[One of the variants of schizophrenia with obsession]

The author examined 49 patients with schizophrenia taking the course of pseudoneurosis. It has been established that at advanced stages of pseudoneurosis the clinical picture is largely characterized by psychopathy-like changes of a varying structure--schizo-anancastic (n = 20), schizo-hysterical (n = 14) and of the "Verschrobenheit-type" (n = 15). Corresponding groups of patients were distinguished by characteristic pre-morbid manifestations, peculiarities of obsessions and the modus of adaptive behaviour, in particular by a peculiar adaptation to obsessive-phobic disturbances which correlated with psychopathy-like changes.