분열정동형 정신 분열증의 임상적 고찰 ᅳ 증상변화에 대한 3년간 경과 관찰을 중심으로 ᅳ

A Clinical Study on Schizoaffective Schizophrerii — 3 Years Follow -up Study Based on Progress of Chinical Manifestations ㅡ

This is a cass repart of an 18 year old femalepatient, who was given the initial diagnostic： impression of either manic depressive illness or schizophrenia, but after a period of observation，, was found to have a periodic psychosis showing, a chronological correlation between her symptoms and menstruation. She was treated by chlorpromazins, holoperidol, and lithium without clinical improvement. But a combined steroid oral contraceptive was tried to which she responded with gradual improvement without periodic exacerbation. after one month of the contraceptive medication she affainad a social recovery almost toher previous level of adjustment. After 70 days, of the contraceptive medication, it was discontinued and for 5 months since the disontinuation no recurrence of the symptoms was observed.