Karpov B A, Sluchevskiĭ F I
Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(7):74-80.
Eye movements (EM) were recorded during reading in 16 patients with continuous schizophrenia of long (9 to 35 years) standing. EM in patients were found to differ materially from those in normals. Two pathological forms (strategies) of successive text review were revealed. As far as the first strategy is concerned, it is characterized by the predominance of disorganization of perceptive motor reading automatism. As to the second one, the reading automatism is on the whole retained but demonstrates the signs of stereotypy, loss of motivation to realization of the operations of control and adequate adaptive rearrangement. It is concluded that speech and thinking disorders formed as a result of long schizophrenia are pathogenetically non-uniform and reflect nonspecific regularities of psychotic responsiveness.
对16例病程长达9至35年的持续性精神分裂症患者在阅读过程中的眼动(EM)进行了记录。发现患者的眼动与正常人有很大差异。揭示了连续文本阅读的两种病理形式(策略)。就第一种策略而言,其特征是感知运动阅读自动性的紊乱占主导。至于第二种策略,阅读自动性总体上得以保留,但表现出刻板性、缺乏对控制操作和适当适应性重新安排的实现动力的迹象。得出的结论是,长期精神分裂症导致的言语和思维障碍在发病机制上并非单一,反映了精神病反应性的非特异性规律。