Psychogenically caused decompensations of organic mental disorder, comorbid with cardiovascular pathology (forensic psychiatric assessment). Part 1
Suggested citation:
Tarasova GV, Vandysh-Bubko VV, Gilenko MV. [Psychogenically caused decompensations of organic mental disorder, comorbid with cardiovascular pathology (forensic psychiatric assessment). Part 1]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2022;(2):26-32. Russian
In an observational analytical study in order to determine the optimal expert tactics in cases of psychogenically caused modification of the clinical picture of an organic mental disorder combined with cardiovascular pathology, 102 male persons brought to criminal responsibility with mental deterioration at the stage of inpatient forensic psychiatric examination were examined. In 71% of cases, the mental state was qualified as decompensation of an organic mental disorder (F00–F09), and in 29% as an actual mental disorder requiring the appointment of medical measures and preventing the final solution of expert issues. Comorbid somatic pathology in the examined patients is represented by cardiovascular diseases (I10–I15). There are 4 clinical variants of decompensation states detected in a psychogenically traumatic forensic investigation situation that are important for determining forensic psychiatric tactics.
Keywords organic mental disorder; comorbid cardiovascular disorders; forensic-psychiatric assessment; psychogenic decompensation
1. Felinskaya NI. Reaktivnye sostoyaniya v sudebno-psikhiatricheskoi klinike. Moscow; 1968. 292 p. (In Russ.) 2. Kudryavtsev IA. Reaktivnye psikhozy u lits s posledstviyami cherepno-mozgovoi travmy. Kiev; 1988. 240 p. (In Russ.) 3. Kharitonova NK. Tipologiya, klinicheskie osobennosti i sudebno-psikhiatricheskaya otsenka psikhogennykh sostoyanii v ugolovnom i grazhdanskom protsesse. In: Rukovodstvo po sudebnoi psikhiatrii. AA Tkachenko, editor. Moscow; 2012. p. 366–93. (In Russ.) 4. Gorinov VV, Vasyukov SA, Ushakova IM. Psikhogenno obuslovlennye psikhicheskie rasstroistva, otnosyashchiesya k periodu delikta (struktura, ehkspertnaya): Metodicheskie rekomendatsii. Moscow; 2013. 20 p. (In Russ.) 5. Vandysh-Bubko VV, Topilina MI. Psikhogenno obuslovlennye dekompensatsii organicheskogo psikhicheskogo rasstroistva u obvinyaemykh. In: Sudebnaya psikhiatriya. Aktual'nye problem. VV Vandysh, editor. Moscow; 2013. № 10. p. 3–11. (In Russ.) 6. Yaspers K. Obshchaya psikhopatologiya. Moscow: Praktika; 1997. 1056 р. (In Russ.) 7. Belov VP, Dokuchaeva ON. Tserebral'nyi ateroskleroz v sudebno-psikhiatricheskoi praktike. In: Sudebno-psikhiatricheskaya ehkspertiza lits pozhilogo i starcheskogo vozrasta. № 37. Moscow; 1981. p. 18–24. (In Russ.) 8. Vandysh-Bubko VV, Tarasova GV, Topilina MI. Psikhogennye rasstroistva pri organicheskom psikhicheskom rasstroistve u lits, stradayushchikh serdechno-sosudistoi patologiei. Psikhicheskoe zdorov'e. 2016;12(127):35–41. (In Russ.) 9. Vandysh-Bubko VV, Tarasova GV. Klinicheskaya dinamika organicheskogo psikhicheskogo rasstroistva u lits s komorbidnoi serdechno-sosudistoi patologiei (sudebno-psikhiatricheskii aspekt). Psikhiatriya, psikhoterapiya i klinicheskaya psikhologiya. 2018;9(4):487–95. (In Russ.) 10. Zhislin SG. Ocherki klinicheskoi psikhiatrii. Kliniko-patogeneticheskie zakonomernosti. Moscow; 1965. 320 p. (In Russ.) 11. Chikin ER. Kliniko-dinamicheskie varianty progredientnogo zkzogenno-organicheskogo porazheniya golovnogo mozga [PhD thesis]. [Moscow (Russian)]; Gosudarstvennyi nauchnyi tsentr sotsial'noi i sudebnoi psikhiatrii im V.P. Serbskogo. [V. Serbsky State Scientific Center for Social and Forensic Psychiatry]; 1995. 26 p. (In Russ.) 12. Vandysh VV, Chkhikvadze ZD. Dekompensatsii organicheskikh psikhicheskikh rasstroistv v sudebno-psikhiatricheskoi ehkspertize. Analiticheskii obzor. Moscow; 2005. 47 p. (In Russ.) 13. Khokhlov LK, Khokhlov AL. Ehkzogenno-organicheskaya psikhopatologiya: nevrozopodobnye sostoyaniya, ostrye, zatyazhnye simptomaticheskie psikhozy, psikhoorganicheskie sindromy. Yaroslavl'; 2019. 413 p. (In Russ.) 14. Razumovskaya SP. Psikhogennye sostoyaniya pri sosudistykh zabolevaniyakh golovnogo mozga v sudebno-psikhiatricheskoi praktike. In: Kratkovremennye rasstroistva psikhicheskoi deyatel'nosti v sudebno-psikhiatricheskoi praktike (sbornik nauchnykh trudov). GV Morozov, editor. Moscow; 1986. p. 119–25. (In Russ.) 15. Matyukha AV. Psikhogennye sostoyaniya na izmenennoi pochve i ikh koMpleksnoe lechenie [PhD thesis]. [Moscow (Russian)]; Vsesojuznyj nauchno-issledovatel'skij institut obshhej i sudebnoj psihiatrii im. V.P. Serbskogo [V. Serbsky All-Union Research Institute of General and Forensic Psychiatry]; 1989. 23 p. (In Russ.) 16. Davidson IRT, Nutt D, Zohar J. Post-Тraumatic Stress Disorder Diagnosis, Management and Treatment. London: MartinDunitz; 2000. p. 211–42. 17. Tarasova GV. Klinicheskaya sistematika, prognoz i principy ekspertnoj ocenki organicheskogo psihicheskogo rasstrojstva u obvinyaemyh s hronicheskoj serdechno-sosudistoj patologiej [PhD thesis]. [Moscow (Russian)]; Gosudarstvennyi nauchnyi tsentr sotsial'noi i sudebnoi psikhiatrii im V.P. Serbskogo [V. Serbsky State Scientific Center for Social and Forensic Psychiatry]; 2009. 191 p. (In Russ.)
DOI: http://dx.doi.org/10.47877/1560-957Х-2022-10203
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