几种功能障碍和神经植物功能障碍的精神病理分析

IF 0.4 Q4 PSYCHIATRY Neuropsychiatria i Neuropsychologia Pub Date : 2022-01-01 DOI:10.5114/nan.2022.117951
Łukasz Grabowski, Kinga Kończak-Czarnoczyńska
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引用次数: 0

摘要

本文的目的是提出几个概念的功能障碍和神经植物(au- onomic)功能障碍。有人指出,重要的是要区分这两个概念,并在较新的分类中保留这种划分。以神经循环衰弱、雷诺病和躯体窘迫综合征为例。当时的反思大多以外国文学为基础。被引用的作品主要集中在临床心身学问题上,这可能是神经精神病学的一个潜在兴趣领域。迄今为止开展的研究表明,器官神经症的概念应该从医学文献中删除,并正确地取代神经植物(自主)功能障碍的概念。同样,心身障碍开始被理解为功能性障碍。然而,将这些疾病仅仅视为一个诊断单位,即身体痛苦综合症,这是值得怀疑的。它们可能有不同的健康后果和并发症。功能障碍和神经植物功能障碍的性质仍然不为人所知。已经出现了几种理论来解释它们,但总的来说,它们似乎不足以在临床实践中大量使用。特别是神经植物功能障碍的发展应不断监测,因为,通过神经衰弱期,它们可以转化为严重的器质性疾病。
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Psychopathological analysis of several functional disorders and neurovegetative dysfunctions
The aim of the article is to present several conceptions on the functional disorders and neurovegetative (au-tonomic) dysfunctions. It was indicated that it is important to distinguish between these two concepts and to preserve this division in the newer classifications. The following syndromes were given as examples: neurocirculatory asthenia, Raynaud disease and bodily distress syndrome. The current reflections were based mostly on foreign literature. The cited works largely focused on the issue of clinical psychosomatics, which may be a potential area of interest in neuropsychiatry. The research carried out so far indicates that the concept of organ neuroses should be removed from the medical literature and rightly replaced with the concept of neurovegetative (autonomic) dysfunctions. Likewise, psychosomatic disorders begin to be understood as functional disorders. However, it becomes questionable to view these diseases as only one diagnostic unit, which is the bodily distress syndrome. They may have different health consequences and complications. The nature of functional disorders and neurovegetative dysfunctions is still not well known. Several theories have arisen to explain them, but in general assessment they do not seem sufficient to use them en masse in clinical practice. Especially the development of neurovegetative dysfunctions should be constantly monitored, because, through the neurasthenic period, they can transform into severe organic disease.
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CiteScore
0.80
自引率
20.00%
发文量
15
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