Krasil'nikov G T
Zh Nevrol Psikhiatr Im S S Korsakova. 1993;93(4):59-62.
Basing on the results of clinical and pathopsychological examinations of 87 schizophrenics, the author distinguishes 7 clinical variants of criticism disturbances. These may be presenting in the increasing by severity order as: complete nosognosia, acceptance of some symptoms, shifting the disease to the past, somatization or psychologization of the disease, formal-logical (induced) acceptance of the disease, autoanosognosia, heteroanosognosia. Critical disturbances were found to depend on personality disorders and clinical characteristics of the disease. A differential approach to critical disorders in schizophrenics is important for planning relevant diagnostic, treatment and aftercare measures.
基于对87名精神分裂症患者的临床和病理心理检查结果,作者区分出了7种自知力障碍的临床类型。这些类型可能按照严重程度递增顺序呈现为:完全疾病失认、接受部分症状、将疾病归咎于过去、疾病的躯体化或心理化、形式逻辑(诱导性)接受疾病、自体疾病失认、异体疾病失认。研究发现自知力障碍取决于人格障碍和疾病的临床特征。对精神分裂症患者自知力障碍采取差异化方法,对于规划相关诊断、治疗和后续护理措施具有重要意义。