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  • Psychopathy (personality disorders)
  • Types of psychopathy
  • Dynamics and treatment of psychopathy

Personality disorder or psychopathy - resistant, developing in childhood and continuing throughout life pathology (deformation) personality is manifested in its entirety distortion, expressed in such an extent that violates the adaptation and leads to difficulty of interpersonal relations.

Psychopathic personalities - people who, in the words of K. Schneider, because of their mental characteristics suffer themselves and make others suffer. Personality deviation in these patients may undergo modifications known, grow, or, conversely, to flatten. Personality disorders are not perceived as foreign patients requiring medical (psychiatric) care. Since pathological changes in psychopathy prevent natural adaptation in society for their diagnosis are important social criteria.

Even in ancient times Cicero (I c. BCE) believed that "like the flaws of the body can be observed flaws soul, affect the lives of people who have them, but in respect of their term has not yet matched." F. Pinel (1809) one of the first psychiatrists described similar personality abnormalities called "mania without delirium." The term "psychopathy, psychopathy" first appeared in Russian writers Nikolai Leskov and Chekhov (1885), and then it has been used in psychiatry VM Bekhterev (1886).

VH Kandinsky (1890) considered the basis of psychopathy irregular organization of the nervous system that leads to extreme volatility, volatility, disharmony whole psychic life. The reason for such pathology he considered hereditary abnormalities or influence of external hazards on the central nervous system in the early postnatal period. The most in-depth study of psychopathy is a classic work of PB Gannushkina (1933) [1], where the author described in detail its statics, dynamics and systematics. In the current ICD-10 personality disorders are described in section F60.

Data on the prevalence of psychopathy diverge quite substantially, due to the lack of unanimity on the delimitation criteria of this disease in different authors.

BD Tsigankov and BD Petrakov (1996) provide data on the variation is from 3 to 20-50 cases in 1000. When using the diagnostic criteria of ICD-10 prevalence of psychopathy is on average 5%. It is known that about a third of patients visiting a physician, has certain personality disorders. The prevalence of personality disorders among outpatients psychiatric practice is 20-40% among hospitalized - 50%. Personality disorder among offenders diagnosed in 78% of men and 50% of women in prison (DY Veltischev, 2006).


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