SUMMARY:
Delusions of being controlled are psychotic
symptoms among the most characteristic symptoms of
schizophrenia. The aim of our study was to explore the
dynamic of paranoid syndromes in schizophrenia in
dependence on delusions of outside control. The objects
were 160 schizophrenic patients, aged 18-65 years. We
distinguished, conditionally, three consecutive, but not
obligatory stages in the syndrome dynamic. The first stage
is characterized by sense of “loss of Ego-control” on
separate psychic functions, not engaged with a concrete
outside influence. On the second stage the sense of “loss
of Ego-control” concretizes and forms delusional conception
of outside influence and control. On the third stage Egocontrol
of one’s own psychic processes is replaced by
delusional conviction of outside control. A total
depersonalization in the frame of paranoid syndrome is
observed.
The clinical peculiarities of each stage of paranoid
syndromes in dependence on the delusions of influence
testify, to some extent, to one or other progression of
schizophrenic process and could have a relatively
prognostic value.