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[伴有“家庭妄想”模式的晚期精神病中的谵妄和幻觉障碍]

[Delirious and hallucinatory disorders in late psychoses with the pattern of "home paranoia"].

作者信息

Medvedev A V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(9):62-6.

PMID:2176045
Abstract

Paranoid and hallucination syndromes were studied in 71 cases of senile non-dementia psychoses located at the patients' house. Two major variants were singled out: paranoid and hallucinatory (the latter subdivided into patterns with or without the persecution delusion, and physical affection delusion). Paranoid variant was shown to be based upon a special transformation of visual perception with formation of delusions of penetration of a "stranger" into the patients' home. Hallucinatory variants were based predominantly on primitive physically-straining hallucinations with protopathic meaning. As the paranoid syndrome increased in severity, the space of its projection onto housing place expanded. It is suggested that housing conditions themselves could influence the psychopathology of housing paranoid.

摘要

对71例居家的老年非痴呆性精神病患者的偏执和幻觉综合征进行了研究。区分出了两种主要类型:偏执型和幻觉型(后者又细分为伴有或不伴有被害妄想及躯体影响妄想的模式)。结果显示,偏执型是基于视觉感知的一种特殊转变,伴有“陌生人”闯入患者家中的妄想形成。幻觉型主要基于具有原始病理性意义的、使人身体紧张的幻觉。随着偏执综合征严重程度的增加,其投射到居住场所的空间范围也会扩大。有人提出,居住条件本身可能会影响居家偏执的精神病理学表现。

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