Biomedical subjects

I Iu Dorozhenok

Publications and source records attributed to I Iu Dorozhenok.

4 recordsLinked to original sources

PubMed2004

[Psychodermatology: current state of the problem].

An analysis of comorbidity of psychiatric and dermatological pathology in historical, epidemiological and clinical aspects is presented. Psychocutaneous disorders (delusional parasitosis, hypochondria circumscripta, obsessive-compulsive disorders with self-mutilations, pathomimia) play a central role in systematics elaborated in the present study. The authors suggest that delusional parasitosis is a subtype of paranoiac psychosis (paranoia, paranoiac schizophrenia). Psychiatric disorders triggered by dermatological pathology were specified as nosogenous reactions, depressive reactions with sociophobia, pathologic personality development (paranoiac, sensitive, hypochondriac). Atopic dermatitis, eczema, urticaria, psoriasis, herpes simplex, alopecia areata, rosacea, etc, are regarded among dermatological psychosomatic disorders with psychogenic manifestation/exacerbation.

Comorbidity↗

PubMed2001

[Psychological aspects of contrast obsessions].

The paper presents a clinical-psychological examination of 40 patients with contrast obsessions of homicidal- and suicidal-phobic contents. The cohort of patients was divided into two groups by the prevalence of the possibility to commit either autodestructive and criminal actions (group 1-24 patients) or violence and murder (group 2-16 patients) in clinical picture of contrast phobias with anxious apprehension. It was found that in patients of group 1 pathology of personality presented with disorders of the hysteric-hyperthymic sphere together with features of overanxiety, while in patients of group 2--with disorders of the anancastic-schizoid sphere. Differences between the groups in terms of the objective direction of anxiety were associated with peculiarities of the structure of the personality: in group 1 the choice of the object of anxiety from the individuals of the nearest surrounding or the very patient himself, was determined by diffusion or widening of Ego boundaries and identification of patients with their microsocial environment; in group 2 the choice of such object of the "accidental other" was determined by the fixing, narrowing of Ego boundaries and by separation from the microsocial environment. Chronological direction of the anxiety in group 1 was conditioned by the peculiarities of the imagination function: hypertrophy of fantasy, abundance of the means of the symbolization of intrapsychic experience and emotional style of thinking determined an anticipatory anxiety; while an insufficiency of fantasy, alexythymia and the operational style of thinking in group 2 determined a retrospective anxiety.

Adolescent↗

PubMed1999

[Clinical typology of contrast content obsessions in borderline mental diseases].

40 patients were observed (16 men, 24 women, mean age 27 years) with the obsessions of the contrast contents (14-homocidophobia, 18-suicidophobia, 8-combined homo- and suicidophobia). Two types of contrast obsession (CO) were recognized: contrast phobias with anxiety about possibility to commit autodestructive or criminal actions and contrast obsessions with anxious doubts about committing either violence or murder. CO of first type were determined by the fear of lack of self-control and possibility to commit autodestructive or criminal actions. Such obsessions are accompanied by bright images, massive somato-vegetative symptomatology and rapid formation of avoidance behaviour. CO of second type are characterized by pathologic doubts about committing violence or murder and accompanied by strong desire to check again and obsessive self-analysis. CO of first type belong to the spectrum of anxious-phobic disorders and are phobic in their nature; within acute phobic fit, similar in manifestations to a panic attack; they are associated with other phobic disorders and manifest like phobic depressions. On the contrary, CO of second type are true obsessive phenomena, and isolated, combine with obsessions of the repeated control, and with different types of depressions only in half of the cases.

Adolescent↗

PubMed1998

[Depression with obsession of contrast content].

Twenty depressed patients (according to ICD-10) with obsessions of contrast content (homicidophobia--4 patients, suicidophobia--12, other contrast obsessions--4 cases) were examined. The affective disorders belonged to polar areas of a depressive spectrum: anxious depressions (with a prevalence of manifestations of positive affectivity in the form of somatopsychic hyperstesia) and existential depressions (with domination of manifestations of negative affectivity in the form of alienation of the vital functions). In anxious depressions there were compulsive obsessions of contrast content (12 patients), while in existential ones impulsive obsessions (8 cases). Compulsive obsessions of contrast contents (fear of a lack of self-control pronounced in the form of the attacks of lissophobia) were formed at the height of an anxious-depressive affect. Impulsive obsessions of contrast contents (fear of self-damage with elements of an obsessive drive to its realization) were formed during depressive devitalization and were exceeded by suicidal ideas. Comorbidity of depressive and obsessive manifestations was realized by a peculiar type of interrelations with formation of "convergent" symptoms which reflected an increase of severity of depressive disorders.

Adult↗