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[精神分裂症儿童的人格解体障碍]

[Depersonalization disorders in schizophrenic children].

作者信息

Bashina V M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(10):1517-23.

PMID:716728
Abstract

The paper is concerned with a study of age variants of depersonalizational disturbances in schizophrenia children of early preschool age and preschool age. Depersonalizational disorders proper were found in 25 cases, disturbance of the self-conscious and its deterioration in 59, retardation in the development of the self-conscious formation--in 32 cases. Depersonalizational disturbances appear in children over 3 years, i.e. following the first physiological age crises. The following types of depersonalizational disturbances were distinquished: 1) moderately expressed loss of the self-conscious with disorders in the differentiation of the "I" from the associates; 2) a deeper disorder of the "I" with a substitution of the personal "I", by another "I"; 3) phenomena of estrangement of the self-conscious with a state similar to the splitting of the self-conscious, up to the appearance of the phenomena of a twin; 4) a change of the self-conscious expressed in a pathological play transformation and a substitution of the "I" by another "I", or a splitting of the self-conscious into the syndrome of play transformation near to a delusional; 5) derealization; 6) loss of the conscious of personal sex; 7) estrangement of the conscious of personal actions; 8) disturbance of self-conscious of a physical whole; 9) disturbance of the self-conscious in a deep depression with a loss of "I-vitality" appearance near to "anaesthesia psychica dolorosa" and "nihilistic delusions"; 10) loss of "I" conscious and regress of speech, motor activity, behaviour; 11) retardation in the formation of "I" conscious.

摘要

本文关注对早期学龄前和学龄前精神分裂症儿童人格解体障碍年龄变体的研究。在25例中发现了典型的人格解体障碍,59例存在自我意识障碍及其恶化,32例存在自我意识形成发育迟缓。人格解体障碍出现在3岁以上的儿童中,即在第一次生理年龄危机之后。区分出以下几种人格解体障碍类型:1)自我意识适度丧失,“我”与同伴的区分出现障碍;2)“我”的更深层次障碍,个人的“我”被另一个“我”取代;3)自我意识疏离现象,状态类似于自我意识分裂,直至出现双胞胎现象;4)自我意识改变,表现为病理性游戏转变,“我”被另一个“我”取代,或自我意识分裂为接近妄想的游戏转变综合征;5)现实解体;6)个人性别意识丧失;7)个人行为意识疏离;8)身体整体自我意识障碍;9)深度抑郁时自我意识障碍,出现接近“精神性疼痛性麻木”和“虚无妄想”的“我活力”丧失表象;10)“我”意识丧失以及言语、运动活动、行为退化;11)“我”意识形成迟缓。

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