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[精神分裂症患者中康定斯基 - 克莱朗波综合征谵妄变体的临床表现、鉴别诊断及法医精神病学评估]

[Clinical picture, differential diagnosis and forensic psychiatric assessment of the delirious variant of the Kandinskiĭ-Clérambault syndrome in patients with schizophrenia].

作者信息

Kolotilin G F, Vasil'ev V D

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(1):82-4.

PMID:3364104
Abstract

Using clinico-psychopathological methods of examination the authors studied 93 schizophrenics with a delirious variant of the Kandinsky-Clérambaut syndrome who had committed violent antisocial actions (VAA). It has been ascertained that peculiarities of the clinical course at the time when the VAA was committed reflect the stages of the development of the syndrome: the initial stage, the stage of delirious personification of psychic automatisms and the stage of involution of the delirious variant of the Kandinsky-Clérambaut syndrome. It has been established that the more acute the psychosis the higher the significance in the psychopathological mechanisms of VAA of clinical manifestations of the syndrome and lower the role of social and personality factors.

摘要

作者运用临床心理病理学检查方法,对93例患有康定斯基-克莱朗博综合征谵妄型且实施过暴力反社会行为(VAA)的精神分裂症患者进行了研究。已确定,实施VAA时临床病程的特点反映了该综合征的发展阶段:初始阶段、精神自动症的谵妄人格化阶段以及康定斯基-克莱朗博综合征谵妄型的退化阶段。已证实,精神病越急性,该综合征临床表现在VAA心理病理机制中的意义就越高,而社会和人格因素的作用就越低。

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