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[伴有康定斯基综合征的进行性偏执型精神分裂症患者自杀行为的心理病理机制]

[Psychopathologic mechanisms of the suicidal actions of progressive paranoid schizophrenics with the Kandinskii syndrome].

作者信息

Guliamov M G, Bessonov Iu V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(1):81-8.

PMID:6702382
Abstract

Examination of 57 paranoid schizophrenics with Kandinsky's syndrome who had attempted to commit suicide showed that the pathological mechanisms of the dangerous actions directed against oneself were determined by individual manifestations of the psychopathological phenomena characteristic of this syndrome. In a quantitative assessment of the causes of suicidal actions, the first place belongs to imperative verbal pseudohallucinations which are in a fabular connection with the preceding pseudohallucinations of a threatening and accusing nature; verbal menacing pseudohallucinations and cenesthopathic automatism symptoms of a similar nature come second; and the third group is represented by verbal pseudohallucinations combined with signs of kinesthetic automatism manifested in the feeling of being possessed. Suicidal actions committed under the influence of the psychopathologic phenomena of Kandinsky's syndrome are characterized by particular severity and frequently lead to a tragic end.

摘要

对57名患有康定斯基综合征且曾试图自杀的偏执型精神分裂症患者进行检查后发现,针对自身的危险行为的病理机制是由该综合征所特有的精神病理现象的个体表现所决定的。在对自杀行为原因的定量评估中,首位是命令性言语假性幻觉,它与之前具有威胁性和指责性的假性幻觉存在寓言式联系;言语威胁性假性幻觉和类似性质的内感性自动症症状位居第二;第三组则是伴有在被附身感中表现出的动觉自动症迹象的言语假性幻觉。在康定斯基综合征的精神病理现象影响下实施的自杀行为具有特别的严重性,且常常导致悲惨结局。

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