Walcher W
Psychiatr Neurol Med Psychol Beih. 1975;20-21:214-8.
An increase in the developments of somatised illness and the mixture of nosological forms together with a growing tendency towards chronicity are evident in a looming change in the style of depressive psychoses. Vegetative vital emotions remain the leading symptoms of larvate depression. A lasting effect cannot be achieved by means of conventional somatic or sedative treatment. An adequate thymoleptic medication suitable for the main symptoms, incorporating socio- and psychotherapeutic methods for the contributary neurotic determinants, can however achieve an involution of the somatic and emotional symptoms of the vital irritation. For recurrent and increasingly chronic developments a long-term treatment with lithium salts proves successful.
抑郁性精神病的风格正出现明显变化,躯体化疾病的发展增加、疾病分类形式的混合以及慢性化趋势不断增强。植物性生命情感仍是隐匿性抑郁症的主要症状。传统的躯体治疗或镇静治疗无法取得持久疗效。然而,一种适合主要症状的适当抗抑郁药物,结合针对神经症相关决定因素的社会和心理治疗方法,可以使生命刺激引起的躯体和情感症状消退。对于复发性且日益慢性化的病情发展,锂盐长期治疗证明是成功的。