[Pathopsycholoogical conclusions].
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Biomedical subjects
Publications and source records attributed to B V Zeĭgarnik.
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An experimental psychological examination involved 87 patients with anorexia nervosa of different nosological origin. Patients with anorexia nervosa as part of borderline disease and schizophrenia presented specific characteristics of perception of their own appearance and of feeding habits. Patients with anorexia nervosa combined with borderline mental diseases showed close relationship between the orientation and degree of distortion of perception of the size of their own body and the nature of emotional value judgements. In schizophrenic patients with symptoms of anorexia nervosa this interrelationship was either absent or paradoxical in nature. All patients presented marked changes in the structure of feeding habits which were specific in each nosological group (lack of substitution effect, etc.). The results obtained served as a basis for appropriate psycho-corrective measures.
The article analyses the way in which hysterical patients' attitude to an experimental situation affects the results of an experiment. It has been assumed that depending on the nature of an experiment and the motivational content of the stimulating material the patients' attitude toward the experiment will also change. Comparison of the above attitudes in different variants of technique denoted as "the level of claims" has made it possible to characterize the specificity of hysterical patients' motivation expressed in excessively high claims and maintenance of inadequate self-assessment. The data obtained in the course of the experiment allow certain conclusions while determining the means to study the psychological syndrome in this group of patients.
The article deals with peculiarities of the self-regulation (conscious reflex regulation) of cognitive activity in patients with schizophrenia. The elucidated disorders of understanding of the readjustment and building-up of thought actions are primarily explained by personality-related factors. It was ascertained experimentally that schizophrenics developed a special personality orientation on "self-limitation", which was associated with a number of disturbances of thought self-regulation.
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The results of long-term clinical and experimental-psychological studies of patients with nervous anorexia were analyzed from the point of view of age psychology. Such approaches permitted to distinguish a peculiarity in the formation mechanism of this form of pathology. Dynamical studies of the moving forces in the personality development in morbid conditions allowed one to distinguish certain disorders in the process of periodization of the mental development. This in its turn exerts influence on the development of nervous anorexia.
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