Golodets R G, Sukhotina N K
Zh Nevropatol Psikhiatr Im S S Korsakova. 1981;81(3):378-83.
Data of clinico-psychopathological examinations of 60 oligophrenics in the state of decompensation are presented. The decompensation took a course of psychotic states of various duration. Attention is paid to the peculiarities of the formation. Data and outcomes of those states, as well as to the role of various factors in their genesis. Data concerning diagnostic differentiation of those states from other diseases, particularly, schizophrenia, involutional and vascular psychoses are presented. The clinical picture of the psychoses, when compared with the results of paraclinical examinations of the patients, allows one to separate these forms out of the total group of psychotic states having a residuo-organic basis, and to regard them as a decompensation of the basic ailment, i.e., residual signs of an early cerebral affection which acquires a number of specific features (in the formation of the psychopathological symptoms) associated with the oligophrenic structure of the intellectual defect. Importance of combined therapy in the system of the curative measures is stressed.
本文呈现了60例处于失代偿状态的智力低下者的临床心理病理学检查数据。失代偿表现为不同持续时间的精神状态过程。文中关注了这些状态的形成特点、数据及结果，以及各种因素在其发生过程中的作用。还给出了关于这些状态与其他疾病（特别是精神分裂症、更年期和血管性精神病）进行诊断鉴别的数据。将这些精神病的临床表现与患者的临床旁证检查结果相比较，有助于从具有残留器质性基础的全部精神状态组中区分出这些形式，并将它们视为基础疾病的失代偿，即早期脑损伤的残留体征，这些体征在精神病理症状的形成中具有一些与智力缺陷的智力低下结构相关的特定特征。文中强调了综合治疗在治疗措施体系中的重要性。
