[Psychopathology of depressions with guilt delusions]

Author considers guilt-depressions as a special type of endomorph features in which the experiences of guilt and the cyclothymic axis-syndrome together define the form. The criterium for the delusional guilt-depression is the externalization of the certainty of consciousness of guilt. These states can be seen more often in elder people. Author discriminates modalities of externalization of relieving and of intensifying dynamics. For the latter author proposes the adjective "rejective". In return the relieving strategy corresponds rather to the "projective" e.g. paranoid mechanisms. Group of 20 patients in each (simple, projective e.g. paranoid and "rejective" forms) could be statistically (by chi 2-trial) compared with 5 characteristics and thus got homogenised. The increased suicide-rate in the rejective group seems to have an important practical role in the clinical and in the after-care praxis.