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Psycology » Psychiatry and psychotherapy » Pathology of consciousness » Oneiric (snovidnoe) dizziness

B. Cullen (1769), in his methodical nosology systematics onirodiniyu singled out, however, without a detailed description of this special form of pathology, noting particular sleep disorder with bright dreams painful content. The first description of oneiric and the term were given B. Mayer-Gross (1924). He described the syndrome oneiric, oneiric state as psychosis characterized kaleidoscopic experiences that blend into one real, hallucinatory and delusional, which creates a picture snovidnosti. AN Moloch was the first to use the term "oneyroidno catatonia" (1936) for cases of catatonic psychosis with snovidnym dizziness. L. Meduna (1950) identified a group of schizophrenic types, characterized by the acute onset of the disease with insufficiently clear consciousness, perceptual disturbances, derealization, impaired "body schema," noting a good prognosis with complete reversibility of all symptoms. These cases he referred to as "oneyrofrenii", understanding it as an independent disease.

However, even in the domestic literature Korsakov allocated dreamlike or snovidnoe state of consciousness (1901), noting some of its distinctive features.

Oneyroidno dizziness accompanied by the complete detachment of the patient from the outside world in the presence of bright fantastic, grezopodobnyh experiences snovidnogo character. In the minds of most patients have a strange mixture of, on the one hand, fragments of reality, and on the other - the extraordinary, kaleidoscopic successive, changing the plot in its ideas and images. Oneyroid symptoms in general very similar to the dream content of its internal picture, but is formed as psychosis, having a certain stage of development and special dynamics. Oneyroidno dizziness is always accompanied by the development of either depressive or manic passion, manifestations of catatonic stupor or excitement followed, varying in severity from amnesia with regard to the experience. Feature is the fact that many patients can then provide information about what they "saw" and "heard" during his illness. When oneyroidno dizziness also observed the change of consciousness with the reincarnation of "I" and dissociation between rapidly developing dynamic, as in dreams, fantastic events and external immobility (stupor) or meaningless confused and pathetic catatonic excitement.

Development oneiric stupefaction with catatonic disorders precede affective disorders as depression or mania, alternating with sharp sensual delirium intermetamorfozy, antagonistic (Manichaean) delirium. The clinical picture Oneyroid develops due to increased involuntary fantasizing with the presence of very bright ideas about various extraordinary, often almost fabulous events: travel, divine transformations, global cataclysms, wars, space travel, intergalactic catastrophes invasions representatives of extraterrestrial civilizations, superrobotov. This can be understood and experienced simultaneously with the real events occurring with patients actually followed the correct orientation and in the surrounding. In such cases we say about the initial stage Oneyroid - oriented oneiric. Then the deepening disorder develops oneyroidno or snovidnoe, dizziness. Externally these patients is noteworthy total detachment from the surrounding content of their fantastic experiences, modification of his "I", and then his reincarnation. Sick as if loaded surrounding passes "by" them, does not attract their attention. Expression consistent with the nature experiences - it or joyful surprise, amazement, or horror, numbness, or extreme anxiety. Depending on the prevalence of various experiences associated with the presence or illusory fiction or grezopodobnyh phenomena can be roughly talk about illusory fiction or grezopodobnom oneiric. In many cases, these components are connected, and the picture becomes polymorphic. Obvious is to meet the basic sensory experiences affect of shades - joyful, fabulous and interesting transformation accompanied by exaltation, excitement, horror and disaster - depression with substuporom or stupor (catatonic nature).

After resolving some psychosis patients enough talk about the picture Oneyroid experienced, however, do not always remember the real situation. In other patients revealed complete amnesia, but in the future, there memories about what happened to them.

T. S. Stoyanov second after V. Mayer-Gross in the monograph "oneyroidno syndrome during periodic schizophrenia" (1968) studied in detail and described this type of pathology, showing that oneyroidno syndrome - the result of the preceding metamorphosis of clinical disorders of the stages of change of the value of delirium and intermetamorfozy to the fantastic delusions and so-called oriented Oneyroid then develops typical oneiroid. Give the author's observations.

"Sick on T-ZI, 1927. p. He was in the hospital. PB Gannushkin since November 8, 1960 to April 3, 1961.

History. Father calm, sociable, sensitive man. Mother irritable, quick-tempered, vindictive. Older sister in connection with the betrayal of her husband committed suicide. Previously been equilibrated. Born the fifth in a row. Artificially fed, suffered from rickets. Walk beginning at the age of four, then we talk. Since that time, was lively, active, sociable. At 6 years old suffered whooping cough. Studied at the age of 8, bad: despite the diligence and hard memorized. She graduated from the three classes of the Polish school. Then, given the difficulties of learning to program in a Russian school (town joined the USSR in 1939), went to school for working youth, but soon left it. Aisle linen worked in the laundry. In 1944 he was raped, and then infected with syphilis. Treated in venereal dispensary and a half months, then four months received outpatient treatment, then was hired assistant chef dining.

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