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Psycology » Psychiatry and psychotherapy » Neurosis » Diagnosis and treatment of neurosis

  1. Neurosis: neurasthenia
  2. Hysterical neurosis
  3. Obsessional neurosis (obsessive-phobic neurosis)
  4. Diagnosis and treatment of neurosis

It usually does not cause difficulties, as the doctor observes the presence of an important trait affecting close relationship stress factor and clinical disease (system psychologically understandable links to K. Jaspers). In the long neurosis neurotic development or in some cases requires the differentiation maloprogredientnoy with schizophrenia (eg, schizophrenia with obsessive-compulsive). At endogenous process nevrozopodobnoy symptoms has specific characteristics. Obsessions appear by themselves, prevail "abstract compulsion" (contrasting thoughts, ruminations, intrusive memories, actions, etc.). Endogenous obsession is rapidly becoming a ritual component combat obsessions quickly disappears. On the foreground fading emotional reactions, decreased mental activity and productivity of patients increases autism. In neurosis overcome psychogenic situation, timely therapy lead to stabilization and gradual disappearance of neurotic symptoms without signs of changes in the structure of personality.

Etiology and Pathogenesis

The main cause of neurosis (regardless of the development of a clinical variant) is trauma to warrant stress effect. Most often this irreparable loss (death of a loved one), loss of property, the threat to health and well (news serious illness, a judicial investigation), humiliation, deprivation of work publicizing damaging information, creating intolerable conditions of life and work. Availability accentuation of personality or psychopathic structure predisposition plays a role in the development of neurosis. PB Gannushkin believed that "no neurosis without psychopathy", VA Giljarovsky argued persuasively that anyone raised in difficult conditions, under the action of stress can detect clinical manifestations of neurosis.

Pathogenetic mechanisms in neurosis is often determined by its clinical type (neurasthenia, hysterical neurosis, obsessive-compulsive). But in general terms, according to Anokhin, neurotic conditions develop as a consequence of the interaction of two excitations conflict, none of which can not be suppressed completely. PV Simonov explains the development of neurosis occurrence of static excitation emotional centers in mismatch needs chance to meet her. Main incentive moment any neurotic condition is called intrapersonal conflict with the presence of divergent trends in sharply emphasized emotional distress. Pavlov characterized the similar situation: "I was offended anyone, but for some reason I could not say a word, and even more action. So I worry a conflict between excitation and inhibition. "

In the study of the pathogenesis of the neuroses it is considered that a neurotic condition can be caused by not only the signal of the fact of loss, loss, threat or humiliation, but also direct unmet need. Vital human needs requiring mandatory satisfaction, usually divided into three categories:

1) material and biological - need to have the means to ensure the existence of an individual or family (food, shelter, clothing);

2) social - need to have a role in society, enjoy appreciation, attention surrounding their respect, love;

3) ideal - spiritual, cultural, information, need for knowledge of the world and their place in it.

All these kinds of needs exhibit complex individual relationships and their various complexes.

VN Myasischev psychoneurosis considers as "psychogenic" disease, which is based on a poor, irrational and unproductive resolvable personality conflict between the individual and the most significant aspects of reality for her, causing painful for her painful experiences: failures in the struggle of life, dissatisfaction with critical needs an unreached goal irreparable loss, inability to find a rational way. This entails mental and functional personality maladjustment, leads to the formation of neurosis.


Treatment of neuroses held as necessary medication (tranquilizers, antidepressants, vitamin, etc.), and by using a variety of psychotherapeutic techniques aimed at dezaktualizatsiyu stressors and resources stimulation of the personality (psychodynamic, cognitive-behavioral, body-oriented psychotherapy and other ).


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