[Psychotic states arising in juvenile psychopath-like heboid schizophrenia (clinico-catamnestic study)].

The author followed up the psychotic states developing in the two principal variants of the course of juvenile psychopathy-like heboidophrenia. These were: an atypical protracted hebetic shift (25 patients) and a torpid continuous course (57 patients). A heavy aggravation of the patients' histories with exogenic delerious factors (alcohol, narcotics, psychic traumas) was noted. The psychotic states were found to be rather frequent (59.8%). Both exogenous (alcoholic, intoxication, reactive) and endogenous psychoses were observed. Characteristic of the exogenous psychoses were a short duration and an atypical (endomorph) clinical picture. Usually these psychoses were observed in the patients with the torpid continuous course of the disease. The endogenous psychotic states were distinguished for an episodic character (microsymptoms). Infrequent cases of outlined endogenous psychoses showed a transitory character, polymorphism, rudimentary character of the psychotic symptoms and a psychopathy-like "facade". These psychoses developed under the conditions of the action of exogenous deleterious factors. Both the exo- and endogenous psychotic states did not change the stereotype of the disease course: they led to neither a deepening of the defect, nor a change of the personality structure.