基于现象学派哲学的精神分裂症的精神病理学

Psychopathology of Schizophrenia Based on Phenomenological Philosophy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(3)
作者
作者单位

首都医科大学附属北京安定医院 ;

摘要
从Kraepelin(1896)开始,自我异常被认为是精神分裂症的核心病理特征,他认为“自我内在统一的丧失”就像“管弦乐队没有指挥”;Eugen Bleuler(1911)指出,病人的自我倾向于经历“最复杂的变化”,包括自我分裂、失去活动的感觉或者引导思维的能力。但是在DSM-IV和ICD-10对精神分裂症的诊断标准中并没有提到自我的概念。自2019年世界卫生组织发布第十一版《国际疾病分类》(ICD-11)以来,精神分裂症的诊断标准相比于ICD-10及DSM-IV,增加了现象学名词——“自我体验紊乱”这一条目,但是对自我体验紊乱的丰富内涵的描述仍显简略,影响精神科医生对此症状的把握。本文就相关内容进行综述。
Abstract
Since Kraepelin (1896), self-abnormalities have been regarded as the core pathological characteristics of schizophrenia. He believed that “the loss of the internal unity of the self” was like “no conductor in an orchestra”. Eugen Bleuler (1911) pointed out that the patients ego tended to experience “the most complex changes”, including self-fragmentation, loss the sense of activity or ability to guide thinking. However, the DSM-IV and ICD-10 diagnostic criteria for schizophrenia do not mention the concept of self. Since 2019, the world health organization (who) published the eleventh edition of the international classification of diseases (ICD-11), compared to ICD-10 and the DSM-IV, the diagnostic criteria for schizophrenia have added the phenomenological term- “self experience disorder”, but the description of the abundant connotation of self experience disorder remains brief, which affects the psychiatrists to understand the symptoms. This paper reviews the related contents.
关键词
现象学派哲学;精神分裂症;自我紊乱;理解
KeyWord
The phylosophy of phenomenological; Schizophrenia; Self experience disorder; Understand
基金项目
页码 406-409
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张翼,郑思思,贾竑晓*. 基于现象学派哲学的精神分裂症的精神病理学 [J]. 国际精神病学杂志. 2023; 50; (3). 406 - 409.

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