The disease of great dictators is mosaic psychopathy. Inability to make decisions disease Mosaic personality disorder

Mosaic psychopathy is characterized by multiple manifestations of antisocial behavior. People suffering from mosaic psychopathy cannot enter into boundaries social life. Sometimes in psychology other terms of mosaic psychopathy are used: multiple psychopathy, mixed psychopathy or dissocial personality disorder. Psychopathic personality and antisocial personality (sociopath) are equivalent concepts.

At present, no reliable cause for the development of mosaic psychopathy has been identified. Scientists have identified two theories of the development of the disease:

hereditary predisposition;
influence of the social environment.

Proponents of the hereditary nature of the disease suggest the dominant influence of a certain gene sequence on the development of psychopathy. The role of mutations in the human genotype cannot be ruled out. This theory is supported by the frequent combinations of psychopathy with organic brain lesions (mental retardation, schizophrenia, mental retardation) mental development).

Many experts point out that the development of antisocial behavior is often influenced by a history of traumatic brain injury.

With the prevailing influence of the social environment in conditions of ignoring norms and rules of behavior, the development of psychopathy is possible without organic damage brain and in the absence of similar diseases in the family.

Many psychologists are inclined towards these two versions of the pathogenetic formation of mosaic psychopathy. It is known that in 50% of cases, in the presence of a predisposition, the decisive role belongs to environmental factors. A favorable family environment and early instillation of social norms reduce the development of psychopathic behavior even in the case of a genetic predisposition.

Psychopathic personality

The term “psychopathic personality” is used by many doctors to describe patients with antisocial behavior. Mixed personality disorder has the following features of antisocial behavior:

inability to form attachments to others, including children and parents;
ignoring social norms and rules;
aggressive behavior;
imposing one’s own thoughts and opinions on others;
desire for dominance in relationships;
lying for one's own benefit;
inability to plan your actions;
unexpressed sense of conscience.

A psychopathic person cannot experience a sincere feeling of attachment to people, so he begins to build his relationships in order to achieve a certain benefit. At the same time, they understand all the norms and rules of behavior, but continue to deliberately ignore them.

Often such people skillfully know how to manipulate loved ones and relatives to achieve their goal. The dominant role in behavior is determined by own desires. Sociopaths have no problem lying for their own benefit. Among them there are often people who have committed an offense. People with personality disorders do not feel guilty. For their own benefit, they may imitate normal behavior, but for a short time.

A characteristic feature of sociopaths is the impulsiveness of their actions. They do not know how to apply long-term planning in their lives. All actions are related to achieving short-term results.

With mixed personality disorder, social restrictions and norms are perceived as tools for manipulating people. Sociopaths do not understand selfless behavior. The feelings of loved ones and relatives do not bother them much. They may use force or violence to satisfy their needs. In relationships with people, sociopaths occupy a dominant role with the phenomena of tyranny in the family.

Associated symptoms

To identify mosaic-type psychopathy in people, it is necessary to be guided not only by characteristic signs, but also pay attention to accompanying symptoms. Such symptoms complicate social adaptation and make it possible to identify sociopaths in early stages formation of antisocial behavior.

The main signs to suspect mosaic psychopathy are:

irritability;
emotional instability;
learning difficulties;
inability to perform the labor process, especially in a systematic manner;
pathological liars who attribute their mistakes to others;
emotional response.

Multiple personality disorder can be identified in children with antisocial behavior while still at school. As a rule, such children study poorly and are characterized by cruel behavior. They cannot react normally external factors Therefore, they always try to choose for themselves the role of a predator rather than a victim. Emotional response is a defense mechanism in which the child plays out a frightening scenario in order to replace the passive role with an active one. They choose weaker children as their victims.

In the early diagnosis of mosaic psychopathy, an important role is given to school psychologists, who should work with children on the subject of sociopathy. Special attention should be given to children from disadvantaged families, where children with early age antisocial behavior is instilled.

Types of mosaic psychopathy

In psychological practice, it is customary to distinguish two forms of psychopathy:

active;
passive.

People suffering from active psychopathy are characterized by behavior without internal or external delays. Sociopaths do not control their behavior and do not consider it necessary to comply with laws and rules in society. Such people can behave normally for some time, especially when required by a regime or supervision of authoritative people (hospitalization or imprisonment). Without supervision, active sociopaths revert to antisocial lifestyles. The presence of morality and conscience is not observed in them.

Passive sociopaths in their lives are guided by a certain set of rules that replace their conscience and other feelings. Most often, such people are committed to religion and actively observe all religious laws. Such people often exhibit ideological behavior, when they choose an ideal or an authoritative person to follow. These people simply obey certain laws without realizing the humanity of their actions. When deprived of an ideal and a change in their usual lifestyle, passive sociopaths may exhibit antisocial behavior.

Mosaic psychopathy and the law

Often the result of antisocial behavior is a violation of the law as a result of deviant behavior. Types of deviant behavior:

criminal;
antisocial.

Violation of legislation in the field of administrative or criminal law leads to consequences in the form of sexual assault, fraud, hooliganism and in the most severe cases murders.

Violating antisocial norms and rules does not directly harm the people around you, but may indirectly affect them. This behavior includes avoidance of work duties, minor mischief or inappropriate behavior.

Psychopathic personality traits often lead them to commit various crimes. However, sociopaths never regret committed violation law, but only that they were caught.

Socially, such individuals can realize themselves as leaders of a criminal group or religious sects. The fate of many people suffering from mosaic psychopathy is associated with drug or alcohol use. Dependence is formed only to satisfy one’s own desires.

Diagnostics

IN international classification ICD-10 diseases do not have a diagnosis of “mosaic psychopathy”. ICD-10 contains a section personality disorders. This is where possible diagnoses of psychopathic personality disorders are found.

With mosaic psychopathy, the diagnosis is established if there is the following signs(at least three):

indifferent attitude towards loved ones;
irresponsibility and disregard for social behavior;
inability to form attachments;
low threshold for controlling one’s aggressive behavior and a short period of frustration;
lack of guilt;
all kinds of justification for one’s behavior and blaming other people.

If at least three signs are established, then the doctor can safely diagnose “dissocial personality disorder” or “mosaic psychopathy.” Sometimes, for diagnosis, the school psychologist's notes on the presence of conflict behavior are reviewed. An additional symptom may include emotional instability and irritability.

But it is worth noting that the assessment of each patient’s behavior is taken into account individually. For this purpose, relationships between religion and law are drawn up to form antisocial behavior.

There are a number of other criteria introduced by the American Psychiatric Association, the presence of which is mandatory for the diagnosis of “mosaic psychopathy”:

inconsistency social norms and rules;
hypocritical behavior;
lack of planning in daily life;
aggressive and harsh behavior;
exposure of oneself and others to unjustified risks;
irresponsible behavior at work and in life;
lack of pity for others and indifferent behavior.

The diagnosis can only be made to adults. In this case, manifestations of psychopathy under the age of 15 should be taken into account.

In the presence of comorbid mental illness, evidence of antisocial behavior during periods of well-being is required. For example, with manic-depressive syndrome, behavior during periods of mania and depression is not taken into account. To identify complex cases, a commission is assembled to conduct a psychological examination to make a final diagnosis.

Treatment

At its core, psychopathy is an individual feature of the human constitution. Pathology therapy is not aimed at changing a person’s personality, but at correcting his social behavior.

Treatment of mosaic psychopathy is carried out by psychotherapists. In this case, the term “psychotherapist” should be distinguished from a psychiatrist. A psychiatrist treats mentally ill people with clinical diagnosis in psychiatry.

The basis of the activity of psychotherapists is to conduct psychotherapeutic sessions, during which a psychological portrait of the patient is compiled. Psychotherapists can be specialists with higher medical or psychological education who have completed special training courses. The goal of psychotherapeutic sessions is to correct social behavior.

Highlight the following types psychotherapeutic assistance:

individual sessions;
group sessions;
family sessions;
self-help groups;
educational activities;
change in habitat.

Patients with mosaic psychopathy very rarely seek help on their own. They are required by law to visit a psychotherapist while in correctional institutions. During the sessions, the specialist conducts psychoanalysis to identify the patient’s main problems.

Many people practice group sessions, when a whole group of patients with similar behavior is selected. During the sessions, the reasons for antisocial behavior are clarified and different ways their decisions.

One of the problems of psychoanalysis is the hostile attitude of patients who believe that the doctor specifically wants to discredit them in the eyes of other people. Therefore, the basis of psychoanalysis is the establishment of a trusting relationship between doctor and patient.

Sometimes when increased aggressiveness drug therapy is used. Various groups of drugs are used for treatment:

sedatives;
neuroleptics;
tranquilizers;
nootropics;
metabolic drugs;
mood stabilizers.

Antisocial behavior cannot be eliminated with medication. It is possible to instill a normal social image only through psychotherapeutic sessions.

Sometimes people themselves turn to specialists for help when they notice their different perception the surrounding world from other people. Such patients cannot independently understand the essence of the problem, so they are often in a confused state.

Therapy for psychopathy is not aimed at changing the patient’s personality, but at developing his ability to adapt to the conditions of the social environment. Reducing anxiety and emotional aggression helps patients manage their behavior.

Good lecture on personality disorders:

As statistics show, unfortunately, the number of children in the world who are unable to solve the simplest mathematical problems is not decreasing, but, on the contrary, increasing every year. Scientists from America and Great Britain came to this conclusion. There is a scientific name for this disease: dyscalculia. Experts believe that if proper measures are not taken, this could lead to a general financial disaster in a few decades. A message about this was published in the journal Science. The opinion that if a child does not succeed in counting, then perhaps he is simply a “humanitarian”, scientists consider erroneous. The development of literacy levels in society as a whole is given higher priority than numeracy skills.

Dyscalculia often accompanies the inability to master skills such as writing and reading (dyslexia), hyperactivity, and attention deficit disorder. According to statistics, people who do not have simple math skills are less likely to succeed in life, and some of them are completely unable to work. On a national scale, the fact of an increase in the number disabled citizens in the future, it could cause significant damage to the economy.

It is encouraging to observe that dyscalculia in most cases is not a brain pathology, but a consequence of developmental delay. The important thing is that in both cases, you can correct the situation and stop the disease. The solution was voiced by Professor Brian Butterworth, saying that it is imperative to work with the child, without letting everything take its course.

There are several factors that provoke the development of dyscalculia, and among them is psychological trauma associated with reproaches and punishment of the child due to his misunderstanding, mistakes or slowness. Fear and self-doubt cause reluctance to return to mathematical tasks and reduce the ability to count. Disorder psychological health A child’s disability is often also associated with his upbringing in a dysfunctional family.

What kind of violations mental activity lead to dyscalculia? These are the problems:

with concentration;
with memory, preventing you from learning rules and formulas;
with abstract logical thinking;
with information visualization.

But whatever the cause of the disease: congenital disorders mental development, psychological factors or trauma - with the involvement of specialists (speech therapist, neurologist, psychologist), with properly selected treatment, the prognosis for overcoming dyscalculia in children is favorable. For prevention, the development of memory and attention, spatial-logical thinking, coordination of movements, literacy and clarity of speech are important.

The future of our children is in our hands, so it is very important not to traumatize the child with reproaches and punishments. Patience, attention and love will help to recognize in time the difficulties that a child faces in the learning process. By paying attention to the development of the child and promptly seeking help from specialists if necessary, we take care of the future and fulfill our duty towards children.

You can improve memory and attention different ways. One of the options for additional training could be training on developmental simulators. Here you can practice for free, choosing a set of exercises individually or using specially created programs for developing memory and attention.

With a specific personality disorder, it is sometimes difficult to make a residual diagnosis, since signs may be identified that are considered incompatible by science. IN in this case, we mean mosaic psychopathy, characterized by the presence of a combination of several disorders in one patient. With this disease, the patient has no signs related to a certain type psychopathy. The symptoms are unstable, changeable, but, nevertheless, they are obvious. It is difficult for such a person to get accustomed to society, but it is also not easy for those around him, because it is difficult to adapt to such a person.

There are different combinations of disorders. If there are hysterical traits, supplemented by explosive ones, then the ground arises for the development of drives, addictions, and disorders. A combination such as psychoasthenia accompanied by schizoid disorder is often observed. What is typical here is the emergence of extremely valuable ideas in a person, which the patient tries to implement in any way. He has a certain plan, and such an initiator extols his own personality with this plan, while claiming that he is a kind of “messiah” destined higher powers to carry out this brilliant plan.

Symptoms of mosaic psychopathy

If there is a combination of increased temperament with mental disorder, it can be assumed that the person suffers from mosaic psychopathy. Typical representatives Patients in this category can be considered “irreconcilable “fighters” for their interests, who constantly complain to someone and about something. They are not satisfied with the work of housing and communal services, the behavior of their neighbors, the attitude of their superiors, and so on. Such people file applications to the courts at the slightest reason and persistently pursue appeals if their claims are rejected. Doctors consider a rather serious combination to be a condition where there is a combination of psychopathy that is the complete opposite of each other. This is hysterical, excitable, schizoid and asthenic. With this combination, a person begins to develop.

Mosaic psychopathy is considered a complex personality disorder. It manifests itself in many signs characteristic of several types of psychopathy. This condition causes difficulty in a person’s social adaptation. Mixed personality disorder does not have an underlying psychopathological syndrome; it is difficult to define due to the lack of persistence of symptoms. Predominant in different periods are completely different manifestations. Such diversity of symptoms inherent in mosaic psychopathy creates an incredible amount of adaptation difficulties for the patient.

Treatment of psychopathy

Psychopathy, including mosaic, in some cases is treated with medications. This is necessary if there is a sharp expression of pathological character traits, and in everyday life the patient experiences many problems. The environment of such a person also suffers to a large extent. The doctor prescribes medications depending on the patient's condition. If a person is prone to antisocial behavior, he will need it in combination with sedatives. If a person is subject to significant mood swings, the doctor will prescribe a course of treatment with anticonvulsants.

In such cases, it is important to know that when using psychotropic drugs it is prohibited to consume alcohol and drugs. This combination is extremely dangerous and can even be fatal.

We can also talk about mosaic psychosis. The term is more literary than medical, but it is sometimes customary to call complex sets of symptoms. There is nothing like that in class V of ICD-10, and making a diagnosis with the term “mosaic” simply would not indicate anything specific. However, the complex of psychoses can still be called mosaic. A tribute to tradition, so to speak.

Parallel diagnoses and Lukashenko syndrome

In general, diagnoses of a type parallel to reality are not uncommon in psychiatry. Usually there are clearly outdated terms, a cunning combination of words from different definitions, or the attachment of additional words to the main concept. Sometimes terms appear from the titles of books that are quite worthy of respect or simply interesting authors. For example, “information psychosis” is from the title of G.P. Krokhalev’s book, and “mosaic psychopathy” is some kind of not entirely necessary name, which at the beginning of the 21st century gained popularity at the suggestion of psychiatrist Dmitry Shchigelsky. He and some other doctors found this disorder in the President of the Republic of Belarus. As a result, the fundamental work “The Case History of Alexander Grigoryevich Lukashenko” was published. It also contains a diagnosis: “moderately expressed mosaic psychopathy with a predominance of features of paranoid and dissocial personality disorders.”

“Mosaic psychopathy” is usually understood as a combination of signs of multiple syndromes. Together they represent dissocial personality disorder F60.2, which can be expressed in a variety of ways. Eric Berne distinguished two types - active and latent. The first type is aggressive and can restrain itself only in the presence of authority. Such people:

deliberately avoid work;
capable of criminal acts;
deliberately create problems on the roads;
prone to crime.

The second one is softer and bases his behavior on his own, most often stupid, interpretation of what is right and what is not. What is most touching about Shchigelsky’s diagnosis is the use of the term “paranoid” in combination with personality disorder.

The category of specific disorders includes F60.0 paranoid (paranoid) personality disorder, which in essence differs little from dissocial. Such people are suspicious, vindictive, vengeful, prone to frustration, and a tendency to acutely experience their importance.

There was no need to make a mix, but apparently Shchigelsky wanted to cram more bad words into his definition of Lukashenko’s condition. If there had been a diagnosis of “Abomination and disgusting personality of an aggressive type,” he would have used it. In combination with mosaic psychosis it turned out especially impressive.

The magic of terms and reality

But it still has something to do with psychiatry. True, personality disorders are not mental disorders in full, but simply highlighting the type of thinking and behavior, the psychological constitution of a person, and often does not require any treatment. The magic of words is that in one phrase something with a hint of mosaic and words about paranoia are combined. The latter is associated in people’s minds exclusively with schizophrenia. These are the terms that give rise to diagnoses on the other side of the justified ones, and then people look for symptoms of mosaic schizophrenia.

All types of pathogenesis, which are characterized by a paucity of symptoms, are highlighted separately. There is a special code F21.5 “Symptom-poor” schizophrenia. Only this is not schizophrenia, but schizotypal disorder. The essence of making a diagnosis, which is related to block F20, is precisely that you need to find several criteria. Each of them is characterized by its own symptoms and an individual set of symptoms is obtained. If it is schizophrenia, then it is always rich in symptoms, they always fit into a mosaic and there is no particular need to note this.

Greater confusion is caused by attempts to track signs of pranoidism in the symptom complex without making a diagnosis of “schizophrenia”. It’s hard to say how and who imagines all this, but in practice it might look like this... A man comes home. First of all, he insults his wife. Then he sits down to dinner and always leaves some of the food to declare that the food is disgusting. He hits the table with his fist. The son is hiding because dad is about to start checking the diary. While checking, he thinks about whether this is the same diary. In the present there are probably only deuces, but he slips this one in as a distraction. And so all the time. It is impossible to work with such people, life is difficult. Paranoidity is present in the form of some traits and nothing more. They are not just distrustful, but it takes on bizarre pathological features. Not just embittered, but even to the point of developing the characteristics of an embittered personality.

This includes many syndromes - fanatical disorder, sensitive-paranoid, querulant and a number of others, but schizophrenia is clearly excluded, delusional disorder and paranoia. So what remains of paranoia is the very structure of thinking and behavior.

Mosaic psychopathy

With a specific personality disorder, it is sometimes difficult to make a residual diagnosis, since signs may be identified that are considered incompatible by science. In this case, we mean mosaic psychopathy, characterized by the presence of a combination of several disorders in one patient. With this disease, the patient does not have signs related to a certain type of psychopathy. The symptoms are unstable, changeable, but, nevertheless, they are obvious. It is difficult for such a person to get accustomed to society, but it is also not easy for those around him, because it is difficult to adapt to such a person.

There are different combinations of disorders. If there are hysterical traits, supplemented by explosive ones, then the ground arises for the development of drives, addictions, and disorders. A combination such as psychoasthenia accompanied by schizoid disorder is often observed. What is typical here is the emergence of extremely valuable ideas in a person, which the patient tries to implement in any way. He has a certain plan, and such an initiator extols his own personality with this plan, while claiming that he is a kind of “messiah”, destined by higher powers to carry out this brilliant plan.

Symptoms of mosaic psychopathy

If there is a combination of increased temperament with paranoid disorder, it can be assumed that the person suffers from mosaic psychopathy. Typical representatives of patients in this category can be considered “irreconcilable “fighters” for their interests, who constantly complain to someone and about something. They are not satisfied with the work of housing and communal services, the behavior of their neighbors, the attitude of their superiors, and so on. Such people file applications to the courts at the slightest reason and persistently pursue appeals if their claims are rejected. Doctors consider a rather serious combination to be a condition where there is a combination of psychopathy that is the complete opposite of each other. This is hysterical, excitable, schizoid and asthenic. With this combination, a person begins to develop schizophrenia.

Mosaic psychopathy is considered a complex personality disorder. It manifests itself in many signs characteristic of several types of psychopathy. This condition causes difficulty in a person’s social adaptation. Mixed personality disorder does not have an underlying psychopathological syndrome; it is difficult to define due to the lack of persistence of symptoms. Completely different manifestations predominate in different periods. Such diversity of symptoms inherent in mosaic psychopathy creates an incredible amount of adaptation difficulties for the patient.

Treatment of psychopathy

Psychopathy, including mosaic, in some cases is treated with medications. This is necessary if there is a sharp expression of pathological character traits, and in everyday life the patient experiences many problems. The environment of such a person also suffers to a large extent. The doctor prescribes medications depending on the patient's condition. If a person shows aggression and is prone to antisocial behavior, he will need antipsychotics in combination with sedatives. If a person is subject to significant mood swings, the doctor will prescribe a course of treatment with anticonvulsants.

In such cases, it is important to know that when using psychotropic drugs it is prohibited to consume alcohol and drugs. This combination is extremely dangerous and can even be fatal.

Psychopathy - congenital or acquired in early childhood features of personality, manifested in general disharmony and instability of mental processes.

Agitation

This emotional arousal is quite strong, and agitation is accompanied by anxiety, fear, and turns into speech and motor.

Signs of psychopathy in men

Psychopathy has differences that prevent it from being confused with mental illness. Most likely it is antisocial personality disorder that creates.

Hysterical psychopathy

IN clinical practice hysterical psychopathy is diagnosed quite often, since this pathology is quite common these days. IN.

Schizoid psychopathy

Schizoid psychopathy is characterized by the manifestation of certain symptoms. Psychopathic personalities of the schizoid type are characterized by secrecy, pathological isolation, autism, and a certain isolation.

Signs of psychopathy

Psychopathy is a condition that is qualitatively different from mental illness. Psychopathy can also be called antisocial personality disorder, an innate character abnormality.

Sexual psychopathy

The definition of sexual psychopathy refers to impulsive forms pathological development, of which there are many. This term began to be used relatively recently. Experts note.

Psychopathy (personality disorders)

Psychopathy (personality disorders) Types of psychopathy Dynamics and treatment of psychopathy Personality disorders, or psychopathy, are persistent, developing in childhood and.

Types of psychopathy

Psychopathy (personality disorders) Types of psychopathy Dynamics and treatment of psychopathy Psychopathy is classified as borderline mental disorders, they occupy a position between.

Dynamics and treatment of psychopathy

Psychopathy (personality disorders) Types of psychopathy Dynamics and treatment of psychopathy DYNAMICS OF PSYCHOPATHY According to P.B. Gannushkin, psychopathy needs to be studied not only.

Mosaic psychopathy

Mosaic psychopathy is a complex personality disorder that combines many signs of mental pathologies. With this disease, the patient experiences severe difficulties in social adaptation. Due to the large number of symptoms, the disease is very difficult to diagnose. Mixed and diverse symptoms can worsen and subside over time. If the patient has character traits such as hysteria and hot temper, then mosaic psychopathy can give rise to a craving for drugs, gambling and alcohol in a person. In more severe cases, the disease becomes the cause of unreasonable outbursts of rage and manic sexual addictions.

Symptoms of mosaic psychopathy

Signs of this disease can be seen at historical figures, especially among dictators. Mosaic psychopathy can be seen in Stalin, Hitler, Lenin and Ivan the Terrible. The disease may be asymptomatic for a long time. Its severity depends on the form of the pathology. The main symptoms of mosaic psychopathy are:

tendency to manipulate;
belief in “conspiracy theory”;
presence of a “highly valuable idea”;
heightened self-esteem;
inability to sympathize.

Despite the fact that it is extremely difficult for a person with this disease to adapt to society, he is able to realize his career as effectively as possible. Having a highly valuable idea or “mission” allows him to fully concentrate on his work. Other symptoms are:

hot temper;
lack of fear;
egocentrism;
aggressiveness.

Methods of achieving the goal, depending on the severity of the pathology, may be unethical and even illegal. Psychasthenia with schizoid disorder makes the patient consider himself a messiah or prophet. The patient also experiences unreasonable attacks of rage and euphoria.

Causes of the disease

As a rule, mosaic psychopathy develops against the background of existing personality disorders. This disease cannot be congenital. It appears due to various provoking factors and psychological trauma. Some brain pathologies can affect the patient’s already formed personality. The most common organic causes are:

cranial grass;
epilepsy;
neuroinfection;
drug addiction;
alcoholism.

The disease can develop due to personal tragedies and severe emotional turmoil. But pathology also arises due to intrapersonal conflicts. Destructive feelings appear due to a lack of motivation in life and self-hypnosis. The last factor is one of the most common. With the help of an instilled “overvalued idea,” a person finds false explanations for his personal failures. Other causes of psychopathy are:

depression;
consequences of sexual violence;
frequent stress;
financial insolvency;
failures in intimate life.

There can be many psychological reasons for the appearance of pathology. If the disease is formed in combination with organic factors, it will be easier for the doctor to diagnose the disease. Psychological factors are much more difficult to identify, since the clinical picture is constantly changing. To prevent the disease from developing to a complicated stage, you need to consult a specialist in a timely manner.

Which doctor should I go to?

Psychiatry deals with the treatment and diagnosis of mental pathologies. It is noted that it is almost impossible to identify such a complex disease as mosaic psychopathy the first time. This is explained by the fact that the symptoms of the disorder do not relate to one specific type, but to several at once. If you suspect you have signs of psychopathy, you need to contact:

The appointment will begin with a confidential conversation with the patient. Strong contact between the doctor and the patient is a guarantee of the objectivity of the examination. It is important for a specialist to establish possible organic reasons diseases. The psychiatrist will ask whether the patient has suffered a traumatic brain injury and whether there have been cases of infection with neuroinfectious pathologies. The doctor will also clarify:

Do you experience depression?
What's annoying you lately?
How do you behave in stressful situations?
Are there problems in the family?
How do you communicate with colleagues and neighbors?
How do you feel about your condition?

During the conversation, the doctor will monitor the patient’s facial expressions, intonation and reaction. This will allow him to determine the patient’s level of adaptation in society. The psychiatrist will ask the patient to expose sensitive areas of the body. With mental disorders, patients can inflict injuries on themselves (cuts, burns, hematomas, injection marks). Next, the psychiatrist will conduct a series of psychopathic tests. To clarify the results, the patient may be referred for electroencephalography and skull radiography.

Treatment of mosaic psychopathy

In general, the disease does not require therapy. IN drug treatment only those patients who experience an exacerbation of mental disorder, namely the appearance of delusional ideas, obsessions and depressive state. When layering mosaic psychopathy, therapy is necessary. In this case, the patient will be prescribed:

neuroleptics;
tranquilizers;
mood stabilizers;

Treatment will be aimed at reducing acute condition. The drugs are selected individually for each patient. For particularly severe excitability, tranquilizers are usually prescribed. While taking medication, the patient is strictly contraindicated to take alcohol and drugs. If the disease occurs in mild form, the psychiatrist will only prescribe:

antidepressants;
vitamins;
auto-trainings.

Taking medications will not work without regularly visiting a psychiatrist. Dialogue and psychoanalysis are the main method of treating mental pathologies. Talking in a group can also help. For the entire period of treatment, the patient will be given a certificate of incapacity for work.

How dangerous is the disease?

Mosaic psychopathy can be combined with hysterical, paranoid, schizoid, excitable and asthenic personality disorder. Each of the forms has its own characteristic symptoms. Some mental disorders go unnoticed, while others create a danger to society. The following character traits are identified, which, in combination with any type of psychopathy, can make a maniac, rapist or murderer:

emotional dullness;
rapid excitability;
epileptoidism.

As a rule, patients do not go to the doctor on their own because they do not consider themselves sick. For example, proactive and hot-tempered people suffering from the initial stages of paranoid schizophrenia are confident that the whole society is treating them unfairly. Patients with litigious-queerulant behavior experience an irresistible thirst to constantly write complaints and statements. Regardless of the type of psychopathy, the disease can develop into schizophrenia. Therefore, treatment for this disease should be started as quickly as possible. Otherwise, the patient risks losing his mind.

Statistics show that in the United States, sleep disorders (insomnia) are diagnosed in no less than...

Lethargy is considered a symptom that is characterized by a lack of vigor, mobility, and r.

If a person suffers as a result of even minor physical, intellectual or emotional problems.

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Mosaic psychopath, genius or killer?

Mosaic psychopathy is characterized by the presence of signs that in medicine should not be combined with each other, but despite this, they are present in the medical history. The clinical picture seems to consist of different psychopathic traits, which are pieces of a mosaic, which is where the name of the disease comes from; this pathology is also called complex, polymorphic or complex psychopathy.

How does the disease manifest itself?

Various psychopathic traits can be combined with mosaic disorders. For example, a combination of hysterical and asthenic, schizoid and cycloid traits; sometimes a combination of symptoms of not two, but even three different psychopathy can be observed.

Schizophrenia with personality disorder mixed type in the presence of such traits as hysteria, unstable psyche and disturbances in the field of desire can lead a person to alcohol, gaming or drug addiction. Often such people lead an asocial lifestyle; they have great passion and an unquenchable thirst for pleasure, which can lead to violations of law and order and criminal liability.

Psychasthenic and schizoid disorders often lead to the emergence of overvalued ideas. Patients are completely absorbed in bringing their, in their opinion, very important and valuable ideas to life. Of course, they are delusional and have no value for society. But any criticism of patients and their conclusions is perceived aggressively, which ultimately leads to detachment from society.

Mosaic psychopathy can manifest itself in litigious-queerulant behavior. This happens if there are signs of paranoid schizophrenia together with excessive initiative and temperament. This behavior manifests itself in the constant need to write all kinds of complaints and slander. Such people believe that their interests have been infringed and are constantly trying to prove the opposite through court statements and petitions.

The most difficult variant of the course of the disease in terms of society is a combination of any type of psychopathy with emotional dullness, excitability and epileptoidism. In such combinations, aggressive features come to the fore. Such people are heartless, cruel, have no moral standards, are aggressive and conflictual towards society. Among such patients, the most common are maniacs, murderers and rapists.

Based on a similar picture, the Italian psychiatrist S. Lobroso introduced the term “congenital criminal.” Regarding his theory, a special type of degradation, which originates at the biological level, leads to criminal actions, despite the environment in which such a person was brought up. Such a theory has not been fully recognized, since crime cannot be considered only from the biological side, but the fact that emotional degradation is the first step to crime is a fact.

Hysterical psychopathy in combination with asthenic or excitable psychopathy can lead to the development of one of the forms of schizophrenia.

An option may occur when the symptoms of congenital mosaic schizophrenia are layered with an organic personality disorder, the latter being acquired. Such situations are possible with damage to brain structures. For example, when additional head injuries, epilepsy or drug and alcohol addiction occur against the background of schizophrenia.

Other signs of pathology may also appear; they are extensive and sometimes completely incompatible with each other. For example, the following symptoms may occur:

attacks of anger or euphoria, for no apparent reason;
emotional instability;
inability to concentrate and perform purposeful action;
speech is fluent, but not, in fact, often full crazy ideas etc.

The course and dynamics of mosaic psychopathy

A psychopathic reaction can occur in a number of ways various reasons, for example, as a result of suffering some serious illness or severe stress. Such an attack occurs suddenly, in response to a situation that is painful for the patient, while a healthy person would not even pay attention to what is happening. The response of a psychopath is incommensurate with the strength of the stimulus. In response to an insignificant statement from an opponent, aggression, rage, anger, and even assault with the destruction of objects around may follow.

The more often traumatic events occur, the stronger the decompensation. As a result, even a minor psycho-traumatic fact leads to the manifestation of a seizure. Even after completion conflict situation, the psychopathic reaction may remain for a long time.

Conflict with society, the formation of narcotic and alcohol addiction, complete antisociality is a common outcome of the disease.

In addition to all this, mosaic psychopaths often have a sexual disorder; they suffer from abnormal, often perverted attraction. As a result, they become pedophiles, homosexuals, masochists and sadists.

Is the pathology treatable?

Treatment for cases of mosaic psychopathy is controversial. If the pathology is weakly expressed and does not manifest itself in the form of systematic psychopathic reactions, treatment as such is not prescribed; only check marks from a psychiatrist are sufficient. If the disease has obvious features and clinical picture, without drug therapy not enough.

The choice of drugs depends on the patient's symptoms. If aggressiveness and antisocial behavior predominate, the basis of treatment will be antipsychotic drugs, as well as sedatives. In cases where mood swings are pronounced, it will be relevant anticonvulsants. For depressive and depressed conditions, antidepressants are prescribed. Additionally, different groups of vitamins and psychotherapy are used.

Note! When taking any psychotropic drugs, it is strictly prohibited to consume alcohol and drugs. Their combination is dangerous and can cause unexpected side effects up to and including death.

Genius and madness

There has long been an opinion about the relationship between talent and madness, and this fact has been repeatedly confirmed. Quite a large list of brilliant people suffered from schizophrenia and at the same time created masterpieces in their fields. Most of the geniuses of past eras had undeniable signs of schizophrenia, although during their lifetime, for obvious reasons, no clear diagnoses were established for them. But after many years, psychiatrists’ observations and analysis historical facts about life famous people that time, allowed us to determine whether they had schizophrenia.

Famous mentally ill individuals include:

Russian prose writer Mikhail Bulgakov;
Dutch painter Van Gogh Vincent, he spent the rest of his life in a hospital for the mentally ill;
Spanish architect Gaudi Antonio;
the famous Russian writer Nikolai Gogol, his works were based on visual and auditory hallucinations, he also suffered from hypochondria;
Austrian writer Kafka Franz;
German philosopher Nietzsche, in his works an idealistic attitude towards oneself in relation to the rest of the world is clearly visible;
the French writer Jean Jacques Rousseau suffered from persecution delusions;
German physicist Albert Einstein suffered from a manic form of schizophrenia with frequent depressive states.

Among famous modern figures, according to Belarusian psychiatrist Dmitry Shchigelsky, the President of the Republic of Belarus is a mosaic psychopath. Of course, the doctor decided to speak out loud about this conclusion only after leaving for the USA.

It is important to note that according to medical ethics, public disclosure medical reports prohibited, with the exception of people engaged in public activities, which is a kind of payment for publicity. Thus, a council of doctors who conducted a correspondence analysis of the president’s behavior made a diagnosis: “moderately expressed mosaic psychopathy with a predominance of features of paranoid and dissocial personality disorders.”

Among the main signs of Lukashenko’s mosaic psychopathic state, Shchigelsky identified:

excessive tendency to manipulate;
suspicion and tendency to overvalued ideas;
low threshold for aggressive behavior;
sadistic tendencies;
disregard for social norms;
lack of close friends, etc.

Incredible Facts About Schizophrenia

Some numbers will definitely surprise you:

all over the world, 1% of the population suffers from schizophrenia, which means out of a thousand people, one is definitely sick with this pathology;
among all artists and politicians, 9% have symptoms of schizophrenia;
30% of composers experience auditory hallucinations;
25% of poets and 30% of artists suffer from hallucinosis;
5% famous personalities today have attempted suicide.

Genius and signs of schizophrenia, where is the line?

There are a number of signs that may indicate a psychopathic state and even schizophrenia. You should consult a specialist if the following manifestations occur:

there are moments when voices are heard;
visits a state of stupor, inaction and detachment from what is happening around;
it seems that you are given the ability to read other people’s thoughts;
ideas arise that fill all temporary spaces in thoughts about them;
there are visions, they can be a sign of hallucinations;
lack of meaning in life, frequent depression;
hatred and anger towards society, detachment from people;
absorption by one's own experiences.

Characteristics of a mosaic psychopath

home distinguishing feature a psychopath is the absence of such feelings as sympathy, and, accordingly, the feeling of guilt. In that main reason committing atrocities by mentally ill people. There is a certain characteristic that allows you to create a description of a psychopath:

misunderstanding of the feeling of fear. For a healthy person, it is not difficult to see fear in a person by facial expressions and gestures. The main minimal manifestations of fear are considered to be: dilation of the pupils, opening of the mouth and raising of the eyebrows; everything else is felt intuitively. So, a psychopath, seeing such facial expressions, is simply unable to recognize fear in a person. The amygdala is responsible for this perception. In a sick person, its shell is much thinner and its volume is smaller than in a healthy person, as a result of which there is no understanding of fear. At the same time, the psychopath is able to distinguish and feel all other feelings, but not fear;
an irresistible desire to manipulate other people. The desire to kill and manipulate arises in this group of patients as a result of excessive production of dopamine. This substance is produced in the brain and is responsible for the pleasure center. Psychopaths become “dopamine addicts”, the thirst for releasing a new dose of the substance into the brain and receiving satisfaction, thus provokes them to commit murder, violence or aggression;
"button" of sympathy. Interesting research carried out by neurologists from the University of Groningen in Holland, as a result of which they came to the following conclusion. Psychopaths do not feel compassion and empathy, the pain of others, they are not able to take the place of a person who is feeling bad. But, despite this, they have moments when they can be good-natured and friendly, but only in those cases when they need it. If a healthy person always has a feeling of sympathy, then in people with this pathology it is in a state of “turned off” until the moment they need. This is why maniacs and murderers are often very friendly with their victims at first, and then deal with them bloodthirstyly;
professions that attract psychopaths. Kevin Dutton, a researcher from Oxford, has identified a list of professions where greatest number insane people. And what a surprise it was when the leading position was taken not by lawyers, police officers or even doctors, but by the position “ CEO" Testing on volunteers from the “business sharks” showed that one out of 25 people is a psychopath. Moreover, they achieved such heights not for their professional qualities, but, strangely enough, for their charm, which again confirms the theory about turning feelings on and off. A manic thirst for manipulation and terror pushes such people to occupy high management positions, including not only in business, but also in the leadership of the state.

Mosaic psychopathy and schizophrenia are slightly different things, although some group them together. Psychopathy may have schizoid features and similar manifestations, but the diagnosis is still different. The danger of the pathology depends on the symptoms shown. Some become brilliant writers, artists and poets, others become merciless killers and maniacs. In any case, such a condition requires consultation and further monitoring of a specialist, because only he is able to distinguish genius from a potentially dangerous killer.

Mosaic type psychopathy

Mosaic psychopathy is a type of personality disorder that combines different symptoms various psychopathies. The consequence of this disorder is a pronounced difficulty in social adaptation.

This mixed personality disorder involves an underlying psychopathological syndrome that is either undetectable or inconsistent. In this case, sometimes one or the other signs serve as the basis. Psychopathy is characterized by diverse symptoms, but all of them become an obstacle to a person being able to adapt to society, to adapt to its oral social requirements and unwritten laws. With such a complex psychopathy, it is difficult to detect the predominant symptom.

Features of the disorder

In combination with signs of mosaic psychopathy, certain character traits can lead to rather unpleasant consequences for a person. So, for example, if the character contains such traits as hysteria, emotional instability, hot temper, in combination with psychopathy, this may lead to the appearance in the future serious consequences. The combination of hysterical traits and hot temper gives rise to some kind of addiction (craving for alcohol, drugs, gambling addiction, manic sexual addictions).

If, in a disorder of a mixed type, a combination of schizoid and psychasthenic symptoms occurs, this often provokes the emergence of overvalued thoughts and ideas. Such people tend to elevate ordinary ordinary ideas or thoughts to the category of especially significant ones, while they make every effort to ensure that they own ideas realized.

Such a person has a certain idea, while he is in his own invented reality, which is somewhat different from the real one. When initiating the implementation of brilliant ideas, a person imagines himself as a kind of messenger entrusted with the implementation of a brilliant idea.

With a combination of manifestations of paranoid psychopathy and increased irascibility and initiative, litigious-querulant behavior is formed. With this behavior, a person constantly strives to defend his interests, which are allegedly infringed by someone. Such people constantly complain to all sorts of authorities, constantly write denunciations and slander, and file lawsuits in court. They are not satisfied with the work of social and public services, the attitude of neighbors and authorities. They tend to file lawsuits at the slightest reason. And subsequently they again and again strive to appeal the court’s decision, whatever it may be.

When signs of opposite personality disorders are detected in a person, for example, hysterical and schizoid psychopathy, excitable and asthenic, such combinations are quite dangerous. A mixture of opposite signs in the future may transform into the development of schizophrenia. This deviation is recognized by doctors as very dangerous.

If an organic disorder occurs

An exacerbation of psychopathic traits can also occur after a person has been ill with some serious illness or when chronic diseases internal organs.

Sometimes mosaic psychopathy is combined with organic personality disorder. This pathological condition not congenital, it is acquired as a result of provoking factors and psychological trauma. A large number of diseases that affect the brain can lead to significant changes in a person’s already formed personality. The most common reasons that provoke the development organic disorder, are:

traumatic brain injuries;
epilepsy;
neuroinfections;
alcohol addiction.

If before the disease manifested itself, a person had mixed signs of various disorders, and it was very difficult for him to find a common language with the people around him, then after a brain disease is added to such symptoms, such signs become even more intense. Reactions often include aggression, anger, anger, protest, and indignation.

This disease can cause the following symptoms:

decreased performance;
increased emotional instability;
attacks of aggression or euphoria;
delusional ideas in statements.

Long and detailed conversations are not really informative, man in different words repeats the same thing.

Therapy for the disorder

As such, mosaic psychopathy does not require treatment. TO medical care They are addressed only at the stage of exacerbation of a personality disorder, when excitability, delusional statements, obsession, and depression occur. In these cases, treatment for psychopathy is necessary.

If a patient experiences a layering of an organic personality disorder on top of a mixed psychopathy that is already present, then therapy is mandatory. The main goal of treatment is to inhibit the development of the disease and preserve the person’s social adaptation. Based on the signs and manifestations, it is advisable to prescribe medications:

neuroleptics;
tranquilizers;
antidepressants;
mood stabilizers;
vitamin complexes.

Drug treatment is carried out in cases where the signs of mosaic psychopathy are pronounced and negatively affect a person’s quality of life.

Mosaic schizophrenia is something like a "square equation". Quadratic equation exists, but the rearrangement of concepts in formulations leads to incomprehensible definitions. In this way, strange diagnoses of a popular nature are formed. We can also talk about mosaic psychosis. The term is more literary than medical, but it is sometimes customary to call complex sets of symptoms. There is nothing like that in class V of ICD-10, and making a diagnosis with the term “mosaic” simply would not indicate anything specific. However, the complex of psychoses can still be called mosaic. A tribute to tradition, so to speak.

Mosaic schizophrenia involves a whole complex of psychoses

In general, diagnoses of a type parallel to reality are not uncommon in psychiatry. Usually there are clearly outdated terms, a cunning combination of words from different definitions, or the attachment of additional words to the main concept. Sometimes terms appear from the titles of books by quite respectable or simply interesting authors. For example, “information psychosis” is from the title of G.P. Krokhalev’s book, and “mosaic psychopathy” is some kind of not entirely necessary name, which at the beginning of the 21st century gained popularity at the suggestion of psychiatrist Dmitry Shchigelsky. He and some other doctors found this disorder in the President of the Republic of Belarus. As a result, the fundamental work “The Case History of Alexander Grigoryevich Lukashenko” was published. It also contains the diagnosis: “ moderately severe mosaic psychopathy with a predominance of features of paranoid and dissocial personality disorders».

There is information that Alexander Grigorievich has a similar illness. However, there was no evidence of this.

“Mosaic psychopathy” is usually understood as a combination of signs of multiple syndromes. Together they represent dissocial personality disorder F60.2, which can be expressed in a variety of ways. Eric Berne identified two types - active And latent. The first type is aggressive and can restrain itself only in the presence of authority. Such people:

deliberately avoid work;
capable of criminal acts;
deliberately create problems on the roads;
prone to crime.

Sometimes patients with mosaic schizophrenia behave extremely aggressively

The category of specific disorders includes F60.0 paranoid (paranoid) personality disorder, which in essence differs little from dissocial. Such people are suspicious, vindictive, vengeful, prone to frustration, and a tendency to acutely experience their importance.

The magic of terms and reality

But it still has something to do with psychiatry. True, personality disorders are not mental disorders in full, but simply an identification of the type of thinking and behavior, the psychological constitution of a person, and often do not require any treatment. The magic of words is that in one phrase something with a hint of mosaic and words about paranoia are combined. The latter is associated in people’s minds exclusively with schizophrenia. These are the terms that give rise to diagnoses on the other side of the justified ones, and then people look for symptoms of mosaic schizophrenia.

The presence of schizophrenia in a person must still be confirmed by a qualified psychotherapist.