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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

Read: 6185 times

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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 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

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

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