D.E. Vybornykh, M.Yu. 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. The paper presents data on 38 patients with slow-progredient schizophrenia and cyclothymia with clinical picture of social phobias combined with sensitive ideas of reference. The states of the first type were observed in the structure of circular melancholic depressions and were characterised by the presence of the ideas of low self-esteem.
Phobic avoidance is low expresseed, sensitive ideas of the reference are fragmental and transitory.
Social adaptation was not, as a rule, changed in such cases or was changed insignificantly. The contents of social phobia is a supposition of a physic or mental defect. The peculiarities of the states of this type are the presence of generalyzed sensitive ideas of reference, total avoidance and lack of the connection between anxious-phobic symptomatology and manifestations of comorbid affective disorders in the form of prolonged depressions of dysthymic level. The course of the disease is chronic, without remissions. Prognosis of social phobia of the second type is unfavourable.