[Disorders of psychosexual maturation in adolescents with residual organic deficiency]. / Narusheniia psikhoseksual'nogo sozrevaniia u podrostkov s rezidual'no-organicheskoi nedostatochnost'iu.

The paper is concerned with disorders of psychosexual maturity in adolescents (n-70). For that purpose in view a comparative nosological study of the early residual organic psychopathlike conditions (46 cases) and of organic psychopathies (24 cases) formed during the pubertal crisis was done at a forensic psychiatry hospital. According to the data obtained in the majority of the test subjects, there occurred asynchronisms of puberty (80%). Unlike group II (organic psychopathy) where disharmonic puberty was predominant, retarded puberty was recorded most frequently in group I. The main variants of psychosexual maturity were distinguished within the framework of the forms indicated: 2 variants in retardation and 6 variants in disharmonic puberty. Disharmonic puberty, then retarded puberty and pubertas precox were found to be dangerous for the onset of sexual disorders (perversions, deviations). Expert criteria for assessing the depth of sexual disorders were specified in addition. The new data obtained are of importance of both general and forensic psychiatry.

[Characteristics of hormonal homeostasis in adolescents with mental disorders]. / Osobennosti gormonal'nogo gomeostaza u podrostkov s psikhicheskimi narusheniiami.

Adolescents with mental disorder (residual organic conditions, psychopathy, schizophrenia, oligophrenia) were examined for hypophyseal thyroid and hypophyseal gonadal hormones in blood serum. The basic group included 98 subjects, the control one 25 mentally healthy subjects. Blood serum hormones were detected by RIA with the aid of kits of reagents manufactured in the USSR, France and Germany. The data obtained point to the presence of the latent hypothyroid condition in patients with psychopathy and schizophrenia, and in part of patients with associated residual organic brain injuries and manifest mental disorders. Comparative assessment of the content of tropic hormones of the pituitary and sex hormones in blood serum with regard to the puberty type has demonstrated that during the pubertal crisis, the study clinico-nosological groups manifested the predominance of disordered types of puberty: dysharmonious (34%), retarded (31%), and accelerated (6%). The hormonal characteristics and clinico-biochemical correlations confirm the role of hormonal disorders in the formation of psychopathological disturbances in adolescents experiencing the pubertal crisis.

[Attempt to identify specific differential diagnostic signs in oligophrenia and early residual organic brain lesions with intellectual disorders at identical stages of ontogeny]. / Popytka vydeleniia znachimykh differentsial'no-diagnosticheskikh priznakov pri oligofreniiakh i rannikh rezidual'no-organicheskikh porazheniiakh mozga s intellekutal'nymi narusheniiami na identichnykh étapakh ontogeneza.

Using a clinico-catamnestic method two groups of patients with intellect impairments were examined. Of these patients, 46 were oligophreniacs and 46 had residual organic damages of the brain. As a result, data related to the clinical structure of the above nosological forms at various ontogenetic stages were specified, principal trends in their age dynamics were followed, and statistically significant internosological differences with specification of differential diagnostic features were determined.