【摘要】 受所谓的生物心理社会模式的推动,对精神障碍的认识从二分法诊断分类转向更为全面综合的方法。虽然这种认识转变有一定的好处,但是为了顾及生物心理社会各个方面的因素,势必要冒着牺牲严谨方法的风险。本期对精神病认识的特别报道中,Bebbington试图表明关于精神病发生的高质量心理社会流行病学研究至少可以部分克服上述认识转变的局限性。Bebbington强调睡眠、情绪等非精神病性症状在精神病发生中的重要性,这为精神病的概念提供了一个新的视角。然而,上述非精神病性症状对于有效鉴别精神分裂症或其他精神病性障碍亚类的有用性,我是心存疑虑的。更多还原

【Abstract】 The transition from a dichotomous diagnostic classification system to the more holistic approach to understanding mental disorders engendered by the so-called biopsychosocial model has definite advantages, but it runs the risk of sacrificing methodological rigor to achieve all-inclusiveness. The Special Article by Bebbington on understanding psychosis in this issue attempts to show that high-quality psychosocial epidemiological research on the development of psychosis can, at least partially, overcome these limitations. Bebbington’s emphasis on the importance of non-psychotic symptoms such as disturbance in sleep and mood in the development of psychosis provides a new perspective on the conceptualization of psychosis, but I remain unconvinced about the usefulness of such symptoms in the differentiation of valid sub-categories of schizophrenia or other psychoses.更多还原