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Psycology » Psychiatry and psychotherapy » Late-onset psychosis » Border neuropsychiatric disorders in later life

ContentPsychosis later age:
- Presenile (involution) psychoses atrophic brain diseases: - Senile dementia of Alzheimer's type - Alzheimer's Disease - Pick's disease - Parkinson's disease and Huntington's chorea borderline disorders in later life

VY Semke, BD Tsigankov, SS Odarchenko (2006) systematized clinical types of border states in elderly and old age, highlighting the nuclear boundary and psychopathy, which in this group of patients had specific clinical and dynamic relations. Stages dynamics of borderline disorders in geriatric patients are divided into acute, protracted residual. On stage there are acute neurotic reactions in harmonious and accentuated in the past personalities and patoharakterologicheskie, psychopathic disorder, neurosis reaction. At the subacute stage neurotic reactions are transformed into neurotic development (situational, constitutional) patoharakterologicheskie reaction dynamics act as patoharakterologicheskoe development and psychopathic development. A number of these patients have mild cognitive impairment.

As decompensated factors in later life is allocated a number of social and psychological influences - such as the termination of employment of professional, open social relations and contacts, lack of communication, a departure from previous social roles, entry into the role of the "old man" ("old woman"), the restriction motives, interests, outlook, which leads to a leveling of the individual.

The authors conducted a clinical follow-up of 86 psychopaths in age from 50 to 65 years (23 of excitable group, 23 - inhibitable, 22 - and 18 with hysteroid - with paranoid psychopathy). Two distinct stages of the dynamics of these pathological personalities. The first stage takes place mainly under the sign of the impact of endocrine and psychological aspects, the second is formed on the organic background (vascular and atrophic) process.

Starting involutional period in psychopathic personalities characterized by a sharp increase, sharpening previous character traits, the important role of small gain in intensity and importance of mental injury, including long-existing conflicts within the family. Significant role in decompensation plays cerebral arteriosclerosis. Most resistant to the destructive effects of organic process are hysterical symptoms.

Psychopathic reactions senile plaque have ostentatious, theatrical, reflecting experiences flawed personality, characterized by demand constant attention from others, uncritical behavior as demonstrative protests and "starvation" quarrelsome disposition and extreme nicety. In patients with a dominant theme statements "desire for peace", "tired of family concerns," "aversion to life." Patients with the presence of somatic symptoms in later life is dominated by manifestations hypochondriacal development.


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