THE “SYSTEM OF AFFAIRS” AND PROBLEM OF “KEEPING OF ZERO IDEAS” MATHEMATICIAN ARTYOM: SCHIZOPHRENIA OR ASPERGER’S SYNDROME?

Abstract

The analysis of a clinical case of the 25-year-old mathematician Artem S. in which clinical picture of an alienation the “system of affairs” developed by it in youth and the problem of “keeping of zero ideas” which arose subsequently was dominating is submitted. Hyper specification and amorphy of thinking, autism and an obsessive-compulsive syndrome were the prevailing psychopathologic symptoms. Differential diagnostics between schizoid personality disorder, schizophrenia, shizotypical disorder, obsessive-compulsive disorder and Asperger’s syndrome is carried out.

Keywords

schizoid personality disorder / schizophrenia / shizotypical disorder / obsessive-compulsive disorder / Asperger’s syndrome at adults

References

[1] Бобров А.Е., Сомова В.М. Нарушения коммуникации у больных с синдромом Аспергера // Обозрение психиатрии и медицинской психологии. 2013. №3. С. 17-24.

[2] Быховский О.Б. Возрастные особенности синдрома Аспергера // Мир психологии. 2014. №3. С. 267-273.

[3] Крылов В.И. Навязчивые состояния (психопатологические аспекты диагностики и систематики) // Психиатрия и психофармакотерапия. 2007. №6. С. 15-19.

[4] Озгун А., Сейлан М.Э. Аутизм взрослых - отличия от шизофрении (клинические наблюдения) // Российский психиатрический журнал. 2005. №5. С. 21-23.

[5] Пашковский В.Э. В поисках аутизма // Неврологический вестник. 2017. №1. С. 40-48.

[6] Расстройства аутистического спектра: диагностика, лечение, наблюдение. Клинические рекомендации (протокол лечения). / Н.В. Симашкова, Е.В. Макушкин. 2015. http://psychiatr.ru/news/411

[7] Смулевич А.Б. Малопрогредиентная шизофрения и пограничные состояния. М., 2009. 256 с.

[8] Сомова В.М. Отдаленные этапы нарушений психического развития с картиной высокофункционального аутизма: Автореф. дисс… канд. мед. наук. М., 2013. 23 с.

[9] Bejerot S. An autistic dimension. A proposed subtype of obsessive-compulsive disorder. // Autism. 2007. Vol. 1 (2). P. 101-110.

[10] Dossetor D.R. «All That Glitters Is Not Gold»: Misdiagnosis of Psychosis in Pervasive Developmental Disorders - A Case Series // Clin Child Psychol Psychiatr. 2007. Vol. 12 (4). P. 537-548.

[11] Fitzgerald M. Schizophrenia and autism/asperger’s syndrome: overlap and difference // Clinical Neuropsychiatry. 2012. Vol. 9 (4). P. 171-176.

[12] Goldstein G., Minshew N.J., Allen D.N., Seaton B.E. High-functioning autism and schizophrenia. A comparison of an early and late onsetneurodevelopmental disorder // Archives of Clinical Neuropsychology. 2002. Vol. 17. P. 461-475.

[13] Helles A. Asperger syndrome in males over two decades. Gothenburg, Sweden. 2016. 82 p.

[14] Helles A., Wallinius M., Gillberg I.C., Gillberg Ch., Billstedt E. Asperger syndrome in childhood - personality dimensions in adult life: temperament, character and outcome trajectories // BJPsych Open. 2016. Vol. 2. Pp. 210-216.

[15] Hurst R.M., Nelson-Gray R.O., Mitchell J.T., Kwapil T.R. The Relationship of Asperger’s Characteristics and Schizotypal Personality Traits in a Non-clinical Adult Sample // J Autism Dev Disord. 2007. Vol. 37. P. 1711-1720.

[16] Lugnegard T., Hallerback M.U., Gillberg Ch. Personality disorders and autism spectrum disorders: what are the connections? // Comprehensive Psychiatry. 2011.

[17] Lehnhardt F-G., Gawronski A., Pfeiffer K. et al. The Investigation and Differential Diagnosis of Asperger Syndrome in Adults // Dtsch Arztebl Int.2013. Vol. 110 (45). P. 755-763.

[18] Mazzone L., Ruta L., Reale L. Psychiatric comorbidities in asperger syndrome and high functioning autism: diagnostic challenges // Annals of General Psychiatry. 2012. Vol. 11. P. 16.

[19] Russell A.J., Mataix-Cols D., Anson M, Murphy D.G.M. Obsessions and compulsions in Asperger syndrome and high-functioning autism // British Journal of Pssychiatry. 2005. Vol. 186, P. 525-528.

[20] Sintes A., Arranz B., Ramírez N. et al. Asperger Syndrome Can the disorder be diagnosed in the adult age? // Actas Esp Psiquiatr. 2011. Vol. 39 (3). P. 196-200.

RIGHTS & PERMISSIONS

Mendelevich V.D.