Клиническая психиатрия из синопсиса по психиатрии том 1 [Г.И. Каплан] (pdf) читать постранично

&/,1,&$/
36bkkhpbZlb\gu_jZkkljhckl\Z 
=eZ\Z  K_dkmZevgZykn_jZq_eh\_dZ 
=eZ\Z  Khgb gZjmr_gbykgZ 
=eZ\Z  Bkdmkkl\_ggh^_fhgkljbjm_fu_jZkkljhckl\Z 
=eZ\Z  JZkkljhckl\Z dhgljhey gZ^ k\hbfb bfimevkZfb gb]^_ [he__ g_
deZkkbnbpbjm_fu_ >jm]h_gZa\Zgb_hlkmlkl\m_l>GH 
=eZ\Z  JZkkljhckl\ZZ^ZilZpbb 
=eZ\Z  Ikboheh]bq_kdb_ nZdlhju \ebyxsb_ gZ nbabq_kdh_ khklhygb_
ikbohkhfZlbq_kdb_jZkkljhckl\Z 
=eZ\Z  JZkkljhckl\Zebqghklb 
IJ?>BKEHZggh_ jmdh\h^kl\h ihk\ys_gh wlhfm ]mfZgbafm dhlhjuc qZklh
l_jy_lky \ l_ogbq_kdb hkgZs_gghc kh\j_f_gghc f_^bpbgkdhc ijZdlbd_ Lhqgh lZd `_
\aZbfhhlghr_gbyf_`^mmq_[gufbf_^bpbgkdbfbnZdmevl_lZfbb klm^_glZfblj_[mxl
ih^q_jdgmlh]h \gbfZgby _keb fu ohlbf ba[_`Zlv ihy\e_gby ih^h[guo dhfivxl_jm
\jZq_cjh[hlh\
< Kh_^bg_gguoRlZlZo:f_jbdbikbobZljbyy\ey_lky_^bgkl\_gghcf_^bpbgkdhc
^bkpbiebghc dmjk ij_ih^Z\Zgby dhlhjhc ijh\h^blky g_ij_ju\gh \ l_q_gb_ q_luj_o
e_l?kebij_ih^Z\Zgb_\_^_lkygZ^he`ghfmjh\g_wlhldmjk^he`_g[ulv\hegmxsbf
gZihfbgZgb_f\k_fh lhfqlhaZ^ZqZf_^bpbgu²klZ\blv^bZ]ghae_qblvb ^h[b\Zlvky
h[e_]q_gby [heb kljZ^Zgby b aZ[he_\Zgby hkgh\u\Zykv gZ ih^oh^_ d [hevghfm dZd d
p_ehklghcebqghklb
Gh\h_ ba^Zgb_ \ mf_gvr_gghf jZaf_j_ WlZ dgb]Z y\ey_lky qZklvx [hevr_]h
ba^Zgby \ dhlhjhf ho\Zq_gu hkgh\u ih\_^_gq_kdbo gZmd b debgbq_kdbo ikbobq_kdbo
jZkkljhckl\ >Zggh_ f_gvr__ ba^Zgb_ \dexqZ_l hibkZgb_ lhevdh debgbq_kdbo
ijhy\e_gbc ikbobq_kdbo jZkkljhckl\ Jmdh\h^kl\h \ iheghf h[t_f_ ^Z_l \hafh`ghklv
klm^_glm ihevah\Zlvky dgb]hc gZ ijhly`_gbb \k_o q_luj_o e_l mq_[u \ f_^bpbgkdhf
bgklblml_ >Zggh_ jmdh\h^kl\h ]h^blky ^ey klm^_glZ dhlhjhfm lj_[m_lky mq_[gbd
\dexqZxsbc lhevdh debgbq_kdmx ikbobZljbx Fu kqblZ_f qlh lZdZy ]b[dhklv
h[_ki_qb\Z_l \hafh`ghklv \u[hjZ ^ey rbjhdh]h djm]Z qblZl_e_c aZgbfZxsboky
ikbobZljb_c ikboheh]b_c khpbZevghc ^_yl_evghklvx \ ikbobZljbb ^_yl_evghklvx
kj_^g_]h f_^bpbgkdh]h i_jkhgZeZ \ ikbobZljbb ih\_^_gq_kdhc j_dj_Zpbhgghc
\hkklZgh\bl_evghc  l_jZib_c b ^jm]bfb Zki_dlZfb k\yaZggufb k ikbobq_kdbf
a^hjh\v_f

Gh\u_ baf_g_gby \ wlhf ba^Zgbb WlZ dgb]Z kh^_j`bl gh\_crb_ jZajZ[hldb \
debgbq_kdhc ikbobZljbb < qZklghklb \ g_c ij_^klZ\e_gZ ghaheh]by jZajZ[hlZggZy \
lj_lv_f bkijZ\e_gghf ba^Zgbb :f_jbdZgkdhc IkbobZljbq_kdhc :kkhpbZpbb
©>bZ]ghklbq_kdh_ b klZlbklbq_kdh_ jmdh\h^kl\h ih ikbobq_kdbf aZ[he_\Zgbyfª
'LDJQRVWLFDO DQG 6WDWLVWLFDO 0DQXDO RI 0HQWDO 'LVRUGHUV '60,,,5  dhlhjh_ [ueh
him[ebdh\Zgh\  ]< g__\dexq_gu ^hklb`_gby\ h[eZklbbamq_gbyhj]Zgbq_kdh]h
ikbohkbg^jhfZ b k\yaZgguo k gbf jZkkljhckl\ gZjmr_gbc h[mkeh\e_gguo
mihlj_[e_gb_f ikbohZdlb\guo \_s_kl\ kh^_j`blky gh\uc b jZkrbj_gguc jZa^_e
hibkZgbyjZkkljhckl\kgZIh^jh[ghh[km`^Zxlkyihke_^gb_j_amevlZlu[bheh]bq_kdbo
bkke_^h\Zgbc \ oh^_ dhlhjuo [ueb h[gZjm`_gu wlbheh]bq_kdb_ nZdlu e_`Zsb_ \
hkgh\_jZaebqguoikbobq_kdbojZkkljhckl\
I_j_kfhlj_g jZa^_e ihk\ys_gguc lj_\h]_ dZd ghjfZevghc lZd b
iZlheh]bq_kdhc Zggh_jmdh\h^kl\hihdebgbq_kdhcikbobZljbbb ©KbghikbkihikbobZljbbª
khklZ\eyxl h^gm qZklv ljhcghc kbkl_fu jZajZ[hlZgghc Z\lhjZfb ^ey h[e_]q_gby
h[mq_gby ikbobZljbb b gZmdZf h ih\_^_gbb >jm]Zy qZklv wlhc kbkl_fu ij_^klZ\ey_l
kh[hc ©bZ]ghklbq_kdh_b klZlbklbq_kdh_jmdh\h^kl\hihikbobq_kdbfaZ[he_\Zgbyfª '60
,,,5  dhlhjh_ y\ey_lky aZdhghf \ Zf_jbdZgkdhc ikbobZljbb Lh]^Z dZd Z\lhju bf_xl
h]h\hjdb hlghkbl_evgh ihe_aghklb b h[hkgh\Zgghklb '60,,,5 dhlhjZy kh^_j`bl
gh\h\\_^_gby\uau\Zxsb_bgh]^Zkhfg_gby\ hlghr_gbb__ ij_bfms_kl\i_j_^ '60
,,, klm^_glu ^he`gu bamqblv '60,,,5 ^h l_o ihj ihdZ hgZ g_ baf_gblky
hij_^_e_ggufh[jZahfb dh]^Z[m^_lhim[ebdh\ZgZ\_jkby '60,9
=eZ\Z 

DEBGBQ?KDH?H;KE?>H:K ;HEVGUF< IKBOB:LJBQ?KDHCDEBGBD?

M

Kh^_j`Zgb_ b oh^ [_k_^u aZ\bkyl hl fgh`_kl\Z nZdlhjh\ g_dhlhju_ ba gbo fu
ijb\h^bfgb`_
AgZqbl_evgh_ \ebygb_ gZ nhjfm khh[s_gby [hevguf k\_^_gbc h k_[_ b gZ oh^

jZa\blby [_k_^u hdZau\Zxl oZjZdl_j kbfilhfh\ [he_agb b ebqghklgu_ hkh[_gghklb
[hevgh]h
LZdb_ oZjZdl_jgu_ ^ey debgbdb kblmZpbb dZd gZijbf_j ke_^mxsb_ [hevghc
gZoh^blky ih^ gZ[ex^_gb_f f_^bpbgkdh]h i_jkhgZeZ \ [hevgbqghc iZeZl_ [hevghc k
ikbohkhfZlbq_kdbfbkbfilhfZfb[hevghcdhlhjucg_fh`_lkijZ\blvkyk ^mr_\gufb
i_j_`b\Zgbyfb beb [hevghc dhlhjuc gm`^Z_lky \ g_hleh`ghc ihfhsb ² kha^Zxl
hkh[u_jZfdb\ dhlhjuonhjfbjm_lky[_k_^Z
GZoh^[_k_^ufh]mlhdZau\Zlv\ebygb_b g_lhevdhlZdb_l_ogbq_kdb_ nZdlhju
dZdl_e_nhggu_a\hgdbbkihevah\Zgb_^bdlhnhgZghb h[t_fb dhfnhjlghklvdhfgZlu
\ dhlhjhchgZijhoh^bl
:GGU?IHEMQ?GGU?H_ij_kkb\gu_ijbklmiu
H[s__ hibkZgb_ GZb[he__ lbibqguf kbfilhfhf y\ey_lky ]_g_jZebah\ZggZy
ikbohfhlhjgZy aZlhjfh`_gghklv ohly bgh]^Z gZ[ex^Z_lky ikbohfhlhjgZy Z`blZpby
hkh[_ggh m [he__ ih`beuo ex^_c  DeZkkbq_kdbc \b^ ^_ij_kkb\gh]h [hevgh]h²
kmlmeZy ihaZ hlkmlkl\b_ kihglZgguo ^\b`_gbc b ihlmorbc ljZ]bq_kdbc \a]ey^ ?keb
kbfilhfu ikbohfhlhjghc aZlhjfh`_gghklb m [hevgh]h \ujZ`_gu \ agZqbl_evghc
kl_i_gb hg fh`_l hq_gv gZihfbgZlv [hevgh]h k dZlZlhgbq_kdbf klmihjhf
DeZkkbq_kdbfb kbfilhfZfb ikbohfhlhjghc Z`blZpbb y\eyxlky ihlbjZgb_ jmd b
\u^_j]b\Zgb_\hehk
GZkljh_gb_ Znn_dl b hsms_gby >_ij_kkby y\ey_lky dexq_\uf kbfilhfhf
^Zggh]hjZkkljhckl\Zohlyijb[ebabl_evghiheh\bgZ[hevguofh`_lhljbpZlvgZebqb_
^_ij_kkb\guo i_j_`b\Zgbc b hgb g_ ijhba\h^yl gZ \jZqZ \i_qZle_gb_ agZqbl_evgh
^_ij_kkb\guo [hevguo Wlbo [hevguo qZklh kqblZxl \ k_fv_ b gZ jZ[hl_
g_h[sbl_evgufbb fZehZdlb\gufb
I_jp_ilb\gu_ jZkkljhckl\Z H ^_ij_kkb\guo [hevguo k [j_^hf b
]ZeexpbgZpbyfb]h\hjylqlhhgb[hevguikbohlbq_kdhc^_ij_kkb_cwlhll_jfbglZd`_
qZklh bkihevam_lky \jZqZfb ^ey hibkZgby ^_ij_kkb\guo [hevguo kh agZqbl_evgufb
ijhy\e_gbyfb j_]j_kkbb gZijbf_j l_o dhlhju_ ^_fhgkljbjmxl g_fhlm g_ ohlyl
ijbgbfZlv \Zggm g_qbklhiehlguo  ;j_^ b ]ZeexpbgZpbb khhl\_lkl\mxsb_
^_ij_kkb\ghfm gZkljh_gbx gZau\Zxlky ]Zjfhgbq_kdbfb beb ©dhg]jmwglgufbª
Dhg]jmwglguc gZkljh_gbx [j_^² wlh [j_^ \bgh\ghklb ]j_oh\ghklb kh[kl\_gghc
gbdq_fghklbh[gbsZgbyZ lZd`_kf_jl_evgh]hkhfZlbq_kdh]haZ[he_\Zgby gZijbf_j
fha] ©ijh]gbeª hl jZdZ  Kh^_j`Zgb_ g_ dhg]jmwglguo gZkljh_gbx [j_^Z b
]ZeexpbgZpbc g_ khhl\_lkl\m_l ^_ij_kkb\ghfm gZkljh_gbx G_dhg]jmwglguc [j_^ m
^_ij_kkb\gh]h [hevgh]h \dexqZ_l l_fu \_ebqby ij_m\_ebq_gghc kbeu agZgbc b
^hklhbgkl\ ² gZijbf_j\_jZ\ lhqlhhgy\ey_lkyF_kkb_cBgh]^Zijbikbohlbq_kdhc
^_ij_kkbbihy\eyxlky]ZeexpbgZpbbghwlh[u\Z_lj_^dh
Fukebl_evguc ijhp_kk >_ij_kkb\gu_ [hevgu_ h[uqgh hljbpZl_evgh kfhljyl
gZ fbj b gZ kZfbo k_[y Kh^_j`Zgb_f fuke_c h[uqgh y\eyxlky g_[j_^h\u_
jZafure_gby h ihl_jyo k\h_c \bg_ kmbpb^_ b kf_jlb M fgh]bo [hevguo kgb`Z_lky
kdhjhklv b h[t_f j_qb hgb hl\_qZxl gZ \hijhku h^ghkeh`gh b k aZ^_j`dhc
Ijb[ebabl_evgh m  ^_ij_kkb\guo [hevguo bf_xlky \ujZ`_ggu_ gZjmr_gby
fure_gby h[uqgh [ehdbjh\Zgb_ fuke_c djZcgyy kdm^ghklv kh^_j`Zgby j_qb beb
\ujZ`_ggZyh[klhyl_evghklv
Bfimevkb\ghklv kmbpb^u b h^_j`bfhklv m[bckl\hf Ijb[ebabl_evgh \ ²
 kemqZ_\ m ^_ij_kkb\guo [hevguo bf__l f_klh aZ\_jr_gguc kmbpb^ b hdheh 
ieZgbjmxl_]h;hevgu_k ikbohlbq_kdhc^_ij_kkb_cbgh]^Zfh]mliulZlvkym[blvebph
\h\e_q_ggh_\ bo[j_^h\mxkbkl_fmH^gZdhm gZb[he__ly`_euo^_ij_kkb\guo[hevguo
qZklhhlkmlkl\m_lg_h[oh^bfZyfhlb\Zpbybebwg_j]byqlh[ukh\_jrblvbfimevkb\gh_
^_ckl\b_ beb ijbf_gblv gZkbeb_ ;hevgu_ ^_ij_kkb_c bf_xl ih\ur_gguc jbkd
kmbpb^h\\ i_jbh^\ua^hjh\e_gbydh]^Zm gbo\hkklZgZ\eb\Z_lkyg_h[oh^bfZywg_j]by
^ey \uiheg_gby aZieZgbjh\Zggh]h kmbpb^Z iZjZ^hdkZevguc kmbpb^  Hq_gv qZklhc
hrb[dhc y\ey_lky \u^ZqZ ^_ij_kkb\ghfm [hevghfm \ fhf_gl \uibkdb ba debgbdb
[hevrh]hdhebq_kl\ZZglb^_ij_kkZglh\ hkh[_gghLK: 
Hjb_glbjh\dZ ;hevrbgkl\h ^_ij_kkb\guo [hevguo hjb_glbjh\Zgu \

kh[kl\_gghcebqghklbf_kl_b \j_f_gbohly\ jy^_kemqZ_\baaZhlkmlkl\bywg_j]bbb
bgl_j_kZd \hijhkmhgbfh]mlg_hl\_qZlvgZg_]h
IZfylv Ijb[ebabl_evgh ² ^_ij_kkb\guo [hevguo bf_xl