Pyatnitskiy N Yu
Mental Health Research Center, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2016;116(10):76-81. doi: 10.17116/jnevro201611610176-81.
The author analyzes the features of the syndrome of «delusional fantasies» (delusion-like fantasies) in the concept of K. Birnbaum. According to this concept, psychopathic constitutions, due to the presence in the structure of dissociation, are the basis for the development of delusions per se. «Dreamer» and «vershroben» types are predisposed to the syndrome of «delusional fantasies». It is emphasized that initially the syndrome of «delusional fantasies» was described as a peculiar phasic episode of delusions in psychopaths, aged between 20-30 years. In the current domestic literature, delusion-like fantasies are regarded as non-delusional bizarre fantastic ideas in children and adolescent patients.
作者分析了K.比尔纳姆概念中“妄想性幻想”(类妄想性幻想)综合征的特征。根据这一概念,由于解离结构的存在,精神病态体质是妄想本身发展的基础。“梦想家”型和“vershroben”型易患“妄想性幻想”综合征。需要强调的是,最初“妄想性幻想”综合征被描述为20至30岁精神病患者妄想的一种特殊阶段性发作。在当前国内文献中,类妄想性幻想被视为儿童和青少年患者的非妄想性怪异奇幻想法。