ABSTRACT
The paper is concerned with an examination of the families of patients suffering from anorexia nervosa and the role they play in rehabilitation and resocialization of patients. 103 families (103 patients and 268 persons from their family environment) were examined. 65 patients suffered from anorexia nervosa of schizophrenic etiology and 38 from anorexia nervosa as a borderline disease. Among blood relatives of patients with schizophrenia, there predominated subjects with pathology of schizophrenic nature and those with schizoid disorders. The relatives of patients with borderline disease mostly had diverse anomalies of the character, largely hysteric accentuation. The common traits characteristic of the families of anorexia nervosa patients were delineated. Based on the parents' personality traits, the nature of family relations, the type of children's education, attitude toward the sick child and preparedness for cooperation with the treating physician and medical personnel, five types of the families could be distinguished: harmonious one and 4 types of disharmonic families (non-harmonious, symbiotic, rigid pseudosolidary and destructive (conflicting]. The first two family types are more characteristic of patients suffering from borderline anorexia nervosa, the remainder three of schizophrenic patients with the syndrome of anorexia nervosa. The family types have been thus characterized; a complex of psychocorrective measures have been worked out both for patients themselves and their relatives with regard to the specific features of each family type.
Subject(s)
Anorexia Nervosa/genetics , Family Therapy , Family/psychology , Schizophrenia/genetics , Schizophrenic Psychology , Anorexia Nervosa/etiology , Anorexia Nervosa/psychology , Anorexia Nervosa/therapy , Family Characteristics , Female , Humans , Male , Schizophrenia/complicationsABSTRACT
Two cases of associated Recklinghausen's disease and different forms of schizophrenia (sluggish psychopathlike and shift-like paranoid) are described. Of special interest was the fact that such association was observed in two brothers. Based on the clinical material suggested, the conclusion was made about the modifying influence of the organism process in Recklinghausen's disease (brain gliosis) on the schizophrenic process, thereby creating certain difficulties in the diagnosis. It is also assumed that the age of the onset of Recklinghausen's disease may determine the clinical picture of the mental pathology.
Subject(s)
Neurocognitive Disorders/genetics , Neurofibromatosis 1/genetics , Schizophrenia, Paranoid/genetics , Schizophrenia/genetics , Skin Neoplasms/genetics , Adult , Diagnosis, Differential , Humans , Male , Neurocognitive Disorders/diagnosis , Neurocognitive Disorders/etiology , Neurofibromatosis 1/complications , Neurofibromatosis 1/psychology , Schizophrenia/diagnosis , Schizophrenia/etiology , Schizophrenia, Paranoid/diagnosis , Schizophrenia, Paranoid/etiology , Skin Neoplasms/complications , Skin Neoplasms/psychologyABSTRACT
A study was made of mental rigidity in patients suffering from anorexia nervosa and their relatives using the Tomsk rigidity questionnaire. Based on examinations of 40 patients with anorexia nervosa, 22 of whom suffered from schizophrenia, 18 with borderline pathology (16 with an active method of weight losing, 24 with the bulimic variant of anorexia nervosa) and of 58 close relatives (mothers, fathers, sisters) the data were obtained on the level of mental rigidity. In the patients' group, it was found to depend to a greater measure on the stage of anorexia nervosa, whereas in the relatives, on the nosological appurtenance of the syndrome in their children.
