[Types of impulse control disorders in children and adolescents]

The paper presents the results of examination of 61 patients aged 7-15 years with impulse-control disorders (drive) within psychopathy-like syndrome in slow progredient schizophrenia or in residual-organic disorders of CNS. 4 types of impulse-control disorders were identified: 1) drives concerning mainly instincts' disorders (enhanced physiologic drives, perversive physiologic drives); 2) drives due to disorders of will (the impulsive drives, the precursors of the impulsive drives); 3) the obsessive drives; 4) "social" forms of altered drives. In the group of schizophrenic patients prevailed disturbances of drives concerning the instinctive sphere (97.9%) and seldom "social" forms (2.1%) were ovserwed. In the patients with residual-organic CNS damage the "social" forms were quite frequent (50%) as well as disorders of will (45.8%), but disorders of instincts (4.2%) occurred rarely. Children and adolescent had often incomplete drives in the form of precursors of the impulsive drives.