Schizophrenia Intermittent

Schizophrenia is a polymorphic mental disorder from the group of progressive recurrent schizophrenia-like disorders, predominantly chronic, i.e. never completely disappearing, occurring with intermediate remissions and phases of both exacerbation and reverse development of painful manifestations, manifested

Schizophrenic disorders

The schizophrenic process develops gradually or suddenly within the framework of a biological, psychological or social conflict. Thus, disturbances of perception, thinking or behavior arise. The syndrome is usually chronic, lasts for years and does not go away. Symptoms may be constant or episodic. Various forms of SZ appear at all ages, but most often in adolescence and youth.

The term Sh. covers the whole variety of these diseases, but the scientific concept of Ch. is still missing. It also includes milder defects of consciousness (overwork, mild side effects of sleeping pills, contraceptives and sedatives). A very similar picture is observed during manic phases of MDP; therefore, in the past, Ch., occurring without noticeable emotional disturbances, was classified as MDP. According to the ICD-X (1992), Ch. means mild and moderate Ch. of all degrees, severe Ch. and all residual manifestations of Ch. (atonic and catatonic stupor, apathy, indifference, emotional emptiness with loss of the will to live, etc.) .

The concept of the schizophrenic process was first introduced by B. More in 1935. The outcome of schizophrenia is usually considered as the outcome of the disease: restoration or compensation of the defect. Such a complete restoration of the psyche, which we observe in 20% of patients who have a period of complete health and social adaptation, seems unlikely. This is largely due to the fact that the bulk of patients are outpatients with mild defects in mental activity. In half of the cases, after 5 years, due to severe emotional disorders, adaptation (and, accordingly, ability to work) is disrupted.

Until the mid-60s. XX century The prevailing view was that Sh. was a mentally polymorphic group of diseases with different forms of progression, which led to the existence of separate nosological forms. Nosological affiliation - one of the diagnostic criteria (for example, in case of sluggish paranoid schizophrenia, the establishment of typical delusional, hallucinatory and catatonic-hebephrenic states would be diagnostic) - does not stand up to criticism. Sh. – the diagnosis is incomplete. Judging by the data in the literature on the course of the disease in comparison with other psychiatric diseases, clinically pronounced conditions are observed in less than half of the patients (more often they are mild in the form of long-term mild organic-pseudoparalytic dementia with emotional laziness, foolishness, “eternal banter”, hebephrenia