Email this article Dissociation, “OCD IN REVERSE” and unfulfilled schizophrenia. Case of Alsu B.
- Authors: Mendelevich V.D.1, Katok A.A.1, Beybalaeva T.Z.1, Kapralov A.A.1, Abakarov R.R.1
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Affiliations:
- Kazan State Medical University
- Issue: Vol LV, No 4 (2023)
- Pages: 35-49
- Section: Case reports
- URL: https://journals.rcsi.science/1027-4898/article/view/254020
- DOI: https://doi.org/10.17816/nb624043
- ID: 254020
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Abstract
The article describes a rare clinical case of severe histrionic personality disorder featuring manifestations of an atypical obsessive-compulsive disorder (“obsessive-compulsive disorder in reverse”), which led to an erroneous diagnosis of schizophrenia and classification of the patient as disabled. Over an eight-year period of psychiatric observation, the girl was given many different diagnoses in leading Russian and foreign clinics — from somatoform, hypochondriac and obsessive-compulsive disorder to schizophreniform disorder, bipolar affective disorder and paranoid schizophrenia with an emotional and volitional defect. The article substantiates the diagnosis of histrionic personality disorder and the incorrectness of other diagnoses. The article also provides a brief review of the literature regarding the comorbidity of dissociative and obsessive-compulsive disorders.
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##article.viewOnOriginalSite##About the authors
Vladimir D. Mendelevich
Kazan State Medical University
Author for correspondence.
Email: mendelevich_vl@mail.ru
ORCID iD: 0000-0002-8476-6083
SPIN-code: 2302-2590
M.D., D. Sci. (Med.), Prof., Head of the Depart. of Psychiatry and Medical Psychology
Russian Federation, KazanAlena A. Katok
Kazan State Medical University
Email: gatiph2006@rambler.ru
ORCID iD: 0000-0001-9046-3532
SPIN-code: 4511-6293
Assistant, Depart. of Psychiatry and Medical Psychology
Russian Federation, KazanTangyul Z. Beybalaeva
Kazan State Medical University
Email: tanguel23@gmail.com
ORCID iD: 0000-0002-5262-6852
SPIN-code: 7616-2990
Assistant, Depart. of Psychiatry and Medical Psychology
Russian Federation, KazanAndrey A. Kapralov
Kazan State Medical University
Email: andrey.kapralov@kazangmu.ru
ORCID iD: 0009-0008-7082-3260
SPIN-code: 7142-8364
Assistant, Depart. of Psychiatry and Medical Psychology
KazanRadzhab R. Abakarov
Kazan State Medical University
Email: abakarovrr@gmail.com
ORCID iD: 0009-0003-1233-9538
Postgraduate Student, Depart. of Psychiatry and Medical Psychology
Russian Federation, KazanReferences
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