescence, and points to the appearance of behavior indicative of the environmental world being perceived in a manner different from before by the autistic child. The phenomenon has been defined into 3 basic categories according to the aspect of perception : 1) Visual PMP, 2) Auditory PMP, 3) Situational PMR Proposal of this concept was made with the objective of capturing the onset of autism or the mechanism of appearance of the various symptoms from a more phenomenological viewpoint, to serve as a possible starting point for understanding the inner world of autistics. The proposal was made emphasizing the validity of this approach in mapping out new therapeutic approaches and for re-investigating the relationship between autism and schizophrenia.2. A survey was conducted on the present behavioral characteristics of 187 cases of adult autism over 18 years of age employing Achenbach's Child Behavior Checklist (CBCL). When their behavioral characteristics were evaluated in relation to Present Language Developmental Level (PLDL) and Present Adaptive Level (PAL), it was seen that greater variation in behavior characteristics was seen among those exhibiting increasingly lower PLDL and PAL scores. Behavior characteristics reminiscent of depression were noted even among those exhibiting high PLDL.Behavior pointing to obsession was found in common among most all cases of autism irrespective to either PLDL or PAL.Psychotic symptoms such as hallucinations and delusions were absent in most cases. The results of this study were indicative not only of the significance of obsessive behavior in autism, but also its significance in terms of delving further into the psychopathology of the disorder.

1.我们提出了“知觉变态现象”的概念，认为这是孤独症患者特有的知觉模式。这种感知模式在婴儿期和青少年期在某种程度上是值得注意的，并指出自闭症儿童以不同于以前的方式感知环境世界的行为表现。根据感知方面，这种现象被定义为3个基本类别：1）视觉PMP，2）听觉PMP，3）情境PMR提出这一概念的目的是从现象学的角度捕捉自闭症的发病或各种症状出现的机制，作为理解自闭症内心世界的可能起点。该建议强调了这种方法在制定新的治疗方法和重新调查自闭症和精神分裂症之间的关系方面的有效性。采用Achenbach儿童行为量表（CBCL）对187例18岁以上的成人孤独症进行了行为现状调查。当他们的行为特征进行评估，与目前的语言发展水平（PLDL）和目前的适应水平（PAL），它被认为是更大的变化，在那些表现出越来越低的PLDL和PAL分数的行为特征。即使在那些表现出高PLDL的人中也注意到了让人联想到抑郁的行为特征。在大多数自闭症病例中，无论是PLDL还是PAL，都发现了指向强迫的行为。在大多数病例中，没有幻觉和妄想等精神病症状。这项研究的结果不仅表明了强迫行为在自闭症中的重要性，而且还表明了它在进一步深入研究这种疾病的精神病理学方面的重要性。