题目内容

从上述已知情况看,患者目前最可能的诊断是

A. 脑器质性精神障碍
B. 精神分裂症
C. 症状性精神病
D. 偏执性精神病
E. 反应性精神病

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TEXT A Bermard Bailyn has recently reinterpreted the early history of the United States by applying new social research findings on the experiences of European migrants. In his reinterpretation, migration becomes the organizing principle for rewriting the history of preindustrial North America. His approach rests on four separate propositions. The first of these asserts that residents of early modern England moved regularly about their countryside; migrating to the New World was simply a "natural spillover". Although at first the colonies held little positive attraction for the English -- they would rather have stayed home -- by the eighteenth century people increasingly migrated to America because they regarded it as the land of opportunity. Secondly, Bailyn holds that, contrary to the notion that used to flourish in American history textbooks, there was never a typical New World community. For example, the economic and demographic character of early New England towns varied considerably. Bailyn’s third proposition suggests two general patterns prevailing among the many thousand migrants: one group came as indentured servants, another came to acquire land. Surprisingly, Bailyn suggests that those who recruited indentured servants were the driving forces of transatlantic migration. These colonial entrepreneurs helped determine the social character of people who came to preindustrial North America. At first, thousands of unskilled laborers were recruited; by the 1730’s, however, American employers demanded skilled artisans. Finally, Bailyn argues that the colonies were a haft-civilized hinterland of the European culture system. He is undoubtedly correct to insist that the colonies were part of an Anglo-American empire. But to divide the empire into English core and colonial perphery, as Bailyn does, devalues the achievements of colonial culture, as Bailyn claims, that high culture in the colonies never matched that in England. But what of seventeenth-century New England, where the settlers created effective laws, built a distinguished university, and published books Bailyn might respond that New England was exceptional. However, the ideas and institutions developed by New England Puritans had powerful effects on North American culture. Although Bailyn goes on to apply his approach to some thousands of indentured servants who migrated just prior to the revolution, he fails to link their experience with the political development of the United States. Evidence presented in his work suggests how we might make such a connection. These indentured servants were treated as slaves for the period during which they had sold their time to American employers. It is not surprising that as soon as they served their time they passed up good wages in the cities and headed west to ensure their personal independence by acquiring land. Thus, it is in the west that a peculiarly American political culture began, among colonists who were suspicious of authority and intensely antiaristocrafic. The author of the passage would be most likely to agree with which of the following statements about Bailyn’s work

A. Bailyn underestimates the effects of Puritan thought on North American culture.
Bailyn’s description of the colonies as part of an Anglo-American empire is misleading and incorrect.
C. Bailyn failed to test his propositions on a specific group of migrants to colonial North America.
D. Bailyn overemphasizes the experiences of migrants to the New England colonies, and neg lects the southern and the western parts of the New England.

如果考虑为精神分裂症,其妄想特点为

A. 所产生的信念有事实依据
B. 妄想是逐渐产生的
C. 妄想内容不涉及安全和个人需要
D. 妄想内容缺乏逻辑性
E. 不会伴有情绪低落

该患致病的心理社会因素中不包括

A. 工作劳累
B. 恋爱问题
C. 经前期紧张
D. 人格特征
E. 家庭问题

鉴别诊断的依据是

A. 记忆障碍
B. 行为紊乱
C. 情感淡漠
D. CT检查
E. 既往史

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