Maksimov V I, Zverkova I V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(5):726-31.
A comprehensive examination of the defect at long-term stages of the course of non-manifest schizophrenia with a decrease in social adaptation showed that its nature was not uniform in relation to both the clinical structure and specific psychological parameters. The results demonstrated that the two different types of the defect, "torpid fanatics" and "dependent personalities", correlated with the internal and external locus control. Specific features of social adaptation corresponding to the developed typology were also specified: preservation of the formal orientation on the social norms and super-worship orientations in the first type of the defect or aspiration for only personal welfare and dependence on the microsocial environment in the second. In agreement with the data obtained, the authors developed differential recommendations for rehabilitation which requires consideration of superworship interests and skills in the given area in the first group of patients and of the inclination for manual work and industriousness in conditions of constant supervision in the second group of patients.
对社会适应能力下降的非显性精神分裂症病程长期阶段的缺陷进行全面检查发现,就临床结构和特定心理参数而言,其性质并不统一。结果表明,两种不同类型的缺陷,即“迟钝的狂热者”和“依赖型人格”,与内控点和外控点相关。还明确了与所发展类型相对应的社会适应的具体特征:在第一种缺陷类型中保留对社会规范的形式取向和过度崇拜取向,或在第二种缺陷类型中仅追求个人福利并依赖微观社会环境。根据所获得的数据,作者制定了差异化的康复建议,这需要考虑第一组患者在特定领域的过度崇拜兴趣和技能,以及第二组患者在持续监督条件下对手工工作和勤奋的倾向。