kzfaq.infopl... Schizophrenia, hebephrenia - 1995
Hebefren form (F20.1)
Hebefrenia (from the Greek. Hebe - youth) is one of the forms of schizophrenia that develops during puberty. It was first described by the German psychiatrist E. Haecker in 1878. The disease begins gradually, with distinct signs of negative personality changes - weakening of emotional attachments, impoverishment of interests, autization, as well as impaired thinking (in the form of inconsistency, randomness, loss of thought, tendency to reasoning) , the emergence of difficulties in comprehending educational material and reducing academic performance. Rudimentary Productive Disorders May Occur: Transient Cheats
perceptions, obsessions, dysmorphophobic, hypochondriacal ideas of the absurd
content, ideas of persecution, greatness, autochthonous affective vibrations. The psychological characteristics inherent in puberty - the desire for independence and independence - are hyperbolized and assume a grotesque character. There is a narrowing of the circle of interests, contacts, leveling of emotional reactions, their perverted nature, manifested by unmotivated antipathy to loved ones, "stupid hostility." Motility also changes - the harmony of movements is lost, the gait acquires the strange character of “walking on stilts”, the coordination of intonation, gestures with the content of speech, the situation disappears; facial expressions become inadequate, the voice is unnatural, stereotypical, artsy movements may occur. In behavior, brutality, foolishness, antics, caricatured childish (puerile) behavior, committing ridiculous acts, cruelty to relatives, empty unproductive euphoria (stupid gaiety) come to the fore. This is accompanied by disorders of drives (by the type of impulsive irresistible aspirations) - vagrancy, alcohol, drug abuse, gluttony, sexual
disinhibition. Delusions and hallucinations are fragmented or absent.
At times, episodes of arousal may occur. Hebephrenic stimulation is characterized by aimless motor activity, impulsive actions with aggression. Patients are, as it were, estranged from their surroundings, may not respond to a change in situation or appeal to them. Speech becomes exalted-pathetic, words are distorted, pronounced in an unnatural voice. Patients jump, tumble, roll on the floor, stick to others, swear obscenely, commit aggressive acts in relation to others or, on the contrary, lisp and climb to kiss. There is sexual disinhibition, untidiness with urine and feces. The peculiarity of hebephrenic excitation, according to A.E. Lichko (1989) is defined precisely as “splitting of passion”, when violent aggression is accompanied by laughter, and a frozen smile is combined with a frightened look; abuse - with the desire to kiss, affectionate words - with the intention of striking.
A clinic of hebephrenic arousal may include catatonic symptoms. At the same time, there are short-term hardening in one pose, short sub-stuporous states with mutism, stereotypical movements - bouncing, clapping, grimaces, shouting of the same individual phrases (verbigeration), repetition of words spoken by others (echolalia), facial reactions of others ( echochemistry).
The hebephrenic form of schizophrenia refers to transient, malignant variants of the disease. Quite quickly - within 1-2 years dementia occurs (defect) with a picture of a stable, therapy-resistant hebefren syndrome that persists for at least half a goal. Along with apato-abulic disorders and emotional dullness, a stop in mental development is noted at the stage when the disease manifested. A clinical example from forensic psychiatric practice
Patient P., 38 years old, was accused of corrupting young girls. P. lived in the room alone, at night, as neighbors say, danced, sang, laughed. Once he ran out into the street in one of his underwear, jumped into a passing tram, from where he was taken to a psychiatric hospital. Over the past ten years, he has been hospitalized many times. It noted: the fragmentation of thinking, untidiness, mannerism, emotional devastation. During the examination, the patient joked ridiculously (foolishness), unexpectedly blew into the faces of others, grimaced and whispered something soundlessly, claimed that he liked the taste of urine, tried to drink it. His condition sometimes unexpectedly changed, he became cynical, spat, mocked everyone or laughed to tears, while showing his tongue, shouting meaningless phrases. P. was declared insane as suffering from a hebephrenic form of schizophrenia.
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