Vishnevskiĭ V A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(4):563-7.
In order to study the time-course of depressive neurosis, the author followed up 51 women living under the conditions of a prolonged psychotraumatic situation (the presence in the family of a child with infantile cerebral paralysis). Two variants of depressive disturbances formation closely associated with the premorbid characteristics of the patients' personality have been identified. It was shown that with passing years the neurotic disturbances led to a clinically homogeneous neurotic development of depressive nature. The author outlines the mechanism of the time-course of the given type of borderline disturbances, proceding from neurotic depressive reactions to depressive neurosis and further to a specific development of the personality.
为了研究抑郁性神经症的病程,作者对51名生活在长期精神创伤情境(家中有一名患有婴儿脑性瘫痪的儿童)下的女性进行了随访。已确定了两种与患者病前人格特征密切相关的抑郁障碍形成变体。结果表明,随着时间的推移,神经症性障碍导致了临床上具有同质性的抑郁性神经症发展。作者从神经症性抑郁反应到抑郁性神经症,再到人格的特定发展,概述了这种边缘性障碍病程的机制。