[Psychopathology and clinical picture of coupled affective paroxysms in schizophrenia].

The clinical characteristics of schizophrenia running with double affective paroxysms were studied (80 patients). The systematics of manias and depressions developing in double paroxysms was elaborated, which included 5 single-type variants of polar affective states. The findings obtained point to a great variability of the possible combinations of these states: in 64% of cases, there were combinations of the psychopathological simple and complex polar affective syndromes, in 30% those of simple and in 3% of complex syndromes. Affective disturbances were marked by a pronounced dissociation of the clinical manifestations of the affective triad. The complex affective syndromes were characterized by the development of isolated psychopathological disturbances more typical for the directly opposite states. The clinical course of the disease was characterized in some cases by a complication and in others by a simplification of the psychopathological patterns of double paroxysms. The paroxysmal course was inevitably transformed into a continuous one which accounted for the unfavourable social and occupational prognosis.