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[老年萎缩性和血管性疾病中的虚构症(临床精神病理学发现)]

[Confabulation in atrophic and vascular disease of old age (clinico-psychopathologic findings)].

作者信息

Tupikov A M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(8):1181-6.

PMID:973523
Abstract

The paper is concerned with a study of confabulation seen in 95 patients. A gradual development of the confabulatory syndrome (from mnemonic confabulations to ecmnestic) was seen in senile dementia (5 cases) and in its combination with vascular atherosclerosis (61 cases). An acute development of confabulations (with a prevalence of mnemonic false reminiscence over ecmnestic) was seen in cerebral atherosclerosis (9 cases). Rudimentary ecmnestic confabulations, without mnemonic were seen in Alzheimer's disease (20 cases). The author established a certain correlation between ecmnestic confabulations and disturbances of fixation, between mnemonic confabulations and disorders of selective reproductivity, between their expressiveness and emotional liveliness and the degree of actualization of the past events. In a complacent-euphoric and anxiety affect the confabulations were spontaneous and were accompanied by psuedoactivity. In depressive states they were fragmentary and were detected only in response to questions. Aphatic disorders and the severity of dementia influence the mnestic confabulations making them poorer and incomplete.

摘要

该论文关注对95例患者中虚构症的研究。在老年痴呆(5例)及其合并血管动脉粥样硬化(61例)中,可观察到虚构综合征的逐渐发展(从记忆性虚构到错构性虚构)。在脑动脉粥样硬化(9例)中,虚构症急性发作(记忆性错误回忆比错构性虚构更为普遍)。在阿尔茨海默病(20例)中,可观察到没有记忆性虚构的原始错构性虚构。作者确定了错构性虚构与固着障碍之间、记忆性虚构与选择性再现障碍之间、它们的表现力和情感活跃度与过去事件的实现程度之间存在一定关联。在沾沾自喜 - 欣快和焦虑情绪状态下,虚构是自发的,并伴有假性活动。在抑郁状态下,虚构是片段性的,仅在回答问题时被检测到。失语症障碍和痴呆严重程度会影响记忆性虚构,使其更差且不完整。

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Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(8):1181-6.
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