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[Psychopathology of endogenous anesthetic depression].

Studies of the psychopathological structure of anesthetic depressions in 60 patients with attack-like progressive schizophrenia made it possible to distinguish three types of depressive conditions: anxious-anesthetic with agitation, melancholic-anesthetic with a characteristic depressive triad, self-accusation ideas and adynamic disorders and pure-anesthetic ones where psychic anesthesia was the most significant manifestation of the depressive condition with immaterial intensity of other symptoms of depression. In anxious-anesthetic depressions, psychic anesthesia was characterized by primarily sensual character (little differentiated sensation of internal emptiness), whereas in pure-anesthetic depressions, it was marked by primarily ideational character (sensation of inferiority of different sides of emotional life); in melancholic-anesthetic depressions, psychic anesthesia was sensual-ideational in nature and was the main plot for self-accusation ideas. A number of regularities were revealed in the dynamics of anesthetic depression attacks to establish that the types of depressive conditions described previously were stages in the development of an attack.

Adult↗

Female sex offenders: severe victims and victimizers.

Although there is an extensive body of literature concerning male sexual offenders, there is a marked lack of articles describing sexual offenses committed by females. The authors present a review of the existing literature on this topic and describe five cases of female sexual offenders and four cases of female sexual abusers. Implications for the effective assessment and treatment of this unique population are discussed.

Adult↗