原发性妄想和印度的社会政治环境——一例病例报告和简短综述（英文）

妄想一直是精神科研究的一个中心主题,研究涉及其病因、发病机制、诊断、治疗和司法精神病学的相关内容。许多精神科医生似乎对其中的原发性妄想尤为感兴趣。妄想的内容一直是文化精神病学感兴趣的领域。我们试图探讨原发性妄想的不同方面,试图解释在印度这样的国家中文化和社会政治环境如何决定原发性妄想的形成并影响其精神病理学。     

会诊联络精神病学在综合医院的现状分析

目的对综合医院精神病学会诊现状进行分析研究。方法2007年度申请精神科会诊的病例279例,分析其申请科室、原发病、申请理由及精神科诊断处理。结果综合医院精神病学会诊中最常见的精神科诊断是脑器质性精神障碍、躯体疾病伴发精神障碍、焦虑障碍和抑郁障碍。结论应在综合医院积极开展会诊联络精神病学服务及对综合科医生加强精神病学知识教育。     

综合医院病人的精神病学咨询

综合医院病人的精神病学咨询ＲｉｃｈａｒｄＭａｙｏｕ教授季伟华译姚芳传校在过去５０年中的欧洲、北美和澳大利亚，人们对综合医院病人的精神病学问题越来越感兴趣。本世纪３０年代，北美心身医学兴起，精神科医生的临床经验及急诊医生的需要，包括对那些因服毒过量或有...     

未来的精神科医生

基于诊疗科学的进步及神经生物学、心理社会学理论的发展,诸多精神病学未来的争论均集中于该学科的内容上。但却忽略了一个引人注目的问题,这就是作为一门学科的精神病学必须紧紧依靠从事临床,科研和教育的精神科医生。精神病学的未来将依靠从事临床的精神科医生、精神科住院医生和医学生。同时,为紧跟学科飞速的变化发展,他们仍需继续接受医学教育。作者就1978～1988年十年间精神科住院医生数目和人口统计学特征的改变来探讨这些变更对于精神病学未来的影响。     

中华精神科杂志"新知识园地"等栏目征稿

为更好地反映我国精神病学的新进展,同时推动本专业的临床研究,满足广大读者的要求,本刊对“新知识园地”、“问题研讨”、“临床病例(理)讨论”、“问题解答”等栏目进行征稿。“新知识园地”栏目主要反映本专业或与本专业有关学科研究的新成果。如近几年,本刊先后在此栏目中发表了《Internet在精神病学中的应用》、《网络精神病学简介》和《深入访谈和专题小组讨论在精神科的应用》等文章,这些内容在目前对广大精神科同道起到了介绍新知识的作用,尤其是网络精神病学,无论对临床研究或是基础研究都有着非常重要作用。要求来稿内容新颖、真…     

中华医学会精神科分会第三届学术年会征文

由中华医学会精神科分会和美国精神科学会共同举办的第二届中美精神病学学术会议暨第三届中华精神科学术年会将于２０００年４月７日至１１日在北京召开。中美学术会议的主题是“２１世纪的中国精神病学”。学术年会从即日起向全国征文，凡未在公开刊物上发表的学术论文均欢迎投稿。１、征文内容：精神疾病的病因、病理机制、流行病学、生物精神病学、民族文化与精神卫生问题、精神疾病的临床诊断、治疗、预防、康复、儿童精神卫生等其它相关问题；２、投稿要求：请用Ａ４纸打印一式三份，同时用ＭＳｗｏｒｄ格式编写后存入３５寸软盘。论…     

牛津精神病学教科书(序)

本书原来是为了培训精神科医生的入门教科书而写的,同时也可作为医学院学生的深造教科书,我们希望本书对于完成培训的精神科医生、通科开业医生、以及其他临床医生的参考和观念革新方面有一定的应用价值。本书的题材是临床精神病学的实践。近年来在下述的若干附属专科方而已有迅速发展,如儿童与青春期精神医学、司法精神病学和精神发育不全。本书主要内容是一般精神病学,     

联络精神病学必将大发展

一、从会诊精神病学到联络精神病学会诊精神病学(Consultation psychia-try)和联络精神病学(liaison psychiatry)讲的都是精神科医生在综合医院里从事的活动,是精神科的一种特殊的工作方式。在近年来有关文献中常联称为会诊一联络精神     

第九届西部精神医学论坛征文通知

第九届西部精神医学论坛预定于二零一二年七月在四川省成都市召开,本次会议由西部精神医学协会主办。会议征文内容：板块一：精神病学1、精神疾病治疗新技术;2、精神病院的管理及相关法律问题;3、精神病患者的康复和回归;4、司法精神病学的理论和实践;5、精神病学教学法研究;6、精神科合理用药。     

解析原发性妄想——读者来信

编辑先生: 原发性妄想是精神分裂症的特异性症状,具有较高的诊断价值,但在临床上却较难识别.请问专家如何诊断和鉴别原发性妄想? 精神科医师:张博文 答读者来信 张博文医师: 完整的原发性妄想分为3个阶段:妄想心境、妄想知觉和妄想突发. 1 妄想心境 1.1 特征 妄想心境是发作性莫名紧张,有"怕、抖、惑、依"四特征."怕"是患者有一种说不清理由的害怕.例如,患者每次乘公交车,都感到周围好像有黑社会背景一样,感到不安全,自知不会被周围人围攻,但就是心里不踏实;"抖"是患者呈过度警醒状态.感心跳加快(其实心率不快),手抖,全身抖,出汗;"惑"是患者有一种大祸即将临头的感觉,但不知要发生什么灾难;"依"是患者因害怕而依恋家人.如"怕陌生人打我,此时依赖母亲,跟着母亲形影不离".     

The Social Dynamics of the Physician’s Status†

The delusional belief that a close relative has been replaced by a look-alike impostor was named the Capgras delusion in honor of Joseph Capgras, who described the first case. Capgras's original patient, Mme M., had a complex mental illness with various symptoms in addition to the delusion of substitution. The focus in the literature has always been on her eponymous delusion, ignoring the rest of her condition. However, studying the substitution delusion in isolation from the rest of her illness has led to inadequate conclusions. It is necessary to understand the delusion within the broad context of her illness. Toward that goal, her mental illness is described here in detail. A particular pattern of delusions and illness is identified. This same pattern is noted in other cases of Capgras in the literature. Three new cases are reported here, each with the same overall pattern of illness that Mme M. had. This pattern is labeled the Syndrome of Capgras. A hypothesis is offered to explain the Capgras delusion within the context of this illness.     

Délire de filiation en temps de guerre et hallucinations de voix anglophones chez un patient schizophrène. La subjectivation d’un héritage familial en creux

AimsThis article describes the clinical treatment of a schizophrenic patient presenting a delusion of filiation, connected to the era of the Second World War, with auditory hallucinations in English (his maternal language being French): that is to say a very uncommon phenomenon. We hypothesized a “genealogical haunting” (as theorized by Maria Torok and Nicolas Abraham).MethodA schizophrenic patient was hospitalized with a case of delusion and a very strong pathological reluctance. He told us progressively about a very rich delusion of filiation whose particularity was the appearance of auditory hallucinations in English, during the first breakdown. We tried to analyze this phenomenon as a genealogical haunting, and to define its origin, while the patient himself was concerned with the link between his origins and his schizophrenic illness. While his delusion persisted, he called upon his interest in genealogy and processes of figuration (metaphoric and objects-messengers, dreams, mythology).ResultsAs clinical interviews familiarized us with the patient's family history, we were able to better understand his hallucinations in English, thanks to the reconstruction of the familial past, and the search for the nucleus of the delusion, thus improving introjection and the symbolization of a traumatic past. This was associated with a lasting improvement in the patient's symptoms, increased psychic freedom, and the opening up of new possibilities in his life.DiscussionLocating the origin of a crypt in a past generation is obviously a delicate task, especially when the crypt appears in the words of a patient suffering from profound delusion. Nevertheless, the proposition of psychotherapy to a patient whose delusions concern a family secret (to what extent the patient's beliefs are truly delusional is difficult to determine, in the absence of hard evidence about his family history) can allow for the elaboration and the symbolization that are necessary in calming – or, in the best case – minimizing the delusion.ConclusionThe transgenerational approach to the effects of genealogical haunting can enlarge our knowledge about the most enigmatic pathological productions, in this case, auditory hallucinations in English in a French-speaking patient. Incorporating this transgenerational approach into psychoanalytic psychotherapy could prove therapeutic, including for certain schizophrenic patients.     

Quelle définition du délire dans la psychose ? Pour une approche fonctionnelle du processus délirant

In referring to various theories from psychoanalytic epistemology, the author develops a definition of psychotic delusion as operating as possible. To do this, he compares, on the one hand, a conception of delusion based on the relation to reality with, on the other hand, a functional approach of delusional activity that takes into account subjective issues of delusion. Different theoretical paradigms are discussed in order to identify the respective implications of a realist conception of delusion and an approach of delusion from their subjective features. In this perspective, delusion is less regarded as an abnormal way of perceiving the world than as an attempt of solution to the resurgence of an unthought primary trauma. From a qualitative methodology based on a clinical case study, the author highlights three main functions achieved by the delusion in its attempt of self-therapy resolution. The first, conceptualized under the term “containing function”, carries out the shaping and the significant transformation of what could never be symbolized of the traumatic experience. The second, called “localizing function”, tries to locate outside of the subject the instinctual overflow inherent to the primary trauma. The third, named “identifying function”, enables the delusional person to assume an identificatory principle which, in a self-created way, compensates for the enigma of his senseless history. Furthermore, the analysis of clinical data underlines that these three functions of the delusional activity are not randomly accomplished but are organized according to a particular logic. From its triple operation, it appears that psychotic delusion tends to develop into a “delusional process”, by which the subject can make thinkable and bearable the trauma he has experienced during his history. Finally, referring to the various results of this study, the author proposes to reconsider the issues of clinical devices with delusional patients. Instead of trying to suppress delusion, it would be possible to accompany the subject in the development of inventive potentialities that sustain the delusional process.     

Capgras' syndrome of time

The delusion that the usual passage of time has been changed and that time has been interfered with or is repeating itself is rare. Four patients with the delusion of warped time are presented and the significance of the symptom is discussed. The perception of the passage of time and its disorders is discussed.     

Pathodynamics of symbiotic psychoses

The definition and division of symbiontic psychoses (induced insanity, folieà deux,, psychosis of association) and their significance for the genesis of delusional developments are referred to at the beginning of the paper. After a presentation of environmental reactions on delusion, personality traits and mutual dependence in the predominance-subordination relationship of the partners of delusional symbioses are pointed out. The isolation of this symbiosis against the environment and its influence on this loneliness by twos are demonstrated. Besides the described suppositions, the primary delusion is essential for the pathodynamics of symbiontic psychoses because the delusional structure of the primary delusion, its compositional elements and especially the delusional motif are decisive for the transformation of a symbiosis which is still stable into a pathological we-formation. 5 case histories illustrate the pathodynamics of symbiontic psychoses.     

'Internet delusions': a case series and theoretical integration

BACKGROUND: Delusions involving the internet have been reported as examples of the influence of cultural innovations on delusion formation, although there has been some debate as to whether such innovations simply affect surface content, or whether they have more substantial clinical or psychopathological implications. SAMPLING AND METHODS: Four cases of patients with delusions involving the internet were identified following a general request to local consultant psychiatrists for referrals. RESULTS: The internet had a specific effect on aetiology in one case, and knowledge of the internet seemed to constrain the type of delusion formed in two others. The presence of an internet-related delusion in the final case was used to frame a successful clinical intervention based on the 'collaborative empiricism' method, using cognitive behavioural therapy and collaborative use of the internet to resolve the delusional belief. CONCLUSIONS: Cultural technical innovations may have specific influences on the form, origin and content of delusional beliefs. For some patients the presence of internet-themed delusions may be a good prognostic indicator since, given the rich sources of information available, they may be well suited to treatment with cognitive behavioural therapy.     

妄想性抑郁症55例临床对照分析

对５５例妄想性抑郁症与９２例非妄想性抑郁症病人进行临床对照分析。结果表明：妄想性抑郁症幻听、焦虑、自责自罪、绝望、自杀行为等症状出现率较高，自杀率为非妄想性抑郁症的３．７倍，往往需要联合治疗。     

Is mythical delusion a factor blocking schizophrenic symptoms?

Abstract It has been stated that mythical delusion can block schizophrenic symptoms. However, there are some schizophrenics in whom mythical delusion does not react against schizophrenic symptoms. Three cases are reported of mythical delusion and what conditions are necessary for the mythical delusion to "block" schizophrenic symptoms are considered. Such 'blocking' can be found in the mythical delusion which mediates between schizophrenic symptoms and reality. Conversely, when there is no relationship between mythical delusion and schizophrenic symptoms 'blocking' cannot be expected.     

De Clérambault syndrome. A case report and a review of the literature on the difference between primary and secondary erotomania

This case report is about a female patient with an erotomanic delusion, who is convinced that a man is deeply in love with her. Because the specific course of primary erotomania and its response to treatment have been documented, the literature was studied to find out whether it distinguishes between primary and secondary erotomania. The search, however, showed that erotomania occurs so rarely and is defined in such ambiguous terms that it is impossible to divide these subtypes into two separate entities.     

Delusional misidentification involving the self

The delusion of replacement of one's self by a double or imposter is a feature of two delusional misidentification syndromes. In the syndrome of subjective doubles, the self-delusional misidentification syndromes. In the syndrome of subjective doubles, the self-delusion is the sole delusion of doubles. In the Capgras syndrome, the delusion of a self-double is infrequently reported; however, when it is reported, self-replacement is always accompanied by delusions of duplication of other people and sometimes of places. We review all such cases reported since 1900 and highlight the variety of presentations.