히스테리 증상으로 시작한 정신분열증 2례 = TWO CASES OF SCHIZOPHRENIA ANTECEDED BY HYSTERICAL SYMPTOMS

다국어 초록 (Multilingual Abstract)

The author reported 2 cases of schizophrenia anteceded mainly by clinical pictures of hysterical neurosis bofore more apparent pictures of full blown schizophrenia emerged, by describing their symptomatology, course of illness, life histories, psychological test results and other laboratory data. Focussing upon points of differentiation between simple hysteria and unnsual hysteria developing eventually into schizophrenia, the followings were observed in the reported cases;
a. Pan-neurotic or mixed syndrome like pictures of predominantly hysterical symptoms together with overtly manifested anxiety, obsessive-compulsive tendencies and depression.
b. Aggravation of intensity and diffusion of distribution of the somatic symptoms, finally becoming generalized and unbearable.
c. Somehow bizarre ways of complaining their somatic symptoms.
d. Obscure and vague precipitating events and factors.
e. Schizophrenogenic possiblities of the personalities of the parents during patient's infanthood and/or childhood.
f. Co-existence of schizoid and compulsive personalities prior to the emergence of hysterical tendency and continuous failure of all the defenses that the patients resorted to.
g. Several differential points in the psychological test results.
The author does not deem any one of the above findings as providing any evidence, but when all or many of them are observed, he does expect the hysterical symptoms to develope into schizophrenia.