title: [Litigious nosogenic reaction].
abstract: In general somatic hospital the prevalence of litigious nosogenic reactions (LNR) was 4,3 pro mille. It was examined 52 cases of LNR. Paranoic (overvalued and delirious) disorders were the main ones in clinical picture of LNR. Two forms of motivation were noted: rental disorders (demand of money compensation of the loss resultant from somatic disease) and equitable ones (revelation of the damage due to actions of medical personnel). Among the patients with rental LNR (43 persons) the individuals with hysteric disorders of personality (hysterical psychopathy) were mainly found. Meanwhile among the patients with equitable LNR (9) there were patients with slow-progredient psychopathic-like schizophrenia inclined to the development of paranoic reactions and with litigious-paranoic tendencies. The development of rental LNR was seen in comparatively favourable course of somatic diseases which was not connected with invalidism or considerable loss of ability to work. In somatic diseases, when equitable LNR were formed, it was not possible to reveal a preference in severity of the course of somatic disease.
authors.forename: D E
authors.initials: DE
authors.lastname: Vybornykh
authors.forename: M Iu
authors.initials: MIu
authors.lastname: Drobizhev
mesh_terms: D000328:Adult; D000368:Aged; D002391:Catchment Area, Health; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009031:Moscow; D010259:Paranoid Disorders / Q000453:epidemiology / Q000523:psychology; D013001:Somatoform Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology