Dietrich H
Schweiz Arch Neurol Neurochir Psychiatr. 1974;115(2):349-58.
Anancastic Psychopaths differ from obsessive compulsive neurotics as they fulfill the second part of Schneider's formula: They are people under whose abnormality society suffers. Their asocial or antisocial impulses are in the sphere of either indecency and perversions or in aggressive outbreaks. Special manifestations are: stubborness, irascibility; willful- and self-destruction; or tendencies of becoming sadistically dangerous to the public. Because of aggressive inhibition, secretivness and denial of instinctive impulses they carry on outwardly an uneventful life. In some cases around the age of 50 defence mechanism break down and there occur manifestation of symptoms. Well known late destinies of psychopaths (Kahn) are: saturation, pseudo victory, resignation and suicide. In this paper two new examples are added: signs of breakdwon of resources in life at an earlier age and divorce. Two cases of Anancastic Psychopaths illustrate the compulsive syndrome and the obligatory outcome of their destiny.
强迫型精神病患者与强迫性神经症患者不同，因为他们符合施奈德公式的第二部分：他们是其异常行为会让社会受苦的人。他们的反社会或反社会冲动要么处于猥亵和变态领域，要么处于攻击性爆发中。特殊表现包括：固执、易怒；任性和自我毁灭；或对公众构成施虐危险的倾向。由于攻击性抑制、隐秘性和对本能冲动的否认，他们表面上过着平静的生活。在某些情况下，大约50岁时防御机制会崩溃，症状会出现。精神病患者（卡恩）广为人知的晚期命运是：饱和、伪胜利、听天由命和自杀。本文增加了两个新例子：早年生活资源枯竭的迹象和离婚。两例强迫型精神病患者说明了强迫综合征及其命运的必然结果。
