Obsessive hallucinations

Close metadata

Recommended articles:

Psychopathological disorders at the onset of juvenile parkinsonism in childhood. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11-2):96-102

A clinical case of diabulimia in type 1 diabetes mellitus: Psychopathological mechanisms and psychosomatic relationships. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4):118-123

The aim of the study was to analyze the structure and dynamics of combined obsessive-compulsive and pseudohallucinatory symptoms, which reached the level of psychic automatism in the clinical presentations of slow-progressive schizophrenia. The sample consisted of 29 patients (19 men and 10 women, mean age 27,18 years). The complex of symptoms represented by the domination of obsessive-compulsive and subsyndromal pseudohallucinatory appearances was singled out. The obsessive-compulsive symptom complex was presented mostly by contrast obsessions: obscene thoughts and holding ideas. The aggravation of these symptoms caused the formation of psychic automatisms which were fully realized within the limits of the denotative complex of contrast obsessions, with no tendency to the following development to delusions. The authors suggested the existence of a particular group of obsessive-compulsive disorders - obsessive hallucinations. These psychopathological phenomena differ from obsessive-compulsive disorders as well as from disorders subjected to the further evolution. Obsessive hallucinations, while remaining within the limits of obsessive syndrome, acquired characteristics of secondary psychopathological symptoms.

Keywords:

slow-progressive schizophrenia

psychopathology

obsessive presentations

pseudohallucinatory

psychic automatism

secondary psychopathological symptoms

Authors:

Zagorodnova Iu.B.

Otdel po izucheniiu pogranichnoĭ psikhicheskoĭ patologii i psikhosomaticheskikh rasstroĭstv NTsPZ RAMN, Moskva

List of references:

Zagorodnova Yu.B., Kolyutskaya E.V. K probleme obsessivnogo breda. Psikhiatriya (nauchno-prakticheskii zhurnal) 2009; 1: 7-11.
Zhane P. (P. Janet rus.per.) Nevrozy. M: Kosmos 1911.
Zheleznova M.V. Dvigatel'nye navyazchivosti pri nevrozopodobnoi shizofrenii (klinika, tipologiya, terapiya): Dis... kand. med. nauk. M 2008: 49-65.
Ozeretskovskii D.S. K ucheniyu o navyazchivykh gallyutsinatsiyakh. Tr Psikhiatricheskoi kliniki I MGU. M 1926; 2: 267-281.
Popov E.A. Materialy k klinike i patogenezu gallyutsinatsii. Khar'kov 1941; 33-57.
Sklyar N.I. K psikhopatologii navyazchivostei i rodstvennykh im sostoyanii. Zhurn nevropatol i psikhiat 1908; 8: 1: 42-56: 8: 2: 179-194.
Sukhanov S.A. O gallyutsinatornykh navyazchivykh predstavleniyakh i o navyazchivykh gallyutsinatsiyakh. Russkii vrach 1904; 8.
Bermanzohn P.C., Arlow P.B., Albert C., Siris S.G. Relationship of panic attacks to paranoia (letter). Am J Psychiat 1999;156: 1469.
Bland R.C., Newman S.C., Orn H. Schizophrenia: lifetime comorbidity in a community sample. Acta Psychiat Scand 1987; 75: 4: 383-391.
Carmin C.N., Wiegartz P.S., Wu K. Obsessive-compulsive disorder with poor insight. Clinical Handbook of Obsessive-Compulsive Disorder and Related Problems. Johns Hopkins University Press 2008; 109-125.
Clerambault G. Syndrome mecanique et conception mecaniste des psychoses hallucinatories. Ann M Ps 1927; 2: 85: 398-413.
Clerambault G. Psychoses a base d`automatisme. Ann M Ps 1927; 7.
Cramer A. Die Hallucinationen im Muskelsinn bel Geishteskranken und ihre klinische Bedeutung. Frieburg 1889.
Fear C., Healy D. Obsessive-compulsive disorders and delusional disorders: notes on their history, nosology and interface. J Of Serotonin Res 1995; 1: 1: 1-13.
Fenton W., Lashan Mc.G. The prognosis significance of obsessive-compulsive simptoms in schizophrenia. Am J Psychiat 1986; 143: 437-441.
Freud S. Obsessions et phobies. Leuramecanizme psychique et leurs etiologie. Leipzig-Wien 1906; 86-93.
Freud S. The interpritation of dreams. The basic writings of Sigmunf Freud. New York: Random House 1938; 462.
Galynker I. et al. Panic attacks with psychotic features: a variant of nonaffective acute remitting psychoses? APA 159Th annual meeting 2006; Toronto, Canada.
Ganesan V., Kumar R., Khanna S. Obsessive-compulsive disorder and psychosis. Can J of Psychiat 2001; 46: 750-753.
Garcia-Montes J.M. et al. Metacognitions in pacients with hallucinations and obsessive-compulsive disorder: The superstition factor. Behav Res and Therapy 2006; 44: 1091-1104.
Jahrreiss W. Uber Zwangsvorstellungen un Verlauf der Schizophrenie. Arch Psychiat Neurol 1926; 77: 740-788.
Lelliot P. et al. Obsessive-compulsive beliefs and treatment outcome. Psychological Medicine 1988; 18: 697-702.
Loewenfeld L. Die psychischen Zwangserscheinungen. Weisbaden, Verlay v. J.F. Bergamann 1904.
Morrison A.P., Haddock G., Tarrier N. Intrusive thoughts and auditory hallucination: A cognitive approach. Beh and Cognitive Psychotherapy 1995; 23: 265-280.
ODwyer A., Marks I. Obsessive-compulsive disorder and delusions. Brit J Psychiat 2000; 176: 281-284.
Ongur D., Goff D.C. Obsessive-compulsive symptoms in schizophrenia: Associated clinical features, cognitive functioning and medication status. Schizophrenia Res 2005; 75: 349-362.
Rosen I. The clinical significance of obsession in schizophrenia. J of menthal science 1957; 103: 778-785.
Seglas J. De lobsessions hallucinatoires et de Lhallucination obsedante. Annales med psych Paris 1892; 50: 119-129.
Sobin C., Blundell M., Weiller F. Evidence of a schizotypy subtype in OCD. J Psych Res 2000; 34: 15-24.
Solyom L. et al. Is there an obsessive-compulsive psychosis? Aetiological and prognostic factors of an atypical form obsessive-compulsive neurosis. Can J Psychiat 1985; 30: 372-379.
Wernicke C. Grundriss der Psychiatrie in klinischen Vorlesungen. Leipzig: Thieme 1906.

Close metadata