Paranoial nosogenic reactions in patients with somatic diseases

The authors examined 16 patients with ischemic heart disease who had psycho genic disorders with ideas of rationalization of therapy. Paranoial persona lity disorders (paranoial psychopathy) was diagnosed in 11 patients, pseudo psychopathy in residual schizophrenia in 5 patients. The patients had eithe r a fanatic idea of creating new methods of self-therapy and an autoaggress ive behavior (performing some dangerous manipulations, usage of nonmedicame ntous substances, etc.). The premorbid state of such patients was character ized by inclination to paranoial reactions and a special predisposition to them combined with an egodystonic attitude to corporal manifestations. Para noial reactions of such type were reversible and dissapeared in the course of somatic state improvement.