Pyatnitskiy N Yu
Mental Health Research Center, Moscow.
Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(2):66-75. doi: 10.17116/jnevro201911902166.
The understanding of psychopathic personalities in early works of Kurt Schneider making start from the traditional doctrine of temperament but straying from the degeneration theory and constitutional concepts of E. Kretschmer is analyzed. Under the notion of psychopathic personality K. Schneider means properly the variation of the character that according to his famous definition can cause by its 'deviations from the average' suffering for the society and can also suffers itself due to those deviations. The importance that K. Schneider attached to the differentiation of all personality anomalies from schizophrenic process is emphasized. The basic characteristics of 10 special types of psychopathic personalities according to K. Schneider's systematics are also analyzed. K. Schneider pursued the identification of one prominent psychological trait in the building of his systematics and definition of special psychopathic types. He strived to avoid sociological labels that had been used by his predecessors ('liars and cheaters', 'enemies of society' 'inborn prostitute' and so on). The great influence of E. Kretschmer on K. Schneider's characteristics of 'affective' and 'unsure of himself' psychopaths is noted although K. Schneider did not accepted the constitutional systems of E. Kretschmer and did not highlight 'schizoid' psychopathy. The growth of psychopathic personality groups compared with the last lifetime systematics of E. Kraepelin (from eight to ten) appears by K. Schneider only formal because E. Kraepelin placed some clinically detailed descriptions of personality disorders beyond the main heading.
分析了库尔特·施奈德早期著作中对精神病态人格的理解,其始于传统的气质学说,但偏离了E. 克雷奇默的退化理论和体质概念。在精神病态人格的概念下,K. 施奈德恰当地指的是性格的变异,根据他著名的定义,这种变异因其“偏离常态”会给社会带来痛苦,自身也会因这些偏离而受苦。强调了K. 施奈德对区分所有人格异常与精神分裂症过程的重视。还分析了根据K. 施奈德的分类系统划分的10种特殊类型的精神病态人格的基本特征。K. 施奈德在构建其分类系统和定义特殊的精神病态类型时,追求确定一个突出的心理特征。他努力避免使用其前辈所使用的社会学标签(“说谎者和骗子”、“社会的敌人”、“天生的妓女”等)。尽管K. 施奈德不接受E. 克雷奇默的体质系统,也没有突出“分裂样”精神病态,但指出了E. 克雷奇默对K. 施奈德的“情感型”和“自我不确定型”精神病态特征的重大影响。与E. 克雷佩林的上一版分类系统(从8种到10种)相比,K. 施奈德所提出的精神病态人格群体的增加似乎只是形式上的,因为E. 克雷佩林将一些人格障碍的临床详细描述置于主要标题之外。