[“躯体精神病”:一种关于某些精神疾病的解释性假说]。

IF 0.7 Q3 Medicine Minerva Psichiatrica Pub Date : 1996-03-01
P Lorenzi, M Ardito
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引用次数: 0

摘要

笔者建议将妄想性疑病症、畸形恐惧症、神经性厌食症等临床症状归为躯体精神病。这些被认为是被赋予身体的精神病(当然,我们说的不是解剖学上的身体,而是现象学上的身体,个人经验的身体)。具体的临床框架是由以下考虑来证明的:1)从精神病理学的角度来看,所有的疾病都意味着与个人经历过的身体的关系发生了改变;2)从预后角度看,“有经验的身体”受累具有特定和共同的特征;3)临床总是有可能出现另一种表现的改变;4)在人际关系上,与这类病人的人际接触(以及医疗接触)具有非常特殊的特征,这些特征往往会在同一关系中引起戏剧性和反常的变化,特别是在施虐受虐的意义上。在实际的精神病学诊断分类(ICD 10, DSM IV)中强调个人疾病框架。
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["Body psychosis": an interpretative hypothesis about some psychiatric disorders].

The authors propose to group some clinical entities as Delusional hypochondria, Dysmorphophobia, Nervous Anorexia, under the term of Body Psychosis. These are considered as psychoses endowed in the body (naturally we are speaking not about the anatomical body, but the phenomenological one, the personal experienced body). The specific clinical frame is justified by the following considerations: 1) in a psychopathological light all the disorders imply an altered relationship with the personal experienced body; 2) in a prognostic light the "experienced body" involvement given specific and common features; 3) clinically a one-other manifestation change is always possible; 4) relationally the human contact (and the medical one too) with this kind of patient got very specific features that often provoke dramatic and perverse changes in the same relation, especially in a sadomasochistic sense. The personal nosological frame is stressed within the actual psychiatric diagnostic classification (ICD 10, DSM IV).

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来源期刊
Minerva Psichiatrica
Minerva Psichiatrica PSYCHIATRY-
CiteScore
1.10
自引率
0.00%
发文量
0
期刊介绍: The journal Minerva Psichiatrica publishes scientific papers on psychiatry, psycology and psycopharmacology. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, therapeutical notes, special articles and letters to the Editor. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (www.icmje.org). Articles not conforming to international standards will not be considered for acceptance.
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