Kut'ko I I, Stefanovskiĭ V A, Bukreev V I
Vrach Delo. 1990 Dec(12):84-5.
An analysis of the clinical aspects in 156 patients with schizophrenia and 48 patients with maniac-depressive syndrome revealing symptoms in the form of neurasthenic, hysteric, obsessive and other effective manifestations allowed to establish an essential difference of neurosis-like disorders according to forms of schizophrenia at older age, in larved depressions within the limits of maniac-depressive psychosis. For precision of the nosological diagnosis of schizophrenia the authors based their conclusions on characteristic of this disease positive and negative psychopathological disorders with emphasis of thinking disorders ("atactic thinking") and peculiar changes of personality (apathetic-abulic defect).
对156例精神分裂症患者和48例躁狂抑郁综合征患者的临床症状进行分析,这些患者表现出神经衰弱、癔症、强迫观念及其他有效症状,结果发现,老年精神分裂症患者、躁狂抑郁性精神病范围内的隐匿性抑郁症患者所出现的类神经症障碍,根据精神分裂症的类型存在本质差异。为精确诊断精神分裂症的病种分类,作者得出结论的依据是该疾病的特征性阳性和阴性精神病理障碍,重点是思维障碍(“不协调思维”)和人格的特殊变化(情感淡漠-意志缺失缺陷)。