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[伴有强迫观念的精神分裂症变体之一]

[One of the variants of schizophrenia with obsession].

作者信息

Shakhlamov A V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(5):87-92.

PMID:3414280
Abstract

The author examined 49 patients with schizophrenia taking the course of pseudoneurosis. It has been established that at advanced stages of pseudoneurosis the clinical picture is largely characterized by psychopathy-like changes of a varying structure--schizo-anancastic (n = 20), schizo-hysterical (n = 14) and of the "Verschrobenheit-type" (n = 15). Corresponding groups of patients were distinguished by characteristic pre-morbid manifestations, peculiarities of obsessions and the modus of adaptive behaviour, in particular by a peculiar adaptation to obsessive-phobic disturbances which correlated with psychopathy-like changes.

摘要

作者对49例病程呈假性神经症型的精神分裂症患者进行了检查。已确定,在假性神经症的晚期,临床表现很大程度上具有结构各异的类精神病态变化特征——精神分裂-强迫型(n = 20)、精神分裂-癔症型(n = 14)和“僵化型”(n = 15)。相应的患者组通过特征性的病前表现、强迫观念的特点和适应性行为方式来区分,特别是通过与类精神病态变化相关的对强迫-恐惧障碍的特殊适应方式来区分。

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