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