Izvol'skiĭ S A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1982 Sep;82(9):86-93.
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.
作者对青少年类精神变态样早发性痴呆病程的两种主要变体中出现的精神状态进行了随访。这两种变体分别是：非典型迁延性青春期转变（25例患者）和迟缓持续性病程（57例患者）。注意到患者病史因外源性致谵因素（酒精、麻醉品、精神创伤）而严重恶化。发现精神状态相当常见（59.8%）。观察到了外源性（酒精性、中毒性、反应性）和内源性精神病。外源性精神病的特点是病程短和非典型（内胚层型）临床表现。通常这些精神病见于疾病迟缓持续性病程的患者。内源性精神状态的特点是发作性（微症状）。明确的内源性精神病的罕见病例表现为短暂性、多形性、精神病症状的雏形以及类精神变态“表象”。这些精神病在外源性有害因素作用的情况下发生。外源性和内源性精神状态均未改变疾病病程的模式：它们既未导致缺陷加深，也未改变人格结构。
