ABSTRACT
The psychopathological structure of vegetative paroxysms was studied in different patterns of neuroses (120 cases), endogenous depressions and organic CNS lesions (160 cases). Four types of paroxysms were distinguished depending on the predominance of the definite register of disorders: (1) simple vegetative paroxysms (crises) with the predominance of the vegetative manifestations proper, characteristic for organic CNS lesions and somatogenic; (2) vegetoaffective paroxysms including the vegetative manifestations proper and psychopathological manifestations closely related to the patients' personality and the influence of external factors, characteristic for neurotic disorders; (3) affective-vegetative paroxysms (raptoid conditions) as a unified psychosomatic complex including the protopathic affect of fear, impairment of the general feeling and vegetative functional abnormalities characteristic for MDP and schizophrenia; (4) depersonalization raptuses based on the deranged self-consciousness in the form of different types of depersonalization characteristic primarily for schizophrenia.
Subject(s)
Autonomic Nervous System Diseases/diagnosis , Depressive Disorder/diagnosis , Neurotic Disorders/diagnosis , Seizures/diagnosis , Autonomic Nervous System Diseases/psychology , Depersonalization/diagnosis , Depersonalization/psychology , Depressive Disorder/psychology , Diagnosis, Differential , Emotions , Humans , Mood Disorders/diagnosis , Mood Disorders/psychology , Neurotic Disorders/psychology , Phobic Disorders/diagnosis , Phobic Disorders/psychology , Prognosis , Psychiatric Status Rating Scales , Psychopathology , Seizures/psychologySubject(s)
Autonomic Nervous System Diseases/etiology , Neurotic Disorders/complications , Acute Disease , Autonomic Nervous System Diseases/psychology , Autonomic Nervous System Diseases/therapy , Humans , Neurotic Disorders/psychology , Neurotic Disorders/therapy , Personality Disorders/etiology , Personality Disorders/psychology , Personality Disorders/therapyABSTRACT
Multi-dimensional investigation in the peculiarities, clinical course and possible mechanisms of neurotic disorders was performed in 115 patients. In order to study the further course of neurotic disorders and their determinants, as well as the issues of social rehabilitation and psychoprophylactic interferences, 56 patients were studied again after 6 to 8 years. For each of the symptom complexes investigated, the course had distinct features determined primarily by adaptation-compensatory capabilities of personality, and the "system of psychological defense". Most unfavorable was the course of hysterical disorders. Therapeutic policy in these patients should be grounded upon the psychotherapeutic measures aimed at finding the ways that would be psychologically adequate for changing the patients' attitudes and restoring their adaptation.
Subject(s)
Autonomic Nervous System Diseases/diagnosis , Neurotic Disorders/diagnosis , Asthenia/diagnosis , Asthenia/etiology , Asthenia/psychology , Asthenia/rehabilitation , Autonomic Nervous System Diseases/etiology , Autonomic Nervous System Diseases/psychology , Autonomic Nervous System Diseases/rehabilitation , Chronic Disease , Humans , Neurotic Disorders/etiology , Neurotic Disorders/psychology , Neurotic Disorders/rehabilitation , Psychological Tests , Social AdjustmentABSTRACT
Comparison of the clinical characteristics of acute phobic states involving marked vegetosomatic disorders in schizophrenic and neurotic patients have shown that these conditions present two clinically different syndromes--true phobias of the neurotic genesis and vital depersonalization of the endogenic nature. Severity of vegetosomatic disorders is associated with the predominant impairment of the vital levels of psyche.
Subject(s)
Autonomic Nervous System Diseases/complications , Neurotic Disorders/complications , Phobic Disorders/complications , Psychophysiologic Disorders/complications , Schizophrenia/complications , Acute Disease , Adolescent , Adult , Diagnosis, Differential , Female , Humans , Male , Phobic Disorders/diagnosis , Psychotic Disorders/complications , SyndromeABSTRACT
The author studied 115 patients with principal clinical forms of neuroses and neurotic developments of personality, with the clinical picture characterized by vegetative crises. Using clinical follow-up examinations of patients and specially designed questionnaires, the characteristic features of the clinical picture and the time-course of vegetative crises were investigated. The findings showed the dependence of the crisis structure on the character of the main neurotic syndrome and the relationship between the structure of crises and permanent vegetative disorders in patients. The time-course and regularities of the manifestations of the major components of the crisis were studied in relation to the stage of neurotic disorders--neurosis and neurotic development of the personality.