[Stages and systematics of psychopathies and psychopath-like disorders of a non-psychotic nature in adolescents (multi-year study)].

A long-term study covered 121 adolescents with psychopathies and psychopathy-like disturbances. A stable level of social adaptation was ascertained in 83.3% of the adolescents with acute affective reactions, in 69.6% of the adolescents with a pathocharacterological development and reactions, in 14.3% of the patients with a psychogenic pathological formation of the personality, in 13.2% of the patients with psychopathies and in 42.9% of the patients with psychopathy-like disorders of exogenic-organic genesis. The following stages of depsychopathization were specified: adaptive transformation, effacement, depsychopathization as a result and clinical recovery. A multiaxial classification of the studied disturbances is proposed. Apart from the traditional nosological and syndromological characteristics, it reflects pathocharacterological peculiarities, the stages of the time-course of psychic disorders and the degree of social adaptation.