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[伴有自主神经阵发性发作的神经症性障碍的动力学]

[The dynamics of neurotic disorders with autonomic paroxysms].

作者信息

Lakosina N D, Pankova O F

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(11):74-9.

PMID:3223165
Abstract

Multi-dimensional investigation in the peculiarities, clinical course and possible mechanisms of neurotic disorders was performed in 115 patients. In order to study the further course of neurotic disorders and their determinants, as well as the issues of social rehabilitation and psychoprophylactic interferences, 56 patients were studied again after 6 to 8 years. For each of the symptom complexes investigated, the course had distinct features determined primarily by adaptation-compensatory capabilities of personality, and the "system of psychological defense". Most unfavorable was the course of hysterical disorders. Therapeutic policy in these patients should be grounded upon the psychotherapeutic measures aimed at finding the ways that would be psychologically adequate for changing the patients' attitudes and restoring their adaptation.

摘要

对115例神经症患者的特点、临床病程及可能机制进行了多维度研究。为了研究神经症的进一步病程及其决定因素,以及社会康复和心理预防干预问题,6至8年后对56例患者再次进行了研究。对于所研究的每一种症状复合体,病程都有明显特征,主要由人格的适应-代偿能力和“心理防御系统”决定。癔症性障碍的病程最不利。这些患者的治疗策略应以心理治疗措施为基础,旨在找到在心理上合适的方法来改变患者的态度并恢复其适应能力。

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