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Subjective experiences and psychopathology of schizophrenia: phenomenology lost in translation?

机译:精神分裂症的主观经验和心理病理学:现象学在翻译中迷失了?

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摘要

Phenomenological approaches to subjective experience are becoming increasingly important to psychiatry, particularly as a way to integrate patients' self-descriptions (i.e. first person data) with behavioural descriptive psy-chopathology (i.e. third-person, observational data). In this vein, Kim et al. [1], found an association between positive symptoms and anomalous subjective experiences in a sample of outpatients with schizophrenia. The results, which extend transculturally the already vast amount of empirical evidence supporting Huber's Basic Symptoms (BS) Model, are worth further comments. Indeed, the notion of basic symptoms (BS) is currently gaining international recognition primarily for the purpose of individual risk assessment of impending psychosis. Specifically, a subset of BS, mostly indicative of self-perceived loss of cognitive proficiency (e.g. thought interference, thoughtperseveration, thoughtpressure, disturbances of receptive language), has been proposed as subsidiary to the Personal Assessment and Crisis Evaluation (PACE) ultra-high risk criteria to further 'close-in' subjects at imminent risk of developing psychosis [2].
机译:现象学的主观经验方法在精神病学方面变得越来越重要,特别是作为一种将患者的自我描述(即第一人称数据)与行为描述性心理病理学(即第三人称的观察数据)相结合的方法。在这种情况下,金等。 [1]在精神分裂症门诊患者样本中发现阳性症状与主观异常经历之间存在关联。结果跨文化地扩展了已经支持Huber基本症状(BS)模型的大量经验证据,值得进一步评论。实际上,基本症状(BS)的概念目前正在国际上获得认可,主要是为了对即将发生的精神病进行个人风险评估。具体来说,已提议将BS的一个子集作为超高的个人评估和危机评估(PACE)的一个子集,该子集主要指示自我感知的认知能力丧失(例如,思想干扰,思想沉迷,思想压力,接受语言障碍)风险标准,以进一步“封闭”患有精神病的迫在眉睫的受试者[2]。

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