[Psychopathology of endogenous anesthetic depression].

Studies of the psychopathological structure of anesthetic depressions in 60 patients with attack-like progressive schizophrenia made it possible to distinguish three types of depressive conditions: anxious-anesthetic with agitation, melancholic-anesthetic with a characteristic depressive triad, self-accusation ideas and adynamic disorders and pure-anesthetic ones where psychic anesthesia was the most significant manifestation of the depressive condition with immaterial intensity of other symptoms of depression. In anxious-anesthetic depressions, psychic anesthesia was characterized by primarily sensual character (little differentiated sensation of internal emptiness), whereas in pure-anesthetic depressions, it was marked by primarily ideational character (sensation of inferiority of different sides of emotional life); in melancholic-anesthetic depressions, psychic anesthesia was sensual-ideational in nature and was the main plot for self-accusation ideas. A number of regularities were revealed in the dynamics of anesthetic depression attacks to establish that the types of depressive conditions described previously were stages in the development of an attack.