On the issue of differential diagnosis of childhood autism and childhood schizophrenia (clinical psychological evaluation of the case)

The article discusses the current state of the problem of the multidisciplinary approach to the diagnosis of childhood autism and child schizophrenia, the differentiation of nosology data. The article is based on the analysis of a case of prolonged clinical observation of the formation of a specific defect in a patient with an early and severe onset of endogenous disease, which led to disruption in development. Differences between childhood autism and schizophrenia are presented in the dynamics of differential-diagnostic data. Detailed anamnestic and follow-up data collected over 8 years, data from pathopsychological markers of children's autism and childhood schizophrenia are highlighted. The issues of medical, psychological, pedagogical and social assistance to the child with communicative and cognitive disorders of the schizophrenic circle are touched upon. Variants of distorted dysontogenesis, which are different and specific for children’s autism and child schizophrenia, are shown. The specifics of the formation of a mental defect (cognitive, emotional-volitional) on different age stages with subsequent deficiency of personality, features of socialization and disadaptation, accruing with the course of the disease, are highlighted. The necessity of dynamic complex observation of patients on the background of medical and psychological-pedagogical correction is underlined. The importance of clinical and paraclinical methods of examination is indicated, which makes it possible to correctly diagnose and resolve the issues of timely assignment of adequate treatment, rehabilitation and social and labor expertise in the future.