Ипохондрия и соматоформные расстройства

SUMMARY

Examined are psychopathological typological aspects of psycho-genie conditions caused by myocardial infarction. The study includes 70 male patients (aged 35—66 years). Due to the lack of unity in clinical analysis and defining of psychogenic reactions caused by real somatic illness, given is a two-dimensional model for their typological study, as well as advantages of such consolidate term as "nosogenia" ("nosogenic reaction"). According to the proposed model, the typological differentiation of nosogenic reactions can be done both at the "metasyndromal" level (when taken into account are the contents-psychopathological characteristics showing the pathological forms of patients relation to the illness, i. e. hyper- or hyponosognosia), and syndromal one. On the one hand, no cardiogenic influences on hyper- or hyponosognosic differentiation of nosogenia were found, and on the other hand, there exists a certain relationship between somatoform disorders and hypernosognosia, as well as bewteen "silent" ischemia and hyponosognosia. In accordance with the above model, the final nosogenic typology can be proposed as a set of polar pairs of hyper and hyponosogenic syndromes: neurotic (phobic vs. narcissistic), affective (reactive depression vs. reactive mania) and pathocharacterological ("rigid hypochondria" vs. "health hypochondria"). This result allows us to look at a set of nosogenic syndromes as a "reflection" of main forms of psychogenic conditions.

Психофармакотерапия соматоформных расстройств

Ипохондрия и соматоморфные расстройства
Смулевич А.Б. (под. ред.)