[Torpid schizophrenia with a predominance of asthenic disorders].

The article deals with the typology of asthenic disturbances that determine for a long time the clinical picture of slowly progressive schizophrenia. Two types of asthenia (extensive and limited) have been identified as a result. With regard to clinical peculiarities these manifestations can be collated respectively with "pseudoneurasthenia" and "autochtonous asthenia". The author has analyzed the dynamics of these variants of the asthenic symptom complex to which, with the progression of the process, disturbances of the non-delirious hypochondria type are added. The author has established the relationship between clinical features of asthenia and the degree of progression of the process and a differing structure of negative changes formed at late stages of the disease. The first type (extensive asthenia) is observed in the framework of slowly progressive neurosis-like schizophrenia with manifestations of a moderate asthenic defect. The second type (limited asthenia) is noted in psychopathy-like slowly progressive schizophrenia associated with signs of greater progression and psychopathy-like changes of the "verschoben-type" with intellectual reduction.