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Smulevich A.B.

Sechenov First Moscow State Medical University of Ministry of health of the Russia, Moscow, Russia

Dubnitskaia É.B.

Nauchnyĭ tsentr psikhicheskogo zdorov'ia RAMN, Moskva

Lobanova V.M.

Mental Health Research Center, Moscow, Russia

Voronova E.I.

Sechenov First Moscow State Medical University, Moscow

Zhylin V.O.

Mental Health Research Center, Moscow, Russia

Koliutskaia E.V.

Samoilova E.D.

Sechenov First Moscow State Medical University, Moscow, Russia

Sorokina O.Yu.

Mental Health Research Center, Moscow, Russia

Personality disorders and schizophrenic defect (problem of comorbidity)

Authors:

Smulevich A.B., Dubnitskaia É.B., Lobanova V.M., Voronova E.I., Zhylin V.O., Koliutskaia E.V., Samoilova E.D., Sorokina O.Yu.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(11): 4‑14

DOI: 10.17116/jnevro20181181114

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Table of contents

PERSONALITY DISORDERS AND SCHIZOPHRENIC DEFECT (PROBLEM OF COMORBIDITY)
PERSONALITY DISORDERS AND SCHIZOPHRENIC DEFECT (PROBLEM OF COMORBIDITY)

To cite this article:

Smulevich AB, Dubnitskaia ÉB, Lobanova VM, et al. . Personality disorders and schizophrenic defect (problem of comorbidity). S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(11):4‑14. (In Russ.)
https://doi.org/10.17116/jnevro20181181114

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

Objective. To test the main hypothesis that the deficit phenomena in schizophrenia act not in the «pure» form, but in the form of aggravating personality characteristics, forming so-called «common» syndromes with personality disorders (PD). Material and methods. The results of the psychopathological study (with the use of psychometric methods) of deficit disorders in a sample of 170 patients with schizophrenia and schizophrenia spectrum disorders (63 men, 107 women) are presented in relation to the abnormal structure of premorbid personality (PD of clusters A, B, C). An analysis of negative symptoms according to the comparability of defect to the profile of premorbid personality made it possible to distinguish three groups of deficit states associated with PD — «common syndromes»: defensive schizoidy by the type of deficit schizoid and expansive schizoidy by the type of «verschroben» (cluster A); pathological hysterical infantilism, malignant hysteria and defective erotomania (cluster B); pseudo-psychasthenia and pathological rationalism (cluster C). Results. It has been found that the symptomatology of «common syndromes» is subject to patterns reflecting the dichotomy of the basic defect. This pattern is valid not only for one single cluster of PD, but extends to all psychopathy-like disorders, regardless of their affiliation with a particular cluster. The pathocharacterological component of the «common syndromes» coexisting with the deficit symptom complexes is subject to the basic deficit component of the defect and is separated into polar dimensions (defensive-expansive) within specific clusters of PD, and then unified in accordance with the dichotomy of schizophrenic defect in categories with the predominance of emotional or apathoabulic disorders. Conclusion. Psychopathy-like symptom complexes in the space of «common syndromes» can be qualified as a psychopathological construct secondary to basic deficit disorders, and their isolation as an independent entity of negative disorders appears to be unjustified.

Keywords:

personality disorders
schizophrenia
schizophrenia spectrum disorders
«common syndromes»
primary/basic disorders

Authors:

Smulevich A.B.

Sechenov First Moscow State Medical University of Ministry of health of the Russia, Moscow, Russia

Dubnitskaia É.B.

Nauchnyĭ tsentr psikhicheskogo zdorov'ia RAMN, Moskva

Lobanova V.M.

Mental Health Research Center, Moscow, Russia

Voronova E.I.

Sechenov First Moscow State Medical University, Moscow

Zhylin V.O.

Mental Health Research Center, Moscow, Russia

Koliutskaia E.V.

Samoilova E.D.

Sechenov First Moscow State Medical University, Moscow, Russia

Sorokina O.Yu.

Mental Health Research Center, Moscow, Russia

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