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PubMed1988

[Characteristics of a psychopathy-like syndrome in children with oligophrenia (epidemiological research)].

In an epidemiological survey of mentally retarded children of the school age the psychopathy-like syndrome was found in 16% of cases which accounted for one-third of all complicated forms of oligophrenia. Elevated affective excitability was the most common of all psychopathy-like disorders, followed by the syndrome of home leaving and tramping, the aggressive-sadistic syndrome, and mental instability. Other variants were observed far less frequently. Thirty per cent of the children presented a combination of various manifestations of the studied syndrome. Specific features of the syndromal structure were found to be correlated with the sex and age of children and degree of mental insufficiency. The correlation with antisocial behaviour was also determined. Although the diagnosis of mental retardation and transfer of such children to specialized schools were made earlier than in other groups of oligophrenic children, 4.9% of them continued their education in ordinary schools (i.e. in conditions inadequate for such children) which contributed to aggravation of their social disadaptation.

Adolescent↗
PubMed1970

The XYY male.

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Antisocial Personality Disorder↗
PubMedDate not supplied

Pimozide in the treatment of some "social maladjustments" in "personality disorders".

Forty patients with some "social maladjustments" or disturbed interpersonal relationship under 2 mg pimozide (Orap: a 24 h long-acting neuroleptic) for six to twelve months. Concomitant but complementary medication was kept unchanged. Control was based on: long-term investigation (1/2 - 1 year), quantification, use of two scales. Statistical evaluation of the changes in "cardinal symptoms" showed a significant improvement in tension, disorders of sleep, intellectual disturbances, cardiovascular symptoms and gastrointestinal complaints. More detailed analysis of the other 27-item rating scale revealed a dramatic improvement in anxiety and paranoidism. The overall appreciation shows that: 25 patients responded well or very well to pimozide, eight did moderately, seven poorly. Neurasthenia and related states with predominant asthenia turned out to be no indication for pimozide treatment. Except for some cases of increased fatigue, tolerance was exceptionally good. The trial showed that extra patience is required from the therapist as a clinical onset of one to two months is not uncommon.

Adult↗
PubMedDate not supplied

Toward a unified conception of the origins of sexual and social deviancy in young persons.

This paper is based on the empirical evidence that social and sexual deviancy in young persons often succeed on one another, alternate repeatedly, or occur concomitantly. The role of the superego and the relationship of acting out and symptomatic acts to both conditions are explored. States of excitement, tension, and discharge in young persons are described. The scanty but important literature on excitement is reviewed, and the role of this affect in the causation of both deviances is examined in some detail. The occurrence of early fantasies associated with (primary) excitement on a background of early psychic disturbance and environmental failure, common to both deviations, is compared with excitement in later stages of development. The fantasies that accompany physiological and psychological changes at puberty and adolescence provoke arousal and excitation, which is defended against with boredom and depression, which in turn leads to a search for (secondary) excitement. This process is illustrated by several clinical examples drawn from case material of patients treated with psychotherapy and psychoanalysis. Finally, the implications for treatment of a unified approach to the problem of social and sexual deviancy in young people is briefly explored.

Adolescent↗