Obsessive hallucinations
Zagorodnova, I.B.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 110(2): 24-28
2010
ISSN/ISBN: 1997-7298 PMID: 20436445 Document Number: 639291
The aim of the study was to analyze the structure and dynamics of combined obsessive-compulsive and pseudohallucinatory symptoms, which reached the level of psychic automatism in the clinical presentations of slow-progressive schizophrenia. The sample consisted of 29 patients (19 men and 10 women, mean age 27,18 years). The complex of symptoms represented by the domination of obsessive-compulsive and subsyndromal pseudohallucinatory appearances was singled out. The obsessive-compulsive symptom complex was presented mostly by contrast obsessions: obscene thoughts and holding ideas. The aggravation of these symptoms caused the formation of psychic automatisms which were fully realized within the limits of the denotative complex of contrast obsessions, with no tendency to the following development to delusions. The authors suggested the existence of a particular group of obsessive-compulsive disorders - obsessive hallucinations. These psychopathological phenomena differ from obsessive-compulsive disorders as well as from disorders subjected to the further evolution. Obsessive hallucinations, while remaining within the limits of obsessive syndrome, acquired characteristics of secondary psychopathological symptoms.