[Psychogenias of the refusal reaction type in patients with slowly progressive schizophrenia].

Psychogenias of the refusal reaction type observed in long-term stages of torpid schizophrenia in patients with marked negative changes and decreased fitness for work were subjected to clinical analysis. The results obtained suggest that such reactions are caused by the altered "background" in the form of distorted manifestations of psychic infantilism expressed here as a peculiar psychopathy-like defect of a "passively dependent personality disturbance" type. The study has made it possible to specify the psychopathologic structure of psychogenic states of the refusal reaction type which includes, apart from a characteristic psychogenic complex, anxiety depression in combination with signs of motor inhibition, as well as varying disturbances with refusal characteristics, attended by "evasive behaviour".