Morkovkina I V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(4):71-7.
A number of schizophrenic patients with the delusion homogeneous in its contents (conformant delusion) were examined. The results of the examination have shown that the delusion of this type can develop not only simultaneously, by the inter-induction mechanism, but also by way of transfer, suggestion of the delusional idea, i.e. by the type of suggestive psychoses. The leading role in the mechanism of the conformant delusion formation belongs to endogenous factors, and namely, to the regularities of the basic disease development that determine the peculiarities of the time course and outcome of the conformant delusion. A slowly progressing course of the disease without gross negative changes, a tendency to formation of "worshipped" delusional ideas, and formation of acquired reactive lability are the peculiarities of a schizophrenic process which are the "grounds" for conformant delusion formation.
对一些存在内容同质妄想(一致性妄想)的精神分裂症患者进行了检查。检查结果表明,这种类型的妄想不仅可以通过相互诱导机制同时出现,还可以通过转移、妄想观念的暗示方式出现,即通过暗示性精神病的类型出现。在一致性妄想形成机制中起主导作用的是内源性因素,也就是基础疾病发展的规律,这些规律决定了一致性妄想的病程和结局特点。疾病进展缓慢且无明显阴性变化、形成“崇拜”性妄想观念的倾向以及获得性反应性易激惹的形成,是精神分裂症过程的特点,也是一致性妄想形成的“基础”。