[Psychogenic manias (A clinico-catamnestic study)].

25 patients (18 women, 7 men) which had at the age of 18 - 61 reactive manias were examined. The patients were followed up from 3 to 12 years. The two types of reactive manias were recognized. The first type of mania was presented by the patients with "true" manic reactions, the second one consisted of the individuals with manic phases evoked by psychogenic factors. The first type reactions were caused by severe psychic traumas important for individuals. Such reactions had the tendency to the formation of postreactive development. Manic symptoms were combined with psychopathic manifestations. The gradual reduction of affective disorders was observed in such patients while psychogenic complex remained essential. The second type reactions developed as a response to events not so objectively important including relatively pathogenic ones. In such cases the clinical pattern was comparable with the pattern of "simple" mania. Affective disorders during psychogenic complex reduction revealed the signs of autochthonous dynamics. The outcomes of psychogenias of the second type may be either the full restoration of premorbid psychic functions or the development of steady hyperthymic pseudopsychopathic states which are typical for residual schizophrenia.