Kopeyko G I, Borisova O A, Gedevani E V
Mental Health Research Center, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2018;118(4):30-35. doi: 10.17116/jnevro20181184130-35.
To analyze psychopathological features of religious delusion of possession, determine the place of this phenomenon in psychotic syndrome, and identify the prognosis and dynamics of schizophrenia due to this disorder.
Thirteen patients with religious delusion of possession were examined in 1994-2016 by psychopathological and follow-up methods.
Hallucinations of a general feeling are the crucial psychopathological phenomenon of states with religious delusion of possession. Other delusional disorders (delusion of possession itself or metamorphosis - 'reincarnation in a demon', delusions of spoilage, witchcraft or hypochondriacal delusion) and delusional behavior (special forms of defense), haptic, olfactory hallucinations, and affective (depressive) disorders, suicidal activity are connected with this phenomena. Disease course is either continuous or attack-like. The type of disease course in most cases is complied with the development of stereotype of paranoid schizophrenia. A characteristic feature of disease was the combination of psychopathological disorders, reflecting the continuous nature of the endogenous disease (interpretive delusions, overvalued religious constructions) with disorders, that are more representative for the paroxysmal course (the phenomena of acute sensual delusions, expressed affective disorders), at the manifest stage of the disease. However, in most cases, unlike the classical hallucinatory type of paranoid schizophrenia, the disease began with circular bipolar affective disorders. In most cases, outcome of a manifesting psychosis is unfavorable.
分析附体妄想的精神病理学特征，确定该现象在精神病综合征中的位置，并明确由该障碍导致的精神分裂症的预后及病情发展。
1994年至2016年期间，采用精神病理学及随访方法对13例附体妄想患者进行了检查。
体感幻觉是附体妄想状态的关键精神病理学现象。其他妄想障碍（附体妄想本身或变形——“恶魔转世”、被害妄想、巫术妄想或疑病妄想）及妄想行为（特殊形式的防御）、触觉、嗅觉幻觉、情感（抑郁）障碍、自杀行为均与该现象相关。病程呈持续性或发作性。多数情况下，病程类型符合偏执型精神分裂症刻板模式的发展。该病的一个特征是，在疾病的明显阶段，精神病理学障碍的组合反映了内源性疾病的持续性（解释性妄想、过度重视的宗教观念）以及更具发作性病程代表性的障碍（急性感官妄想现象、明显的情感障碍）。然而，多数情况下，与经典的幻觉型偏执型精神分裂症不同，该病始于环形双相情感障碍。多数情况下，明显精神病的预后不佳。
