Problems of classification of hypochondriac and affective disorders in clinic of borderline states

In this article the author tries to oppose the modern principles of classification in psychiatry, considering disease states as discrete disease entities - longitudinal approach to diagnosis. Based on 139 observations of patients with hypochondriac disorder, the clinical picture of which was determined by anxiety and depressive manifestations and, in its degree sufficient for use as diagnostic criteria, the author reveals the general mechanisms of formation and development of hypochondriac disorders of neurotic level, from primary psychoadaptive and psychodisadaptive disorders, through generalization of anxiety - to addition of new personality traits. Based on these observations, the author suggests, as a basis of therapy, psychotherapeutic methods oriented at pathopsychology. This study is a part of a larger one, where the author attempted to identify a common approach to the affective disorders of neurotic level.