{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:56:33Z","timestamp":1747194993859,"version":"3.40.5"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"6","license":[{"start":{"date-parts":[[2022,12,31]],"date-time":"2022-12-31T00:00:00Z","timestamp":1672444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,12,31]],"date-time":"2022-12-31T00:00:00Z","timestamp":1672444800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,12,31]],"date-time":"2022-12-31T00:00:00Z","timestamp":1672444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2022,12,31]]},"abstract":"<jats:p>Jednoczasowe rozpoznanie schizofrenii oraz zaburze\u0144 osobowo\u015bci u tego samego pacjenta, budzi kontrowersje. Kryteria diagnostyczne schizofrenii oraz kryteria diagnostyczne zaburze\u0144 osobowo\u015bci dotycz\u0105 tych samych obszar\u00f3w funkcjonowania psychicznego, za wyj\u0105tkiem obecno\u015bci typowych objaw\u00f3w psychotycznych w schizofrenii (omam\u00f3w, uroje\u0144, zachowa\u0144 katatonicznych). Natomiast kontrowersyjne wydaje si\u0119 rozpoznanie jednocze\u015bnie schizofrenii i zaburze\u0144 osobowo\u015bci, bowiem obie te kategorie diagnostyczne dotycz\u0105 osobowo\u015bci. Skoro schizofrenia to psychoza o przewa\u017caj\u0105co przewlek\u0142ym przebiegu, z zaostrzeniami i okresami o przebiegu sta\u0142ym, to jednoczesne rozpoznanie u tego samego chorego zaburze\u0144 osobowo\u015bci kt\u00f3re to zaburzenia te\u017c  maj\u0105 charakter \u201esta\u0142y\u201d, a kt\u00f3rych znaczna cz\u0119\u015b\u0107 dotyczy tych samych obszar\u00f3w funkcjonowania psychicznego, jest co najmniej kontrowersyjne. Oddzia\u0142ywanie terapeutyczne u chorych na schizofreni\u0119 opiera si\u0119 g\u0142\u00f3wnie na farmakoterapii, ale oddzia\u0142ywania psychoterapeutyczne i praca z rodzin\u0105 chorego, maj\u0105 r\u00f3wnie\u017c znaczenie. Farmakoterapia zaburze\u0144 osobowo\u015bci praktycznie nie jest efektywna, a g\u0142\u00f3wnym kierunkiem post\u0119powania jest psychoterapia. Nie stanowi to jednak uzasadnienia dla stosowania tych rozpozna\u0144 jednoczasowo u tego samego chorego.<\/jats:p>","DOI":"10.12740\/pp\/144112","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T20:21:56Z","timestamp":1673986916000},"page":"1153-1164","source":"Crossref","is-referenced-by-count":1,"title":["Schizophrenia plus \u2013 comorbidity of schizophrenia and personality disorders. Clinician\u2019s reflections"],"prefix":"10.12740","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5267-5315","authenticated-orcid":false,"given":"Marek","family":"Jarema","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2022,12,31]]},"container-title":["Psychiatria Polska"],"original-title":["Schizofrenia plus \u2013 jednoczasowe rozpoznawanie schizofrenii i zaburze\u0144 osobowo\u015bci. Refleksje praktyka klinicysty"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-144112-85570","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-144112-85570","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T20:21:59Z","timestamp":1673986919000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Schizophrenia-plus-comorbidity-of-schizophrenia-and-personality-disorders-Clinician,144112,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,31]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022]]}},"alternative-id":["144112"],"URL":"https:\/\/doi.org\/10.12740\/pp\/144112","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2022,12,31]]}}}