[Features of the development and clinical picture of hysterical neurosis and hysterical neurotic personality development].

The characteristics of the formation and structure of hysterical symptomatology in hysterical neurosis and hysterical neurotic development of personality are described. The author shows the pathomorphosis of modern hysterical neurotic disturbances and emphasizes a tendency toward imitation of common somatic diseases and the predominance in the clinical picture of neurosis of somato-vegetative and asthenic manifestations. Factors affecting the pathological process (characteristics of the premorbid adjustment and psychotraumatic situation) are analyzed. Hysterical neurosis was largely associated with vegetative manifestations while the hysterical neurotic development was more often related to affective ideatory manifestations. The authors have also identified two clinical variants of the hysterical neurotic development whose common characteristics included excessively affective reactions, lability to vehement non-differentiated emotional responses to any stimulus, and behavioural disturbances according to the hysterical type.