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Detective版 - 抑郁症有妄想表现吗? (转载)
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有一种无知叫质问,有一种无耻叫妄想。 (转载)本版不宜过于吝啬
相关话题的讨论汇总
话题: 抑郁症话题: 妄想话题: nearly话题: depression话题: day
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n**e
发帖数: 2026
1
【 以下文字转载自 WaterWorld 讨论区 】
发信人: nile (nile), 信区: WaterWorld
标 题: 抑郁症有妄想表现吗?
发信站: BBS 未名空间站 (Wed Jan 21 14:54:12 2015, 美东)
张纯如精神障碍的正式诊断是抑郁症。根据美国精神病诊断权威标准DSM-5(附件1),
抑郁症是没有妄想表现的。也就是说,如果一个人被诊断为抑郁症,就不应该有妄想表
现。如果一个人有妄想表现,就不应该诊断为抑郁症。
那么确诊为抑郁症的病人是否可以出现妄想呢?回答是肯定的。但是,当一个抑郁症病
人出现妄想症状,原来的“抑郁症”就不再适用于病人。这种情况下就要改变诊断为“
精神病性抑郁症”。这种病人往往同时会出现幻觉症状。相应的治疗和保护措施也要作
出改变。相关学术依据见附件2。
有些人说张纯如有精神病。所谓的日本右翼极端势力对她不断发出暴力威胁其实是她的
妄想。起码从医生给她的正式诊断来看,张纯如没有妄想症状。
附件1 :Criteria for Major Depressive Episode: DSM-5
A. Five (or more) of the following symptoms have been present during the
same 2-week period and represent a change from previous functioning; at
least one of the symptoms is either (1) depressed mood or (2) loss of
interest or pleasure.
Note: Do not include symptoms that are clearly due to a general medical
condition, or mood-incongruent delusions or hallucinations.
• Depressed mood most of the day, nearly every day, as indicated by
either subjective report (e.g., feels sad or empty) or observation made by
others (e.g., appears tearful). Note: In children and adolescents, can be
irritable mood.
• Markedly diminished interest or pleasure in all, or almost all,
activities most of the day, nearly every day (as indicated by either
subjective account or observation made by others).
• Significant weight loss when not dieting or weight gain (e.g., a
change of more than 5 percent of body weight in a month), or decrease or
increase in appetite nearly every day. Note: In children, consider failure
to make expected weight gains.
• Insomnia or hypersomnia nearly every day.
• Psychomotor agitation or retardation nearly every day (observable by
others, not merely subjective feelings of restlessness or being slowed down
).
• Fatigue or loss of energy nearly every day.
• Feelings of worthlessness or excessive or inappropriate guilt (which
may be delusional) nearly every day (not merely self-reproach or guilt
about being sick).
• Diminished ability to think or concentrate, or indecisiveness,
nearly every day (either by subjective account or as observed by others).
• Recurrent thoughts of death (not just fear of dying), recurrent
suicidal ideation without a specific plan, or a suicide attempt or a
specific plan for committing suicide.
B. The symptoms cause clinically significant distress or impairment in
social, occupational or other important areas of functioning.
C. The symptoms are not due to the direct physiological effects of a
substance (e.g., a
drug of abuse, a medication) or a general medical condition (e.g.,
hypothyroidism).
附件2:精神病性抑郁症。
There’s depression, which if you have depression, most people have. And
then there’s psychotic depression, or more technically known as major
depressive disorder with psychotic features. This is a far less common
disorder than simple depression.
Psychotic depression is characterized by not only depressive symptoms, but
also by hallucinations (seeing or hearing things that aren’t really there)
or delusions (irrational thoughts and fears).
http://psychcentral.com/lib/psychotic-depression/0001291
k******g
发帖数: 132
2
关于“抑郁症”,Nile又在狡辩。
当你nile质问“ 抑郁症包括后来诊断的bipolar disorder有妄想表现吗?”、并声称
“抑郁症是没有妄想表现的”的时候,你就是在声称所有的抑郁症类型都没有妄想表现
http://www.unknownspace.org/article_t/WaterWorld/2564779.html
事实上,抑郁症(Depression)包括有好几个亚类型,其中包括有Psychotic
depression、Bipolar I Disorder和Major depressive disorder。很清楚,
Psychotic depression和Bipolar I Disorder就有妄想表现。
你现在用Major depressive disorder来代替Depression,是仍然不清楚这二者之间的
从属关系?还是想继续狡辩?如果你是想继续狡辩,你也否认不了你先前的质问“
bipolar disorder有妄想表现吗?”吧。

你还是好好提高你的英文和医学知识后再来贴帖吧。你所引用的所谓“抑郁症的美国精
神病诊断权威标准DSM-5(附件1)”是“Criteria for Major Depressive Episode”
, 根本就不是Major Depressive disorder 的诊断标准,更不是什么depression的诊
断标准。请搞清楚Major depressive episode和Major Depressive disorder的关系,
搞清楚Major Depressive disorder和depression的关系。http://www.unknownspace.org/article_t/WaterWorld/2575997.html
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本版不宜过于吝啬关于“抑郁症”,Nile又在狡辩。
这个广告应该可以mark了吧?再次见识一下nile的“学识”。
玫瑰和连鸭子这种文章都奖励啊 哈哈 (转载)给傻基科普一下什么是疾病实体 (转载)
站务把18175保留(mark)一下有一种无知叫质问,有一种无耻叫妄想。 (转载)
劝“糠薨”网络辩论走邪门歪道是死路一条 (转载)micromirror就是nile吧。你连depression的分类都没有搞明白就敢胡诌。
澄清关于抑郁症的几个术语问题 (转载)Nile,你能看懂文献,正确理解词汇的意思吗?说你是半桶水不冤枉你。
张纯如有没有精神病妄想症状 (转载)钻风,花伪币利诱别人板斧辞职是什么行为?
关于抑郁症,人渣Nile有继续狡辩。谁给说说什么是Histrionic Personality Disorder
相关话题的讨论汇总
话题: 抑郁症话题: 妄想话题: nearly话题: depression话题: day