Description
LAP LAMBERT Academic Publishing Involyutsionnaya Isteriya 2012 Edition by Polyakovskaya Tat'yana
Obsledovano 85 zhenshchin (sredniy vozrast 49,1 ± 5.22 let) s kartinoy involyutsionnoy isterii. Vydeleno dva tipa izuchennykh sostoyaniy. I tip (55 nabl) - somatizirovannaya isteriya - opredelyaetsya preobladaniem konversionnykh, organonevroticheskikh i ipokhondricheskikh rasstroystv. Predpochtitel'nye triggery - stressogennye sobytiya, sub"ektivno vosprinimaemye kak ugroza sobstvennomu zdorov'yu. Konstitutsional'nyy sklad - istero-gipertimnyy ili istero-ipokhondricheskiy s aktsentuatsiey po tipu vegetativnoy stigmatizatsii. Dinamika - khronifikatsiya sostoyaniya s formirovaniem istero-ipokhondricheskogo razvitiya. II tip (30 nabl.) - isteroidnaya disforiya - opredelyaetsya istericheskoy depressiey s kartinoy reaktsii razocharovaniya, pri kotoroy gipotimiya neotdelima ot otrazhayushchego klyuchevoe perezhivanie dissotsiativnogo simptomokompleksa i disforicheskikh vspyshek. Predpochtitel'nye triggery - stressogennye sobytiya, sub"ektivno vosprinimaemye kak otverzhenie (supruzheskaya izmena, razvod). Konstitutsional'naya predispozitsiya opredelyaetsya chertami slepo predannykh. Dinamika - postepennaya reduktsiya psikhopatologicheskikh proyavleniy, sformirovavshikhsya v ramkakh psikhogenno provotsirovannogo zatyazhnogo depressivnogo epizoda.