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The topic of research was phenomenon of impaired age self-consciousness in non-psychotic latent schizophrenia patients defined.
Objectives
To explore features of impaired age self-identity and to determine syndromic affiliation of the syndrome in comparison with premorbid personality disorders traits.
Methods
The study sample comprised 141 patients with latent schizophrenia (pseudo neurotic (F21.3 - 64.5%, 91 patients), coenesthopathic (F20.8 - 25.5%, 36 patients) and pseudo psychopathic (F21.4, - 9.9%, 14 patients)) aged 16-31 (average 22.1 years old) in 2007-2019. A follow-up, experimental psychological and clinical study was conducted.
Results
The onset of impaired age self-identity was dominated by a radical drop of the subjective age in self-conscious mind of the patients accompanied by a tormented feeling of loss of self-dependence, role autonomy, helplessness, inability of decision making and to be answerable. Patients described this sudden condition as a loss of ‘maturity feeling’ and return to the juvenile perception of self. In a delusive and unclear manner, phrases such as ‘I feel inferior to others as if a helpless child among adults’, ‘I feel as if my childhood is back’ were uttered. Excessive worrying and enlivening of childhood memories were also included. This correlates to occurrence of humble and sometimes dependent/avoidant behavior, feeling of helplessness and fear with respect to caring for one self, rising subordination and suggestibility.
Conclusions
This phenomenon of regress to earlier ontogenetic level of personal development reported as impaired age self-consciousness can thus be regarded as an obligate form of depersonalization in patients with latent schizophrenia.
Descriptions of schizotypic psychopathology have a long history in the clinical psychopathology literature. Kraepelin and Eugen Bleuler made note of what they termed latent schizophrenia, a form of personality aberration thought to be, in essence, a quantitatively less severe expression of schizophrenia. P. E. Meehl described what he believed to be the four fundamental signs and symptoms of schizotypy: cognitive slippage, interpersonal aversiveness, anhedonia, and ambivalence. According to Meehl's model, schizotypy, as a personality organization reflective of a latent liability for schizophrenia, can manifest itself behaviorally and psychologically in various degrees of clinical compensation. Finally, Meehl conjectures that the base rate of schizotaxia in the general population is approximately 10%. Meehl's base rate estimate is found on a dominant-gene formulation, which posits that every schizophrenic person must have a parent of schizotype namely, a parent carrying the schizophrenia producing genotype.
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