English Dictionary

double bookkeeping

名詞

不可算名詞

(psychology, psychiatry) The tendency, among those who experience delusions, to perceive reality and the delusions as both being real, while remaining unbothered by the discrepancy or inconsistencies between the two.

日本語の意味

（心理学・精神医学）妄想を抱く者が、現実と妄想の両方を同時に事実と認識し、両者間の矛盾や不整合に対して無頓着な状態

Clinicians often note that patients with certain psychoses engage in double bookkeeping, accepting both the external world and their delusions as equally real and remaining untroubled by the contradictions.

臨床医はしばしば、特定の精神病を患う患者が現実と自分の妄想を同時に現実としてみなす傾向を示し、それらの矛盾に動揺しないことに気づく。

意味（1）

(psychology, psychiatry) The tendency, among those who experience delusions, to perceive reality and the delusions as both being real, while remaining unbothered by the discrepancy or inconsistencies between the two.

page 56: It is especially important to know that these patients carry on a kind of “double-entry bookkeeping” in many of their relationships. They know the real state of affairs as well as the falsified one and will answer according to the circumstances with one kind or the other type of orientation—or both together. This last is especially frequent in mis(-)recognizing people: the physician “is now here as Dr. N.,” at other times he becomes the former lover. pages 58–9: Therefore, he will at times answer correctly and at other times incorrectly, according to the constellation present in his mind at the moment. Nowhere does the “double-entry bookkeeping” stand out more prominently than in orientation. A patient, who for years speaks almost nothing but word-salad and acts accordingly, may nevertheless be perfectly capable of registering everything that goes on around him, even to the very day and hour. page 147: Thus we have here two different personalities operating side by side, each one fully attentive. However, they probably are never completely separated from each other since one may communicate with both. Personality too has its “multiple bookkeeping.” In conversation, a patient may completely ignore or misunderstand any of our arguments and yet interpret them correctly at some later time.