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DIAGNOSTIC CRITERIA 诊断的标准
So how does the analyst actually arrive at a diagnosis? In ‘On Beginning the Treatment’, Freud was not very forthcoming about how to distinguish practically neurosis from psychosis, yet he did warn his readers about the deceitfulness of the clinical picture:
所以,精神分析家实际上获得诊断没有?在“论治疗的开始”,弗洛伊德并没有直接提出如何实践时区别神经症与精神病。可是,他确实警告他的读者,关于这个临床画面的欺骗性。
Often enough, when one sees a neurosis with hysterical or obsessional symptoms, which is not excessively marked and has not been in existence for long—just the type of case, that is, that one would regard as suitable for treatment—one has to reckon with the possibility that it may be a preliminary stage of what is known as dementia praecox (‘schizophrenia’, in Bleuler’s terminology; ‘paraphrenia’, as I have proposed to call it), and that sooner or later it will show a well-marked picture of that affection.