The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Smulevich A.B.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Ivanov S.V.

Mental health research center;
Sechenov First Moscow State Medical University (Sechenov University)

Miasnikova L.K.

FGBU "Nauchnyĭ tsentr psikhicheskogo zdorov'ia" RAMN, Moskva

Dvoĭnikov S.Iu.

FGBU "Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina" RAMN, Moskva

Il'ina N.A.

Nauchnyĭ tsentr psikhicheskogo zdorov'ia RAMN, Moskva

Stress-induced dissociation in the trajectory of schizotypal personality disorder (on the model of nosogenias in oncologic patients)

Authors:

Smulevich A.B., Ivanov S.V., Miasnikova L.K., Dvoĭnikov S.Iu., Il'ina N.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2014;114(12): 12‑22

DOI: 10.17116/jnevro201411412112-22

Views: 4724

Downloaded: 118

Download PDF (RU)
Contact the author
Table of contents

STRESS-INDUCED DISSOCIATION IN THE TRAJECTORY OF SCHIZOTYPAL PERSONALITY DISORDER (ON THE MODEL OF NOSOGENIAS IN ONCOLOGIC PATIENTS)
STRESS-INDUCED DISSOCIATION IN THE TRAJECTORY OF SCHIZOTYPAL PERSONALITY DISORDER (ON THE MODEL OF NOSOGENIAS IN ONCOLOGIC PATIENTS)

To cite this article:

Smulevich AB, Ivanov SV, Miasnikova LK, Dvoĭnikov SIu, Il'ina NA. Stress-induced dissociation in the trajectory of schizotypal personality disorder (on the model of nosogenias in oncologic patients). S.S. Korsakov Journal of Neurology and Psychiatry. 2014;114(12):12‑22. (In Russ.)
https://doi.org/10.17116/jnevro201411412112-22

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry)
 
МСФ на ЯМ
Close metadata
Recommended articles:
Stress and obesity rela­tionship. Russian Journal of Preventive Medi­cine. 2024;(5):123-127
Arte­rial hype­rtension in patients — mili­tary fighting participants. Russian Journal of Preventive Medi­cine. 2024;(5):128-132
Rela­tionship between pregnancy and the risk of mali­gnant neoplasms of the female reproductive system. Russian Bulletin of Obstetrician-Gynecologist. 2024;(3):48-54
Psychological concepts — design of clinical models of schi­zophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(7):25-31
To study the effe­ctiveness and impact on the quality of life of patients with subclinical and clinically pronounced anxiety diso­rder of a mobile application in combination with Adaptol therapy. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(7):98-105
Tumor models in cancer research. P.A. Herzen Journal of Onco­logy. 2024;(4):72-76
Cost of supportive cancer care in the Russian Fede­ration. Part 1. Medi­cal Technologies. Asse­ssment and Choice. 2024;(3):93-103
Level of students’ stress depe­nding on their beha­vioral characteristics. Russian Journal of Preventive Medi­cine. 2024;(9):67-74
Asse­ssment of cyto­kine status in patients with onco­logical diseases and severe COVID-19. Russian Journal of Evidence-Based Gastroenterology. 2024;(3):60-66
Oral cavity cancer epidemiology in men and women in the Sibe­rian Fede­ral District. Russian Journal of Preventive Medi­cine. 2024;(11):46-53

Objective. Stress-induced dissociative disorders (DD) have high prevalence in psychiatry and general medicine but the psychopathological differentiation of DD and contribution of personality disorders in their development is less studied. Authors conducted a clinical analysis of stress-induced persistent DD and underlying constitutional abnormalities.

Material and methods. It was examined 20 patients with DD induced by the stress caused by a cancer diagnosis, including 10 patients of detachment-dissociation group (denial of the disease, non-compliance) and 10 patients with compartment-dissociation (complete or partial detachment of stress response components (emotional, cognitive), adequate compliancy). The groups were matched for demographic and cancer characteristics. Clinical and psychological methods were used.

Results and conclusion. DD are secondary psychopathological phenomena. Detachment-dissociation develops in the frames of schizophrenic nosogenic reactions based on overvalued ideas of somatic well-being (or complete recovery from cancer) and has some similarities to schizotypal personality disorder. Compartment-dissociation develops within the limits of neurotic nosogenic reactions on the basis of binary psychogenic complexes - pathology of the imagination ("the beautiful indifference") concomitant to anxiety about the real illness and is similar to hysterical personality spectrum.

Keywords:

dissociative disorders
personality disorders
stress
nosogenias
oncology

Authors:

Smulevich A.B.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Ivanov S.V.

Mental health research center;
Sechenov First Moscow State Medical University (Sechenov University)

Miasnikova L.K.

FGBU "Nauchnyĭ tsentr psikhicheskogo zdorov'ia" RAMN, Moskva

Dvoĭnikov S.Iu.

FGBU "Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina" RAMN, Moskva

Il'ina N.A.

Nauchnyĭ tsentr psikhicheskogo zdorov'ia RAMN, Moskva

List of references:

  1. Marmar C.R., Weiss D.S., Schlenger W.E. et al. Peritraumatic dissociation and posttraumatic stress in male Vietnam theater veterans. Am J Psychiatry 1994; 151: 6: 902-907.
  2. Fullerton C.S., Ursano R.J., Epstein R.S. et al. Peritraumatic dissociation following motor vehicle accidents: relationship to prior trauma and prior major depression. J Nerv Ment Dis 2000; 188: 5: 267-272.
  3. Boelen P.A., Keijsers L., van den Hout M.A. Peritraumatic dissociation after loss: latent structure and associations with psychopathology. J Nerv Ment Dis 2012; 200: 4: 362-364.
  4. Agarkov V.A., Tarabrina N.V. Dissotsiatsiya i posttravmaticheskii stress. V kn.: Praktikum po psikhologii posttravmaticheskogo stressa. Pod red. N.V. Tarabrinoi. SPb: Piter 2001; 76-94.
  5. Tarabrina N.V. Osnovnye itogi i perspektivnye napravleniya issledovanii posttravmaticheskogo stressa. Psikhologicheskii zhurnal 2003; 24: 4: 5-18.
  6. Spiegel D., Hunt T., Dondershine H.E. Dissociation and hypnotizability in posttraumatic stress disorder. Am J Psychiatry 1988; 145: 3: 301-305.
  7. Evren C., Sar V., Dalbudak E. et al. Lifetime PTSD and quality of life among alcohol-dependent men: impact of childhood emotional abuse and dissociation. Psychiatry Res 2011; 186: 1: 85-89.
  8. Blevins C.A., Weathers F.W., Witte T.K. Dissociation and posttraumatic stress disorder: a latent profile analysis. J Trauma Stress 2014; doi: 10.1002/jts.21933.
  9. Johnson J.G., Cohen P., Kasen S. et al. Dissociative disorders among adults in the community, impaired functioning, and axis I and II comorbidity. Journal of Psychiatry Research 2006; 40: 131-140.
  10. Sar V., Unal S.N., Ozturk E. Frontal and occipital perfusion changes in dissociative identity disorder. Psychiatry Research-Neuroimaging 2007; 156: 217-223.
  11. Allen J.G., Console D.A., Lewis L. Dissociative detachment and memory impairment: reversible amnesia or encoding failure? Compr Psychiatry 1999; 40: 2: 160-171.
  12. Brown R.J. Different types of "dissociation" have different psychological mechanisms. J Trauma Dissociation 2006; 7: 4: 7-28.
  13. Holmes E.A., Brown R.J., Mansell W. et al. Are there two qualitatively distinct forms of dissociation? A review and some clinical implications. Clin Psychol Rev 2005; 25: 1: 1-23.
  14. Cardeña E., Spiegel D. Dissociative reactions to the San Francisco Bay Area earthquake of 1989. Am J Psychiatry 1993; 150: 3: 474-478.
  15. van der Hart O., Nijenhuis E., Steele K., Brown D. Trauma-related dissociation: conceptual clarity lost and found. Aust N Z J Psychiatry 2004; 38: 11-12: 906-914.
  16. van der Hart O. History of the Concept of Dissociation. In: Dissociation and the Dissociative Disorders. Ed. P.F. Dell, J.A. O'Neil 2009; 3-26.
  17. Goland R.Ya. O rasstroistvakh pamyati. L: Biomedgiz (Leningradskoe otdelenie) 1935; 134.
  18. Janet P. The major symptoms of hysteria. New York: Macmillan 1907.
  19. Ashton M.C., Lee K. Oddity, schizotypy/dissociation, and personality. J Pers 2012; 80: 1: 13-34.
  20. Cicero D.C., Kerns J.G. Can disorganized and positive schizotypy be discriminated from dissociation? J Pers 2010; 78: 4: 1239-1270.
  21. Koffel E., Watson D. Unusual sleep experiences, dissociation, and schizotypy: Evidence for a common domain. Clin Psychol Rev 2009; 29: 6: 548-559.
  22. Ludwig A.M. The psychological functions of dissociation. American Journal of Clinical Hypnosis 1983; 26: 93-99.
  23. van der Kolk B.A., van der Hart O., Marmar C.R. Dissociation and information processing in Posttraumatic Stress Disorder. In: B.A. van der Kolk, A.C. MsFarlane, L. Weisaeth. (Eds.) Traumatic stress: The effect of overwhelming experience on mind, body and society. N.Y., London: Guilford press 1996.
  24. Meares R. The contribution of Hughlings Jackson to an understanding of dissociation. American Journal of Psychiatry 1999; 156: 1850-1855.
  25. Moskowitz A., Schafer I., Dorahy M.J. Psychosis, Trauma and Dissociation: Emerging Perspectives on Severe Psychopathology 2009; 380.
  26. Akhapkina M.V. Psikhopatologiya i klinika depersonalizatsionnykh rasstroistv pri shizofrenii: Avtoref. dis. ... kand. med. nauk. M 1993.
  27. Bezzubova E.B. Klinicheskie osobennosti vital'noi depersonalizatsii pri shizofrenii. Zhurn nevropatol i psikhiat 1991; 91: 7: 83-86.
  28. Bezzubova E.B. Klinicheskie osobennosti etapov formirovaniya depersonalizatsii v podrostkovom i yunosheskom vozraste. Zhurn nevropatol i psikhiat 1985; 85: 11: 1680-1684.
  29. Vorob'ev V.Yu. Ob odnom iz variantov yunosheskoi shizofrenii, protekayushchei s preobladaniem yavlenii depersonalizatsii. Zhurn nevropatol i psikhiat 1971; 71: 8: 1224-1232.
  30. Haug K. Depersonalization und Verwandte Erscheinungen. Handbuch der Geisteskrankheiten. Hrg von O. Bumke. Berlin 1939; 1: 142-149.
  31. Smulevich A.B., Andryushchenko A.V., Beskova D.A. Psikhicheskie rasstroistva v onkologii (rezul'taty mul'titsentrovoi programmy SINTEZ). Psikhicheskie rasstroistva v obshchei meditsine 2009; 1: 4-16.
  32. Andryushchenko A.V. Psikhicheskie i psikhosomaticheskie rasstroistva v uchrezhdeniyakh obshchesomaticheskoi seti (kliniko-epidemiologicheskie aspekty, psikhosomaticheskie sootnosheniya, terapiya): Avtoref. dis. ... d-ra med. nauk. M 2011.
  33. Wong M., Looney E., Michaels J., Palesh O., Koopman C. A preliminary study of peritraumatic dissociation, social support, and coping in relation to posttraumatic stress symptoms for a parent's cancer. Psychooncology 2006; 15: 12: 1093-1098.
  34. Lensvelt-Mulders G., van der Hart O., van Ochten J.M., van Son M.J., Steele K., Breeman L. Relations among peritraumatic dissociation and posttraumatic stress: a meta-analysis. Clin Psychol Rev 2008; 28: 7: 1138-1151: doi: 10.1016/j.cpr.2008.03.006.
  35. Smulevich A.B. Rasstroistva lichnosti. Traektoriya v prostranstve psikhicheskoi i somaticheskoi patologii. M: MIA 2012.
  36. Doklad "Ob itogakh Vserossiiskoi perepisi naseleniya 2010 g.". M: StatIzdat 2010.
  37. Morrison A.P., Frame L., Larkin W. Relationships between trauma and psychosis: a review and integration. Br J Clin Psychol 2003; 42: Pt 4: 331-353.
  38. Deny G., Samus P. Sur une forme d'hypocondrie abberante due a la perte de la conscience de corps. Rev Neurologique 1905; 9: 461-467.
  39. Freud A. Ego and the Mechanism of Defense. London: Hogarth Press Ltd 1937.
  40. Weisman A.D. On Dying and Denying. A Psychiatric Study of Terminality. New York: Behavioral Publications 1972.
  41. Lazarus R.S. Denial, its costs and benefits. In: Living and Dying with Cancer. P. Ahmed (ed.). New York: Elsevier 1981.
  42. Vos M.S. Denial and Quality of Life in Lung Cancer Patients. Academisch proefschrift ter verkrijging van de graad van doctor aan de Universiteit van Amsterdam. Amsterdam 2009; 181.
  43. Beisser A.B. Denial and affirmation in illness and health. Am J Psychiatry 1979; 136: 8.
  44. Pilowsky I. Abnormal illness behavior. Br J Med Psychol 1969; 42: 347-351.
  45. Eddy D.M., Eddy J.F. Delay factors in detection of cancer. Proc. Am. Cancer Soc. Fourth Natl. Conf. On Human Values and cancer, New York: American Cancer Society 1984; 32-40.
  46. Giesbrecht T., Merckelbach H., Kater M., Sluis A.F. Why dissociation and schizotypy overlap: the joint influence of fantasy proneness, cognitive failures, and childhood trauma. J Nerv Ment Dis 2007; 195: 10: 812-818.
  47. Startup M. Schizotypy, dissociative experiences and childhood abuse; relationships among self-report measures. British Journal of Clinical Psychology 1999; 38: 333-344.
  48. Watson D. Dissociations of the night: Individual differences in sleep-related experiences and their relation to dissociation and schizotypy. Journal of Abnormal Psychology 2001; 110: 526-535.
  49. Feinstein R.E. Personality Traits and Disorders. Psychosomatic Medicine. NY 2006; 843-865.
  50. Il'ina N.A., Burlakov A.V. Shizofrenicheskie nozogennye reaktsii u patsientov s tyazheloi serdechno-sosudistoi patologiei. Aspekty tipologii i prediktsii. Psikhiatriya 2005; 1: 13: 7-16.
  51. Smulevich A.B., Ivanov S.V., Beskova D.A. i dr. Nozogennye reaktsii u bol'nykh rakom zheludka. Psikhicheskie rasstroistva v obshchei meditsine 2007; 2: 3: 4-10.
  52. Skryabin D.S. Nozogennye reaktsii pri rake podzheludochnoi zhelezy. Psikhicheskie rasstroistva v obshchei meditsine 2009; 4: 9-16.
  53. Vybornykh D.E., Moiseeva T.N., Gabeeva N.V. i dr. Narusheniya terapevticheskogo sotrudnichestva (non-compliance) u patsientov s limfogranulomatozom. Psikhicheskie rasstroistva v obshchei meditsine 2009; 1: 32-34.
  54. Vybornykh D.E. Psikhogematologiya. M: Prakticheskaya meditsina 2014; 236.
  55. Birnbaum K. Uber degenerative Verschrobene. Monatschr Psychiatr Neurologie 1906; 21: 308-320.
  56. Kahn E. Die psychopathischen Persönlichkeiten. Handbuch d. Geisteskrankheiten, herausgeg. von Bumke 1928; 5: 1: 448.
  57. Binswanger L. Verschrobenheit. Teil I. Monatschrift für Psychiatrie und Neurologie 1952; 124: 4: 195-210.
  58. Wiggins J.S., Pincus A.L. Conceptions of personality disorder and dimensions of personality. Psychol Assess. J Consult Clin Psychol 1989; 1: 305-316.
  59. Widiger T.A., Simonsen E. Alternative Dimensional Models of Personality Disorder: Finding a Common Ground. Personality Disorders 2005; 19: 110-130.
  60. Watson D., Clark L.A., Chmielewski M. Structures of Personality and Their Relevance to Psychopathology: II. Further Articulation of a Comprehensive Unified Trait Structure. Journal of Personality 2008; 76: 6: 1545-1586.
  61. Meehl P.E. Toward an integrated theory of schizotaxia, schizotypy and schizophrenia. Journal of Personality Disorders 1990; 4: 1-99.
  62. Bleuler E. Dementia praecox oder Gruppe der Schizophrenien. Handbuch der Psychiatrie. Leipzig und Wien: F. Deuticke 1911.
  63. Volel' B.A. Nebredovaya ipokhondriya pri somaticheskikh, psikhicheskikh zabolevaniyakh i rasstroistvakh lichnosti (psikhosomaticheskie sootnosheniya, psikhopatologiya, terapiya): Avtoref. dis. ... d-ra med. nauk. M 2009.
  64. Ladee G. Hypochondrical syndromes. Amsterdam 1966.
  65. Millon T. Disorders of personality: DSM-III, Axis II. New York: Wiley 1981.
  66. Bernstein E.M., Putnam F.W. Development, reliability, and validity of a dissociation scale. J Nerv Ment Dis 1986; 174: 12: 727-735.
  67. Moskowitz A., Barker-Collo S., Ellson L. Replication of dissociation-psychosis link in New-Zeland students and inmates. J Nerv Ment Dis 2005; 193: 11: 722-727.
  68. Murray C.D., Fox J. Dissociational body experiences: differences between respondents with and without prior out-of-body-experiences. Br J Psychol 2005; 96: Pt 4: 441-456.
  69. Merckelbach H., Rassin E., Muris P. Dissociation, schizotypy, and fantasy proneness in undergraduate students. J Nerv Ment Dis 2000; 188: 7: 428-431.
  70. Kretschmer E. Stroenie tela i kharakter. Per. s nem. M-L 1930; 304.
  71. Gannushkin P.B. Klinika psikhopatii, ikh statika, dinamika, sistematika. M 1933.
  72. Ballerini A. Understanding autism in schizophrenia. Scientific World Journal 2012; 254091.
  73. Bürger-Prinz H., Schorsch E. Comments on the concept of autism. Nervenarzt 1969; 40: 10: 454-459.
  74. Ey H., Bernard P., Brisset C. Manuel de Psychiatrie. 3-em. Ed. Paris 1967.
  75. McCreery C., Claridge G. Out-of-the-body experiences and personality. Journal of the Society for Psychical Research 1995; 60: 129-148.
  76. Il'ina N.A. Shizofrenicheskie reaktsii (aspekty tipologii, prediktsii, kliniki, terapii): Avtoref. dis. ... d-ra med. nauk. M 2006.
  77. Holt N.J., Simmonds-Moore C.A., Moore S.L. Benign schizotype: investigating differences between clusters of schizotype on paranormal belief, creativity, intelligence and mental health. Parapsyhcological association: 51st Annual convention Winchester, England 2008 (Abstracts).
  78. Shostakovich B.V. Kriminogennost' pri psikhicheskikh rasstroistvakh i problemy preduprezhdeniya opasnykh deistvii. Rossiiskii psikhiat­richeskii zhurnal 2006; 2: 15-18.
  79. Felinskaya N.I. Reaktivnye sostoyaniya v sudebno-psikhiatricheskoi klinike. M: Meditsina 1968; 292.
  80. Aleksandrovskii Yu.A. Nevroticheskie, svyazannye so stressom i somatoformnye rasstroistva. V kn.: Ratsional'naya farmakoterapiya v psikhiatricheskoi praktike. M: Littera 2014; 404-423.
  81. Kahn E. Zur Frage des schizophrenen Reaktionstypus. Z Ges Neurol Psychiat 1921; 66: 273-282.
  82. Vybornykh D.E., Ivanov S.V., Savchenko V.G. Nozogennye reaktsii u bol'nykh s zabolevaniyami sistemy krovi. Psikhicheskie rastroistva v obshchei meditsine 2011; 3-4: 4-10.
  83. Shushpanova O.V. Gipomaniakal'nye rasstroistva pri rake molochnoi zhelezy. Psikhicheskie rasstroistva v obshchei meditsine 2013; 1: 21-24.
  84. Smulevich A.B., Ivanov S.V. Psikhosomaticheskaya meditsina. V kn.: Ratsional'naya farmakoterapiya v psikhiatricheskoi praktike. M: Littera 2014; 424-457.
  85. Popper E. Der schizophrene Reaktiontypus. Z Ges Neurol Psychiat 1920; 62: 194-207.
  86. Shafigullin M.R. Terapiya nozogennykh reaktsii u bol'nykh rakom zheludka. Psikhicheskie rasstroistva v obshchei meditsine 2009; 1: 38-45.
  87. Beskova D.A., Siranchieva O.A. Differentsirovannyi podkhod k vyboru metoda psikhoterapii nozogennykh reaktsii na gospital'nom etape lecheniya onkologicheskikh zabolevanii. Psikhicheskie rasstroistva v obshchei meditsine 2009; 1: 46-52.
  88. Minkowsky E. La Schizophrenie: Psychopathologie des schizoides et des schizophrenes. Paris 1927.
  89. Narayan A.J., Allen T.A., Cullen K.R., Klimes-Dougan B. Disturbances in reality testing as markers of risk in offspring of parents with bipolar disorder: a systematic review from a developmental psychopathology perspective. Bipolar Disord 2013; 15: 7: 723-740: doi: 10.1111/bdi.12115. Epub 2013 Sep 6.

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.