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发帖数: 35 | 1 【 以下文字转载自 WaterWorld 讨论区 】
发信人: micromirror (mirror), 信区: WaterWorld
标 题: 劝“糠薨”网络辩论走邪门歪道是死路一条
发信站: BBS 未名空间站 (Wed Jan 14 15:14:47 2015, 美东)
这位糠薨，从你一开始提出的问题““妄想症的妄想是怪诞性的？还是非怪诞性的？”
，老夫就断定你在精神病方面是个十足的外行。你不过是在别人涉及到专业问题的时候
在网络上拼命查找想证明人家不懂。但是你没有鉴别专业信息的能力，也不了解学科的
进展。最终不过是遭人耻笑。
难道不是吗？你查出来的文献都把妄想症局限为非怪诞性妄想。你就以为捡到了宝，认
定妄想症必须是非怪诞性，还振振有词说怪诞性妄想就就精神分裂症而不是妄想症。却
没想到冒出来一个DSM-5。这个标准两年前就修改了。现行的妄想症标准怪诞性的也可
以是非怪诞性的。老夫告诉你既可以是肯定也可以否定，意思很清楚，就是即可是怪诞
的可以是非怪诞的。你还骂老夫信口雌黄。其实老夫的专业并不是精神病学，不过与精
神病学有很大的交叠。老夫也从来没有读DMS-5。但是凭职业的直觉，知道妄想症的妄
想可以是bizarre 也可以是 non-bizarre。
看看下面这段根据DSM-5的标准修订的妄想症定义：Delusional disorder is
characterized by the presence of either bizarre or non-bizarre delusions
which have persisted for at least one month. 比较一下你引用的妄想症定义：
Delusional disorder is characterized by the presence of recurrent,
persistent non-bizarre delusions 。你的英文不一定很好，但是这两句话的区别还
是应该能够理解吧。
不过你的问题不仅仅在钻头觅缝给人家纠错。现在你应该知道DSM-5了。也很容易查到
DSM-5关于抑郁症的诊断标准了。这个标准白纸黑字就在本文后面（附录1），清清楚楚
抑郁症不包括妄想和幻觉。抑郁症没有妄想表现，这个观点是正确的。
你为了证明你所说抑郁症有妄想，你提供了下面一堆链接。
http://psychcentral.com/lib/psychotic-depression/0001291
http://en.wikipedia.org/wiki/Major_depressive_disorder#Symptoms
http://baike.baidu.com/view/332.htm?fromtitle=%E6%8A%91%E9%83%8
http://www.nimh.nih.gov/health/publications/bipolar-disorder-in
http://psychcentral.com/lib/bipolar-disorder-with-psychotic-fea
你知道这些链接里面都有什么具体内容吗？你甚至不敢从中拿出字一句证明你“抑郁症
有妄想”。既然你心虚如此。老夫替你把第一个链接中的文字拷贝于此，大家看看：
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).
这段文字不难懂吧。这段文字告诉你depression 与Psychotic depression是有区别的
，症状表现不一样，发病率不一样。Depression的症状是什么？有没有妄想？不知道可
以通过原文depression的链接看到。老夫帮你贴在附录2。
妄想症的妄想怪诞还是非怪诞，你是没有专业知识受到过时信息的误导。现在正确的科
学知识就摆在你面前，也摆在大家的眼前。你还公然胡说八道，这就是你的人品问题了
。你是在故意混淆是非，还指望大家都不会去认真查看你提供的“科学依据”。这种想
法你不觉得太过愚蠢了吗？网络辩论，不管你出自什么目的，不能走邪门歪道。靠下三
滥的手段只能自取其辱。
附录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).
附录2
Clinical depression goes by many names -- depression, "the blues,"
biological depression, major depression. But it all refers to the same thing
blue mood). This feeling is most often accompanied by feelings of
hopelessness, a lack of energy (or feeling "weighed down"), and taking
little or no pleasure in things that gave you joy in the past. A person who'
s depressed just "can't get moving" and feels completely unmotivated to do
just about anything. Even simple things -- like getting dressed in the
morning or eating -- become large obstacles in daily life.
http://psychcentral.com/disorders/depression/ | n**e
发帖数: 2026 | 2 糠薨，这个名字有创意。哈哈。。。不过，没必要和他谈学术。 |
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