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[癔症、分离障碍与转换障碍。概念、分类及诊断工具综述]

[Hysteria, dissociation and conversion. A review of concepts, classification and diagnostic instruments].

作者信息

Spitzer C, Freyberger H J, Kessler C

机构信息

Klinik für Psychiatrie und Psychotherapie Medizinischen Universität, Lübeck.

出版信息

Psychiatr Prax. 1996 Mar;23(2):63-8.

PMID:8657811
Abstract

Modern theories on hysteria are presented by describing the historical context of various scientific approach to hysterical phenomena as well as the concepts of dissociation and conversion which are closely linked. The subdivision of the classical hysterical neurosis into the dissociative disorders and the somatoform disorders within the diagnostic classifications of ICD-10 and DSM-III-R respectively DSM-IV is illustrated and discussed. These new theories have prompted the development of some instruments such as diagnostic interviews (SCID-D) and self-measuring questionnaires (DES). The scientific value and importance of these instruments is discussed, especially with regard to further studies on dissociative disorders, particularly in the German-speaking countries.

摘要

通过描述对癔症现象的各种科学研究方法的历史背景以及与之紧密相关的分离和转换概念,来介绍现代癔症理论。分别阐述并讨论了在国际疾病分类第10版(ICD - 10)和精神疾病诊断与统计手册第三版修订本(DSM - III - R)以及第四版(DSM - IV)的诊断分类中,经典癔症神经症如何细分为分离性障碍和躯体形式障碍。这些新理论推动了一些工具的发展,如诊断访谈(SCID - D)和自我测量问卷(DES)。讨论了这些工具的科学价值和重要性,特别是对于分离性障碍的进一步研究,尤其是在德语国家。

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