The authors provide the results of the follow-up and examination of 57 children with burn disease due to the railway accident. Describe psychopathological disorders which developed in the victims at different stages of burn disease: burn shock, toxemia, septic toxemia , and convalescence. Lay emphasis on the fact that in formation of the psychopathological symptomatology in the acute period, of importance were thermal, traumatic, intoxication and psychogenic factors; during convalescence, of great importance was the appearance of postburn scars on the open parts of the body. The authors distinguish the over-valued complex, related to feelings due to the cosmetic defect; describe its structure and typology. The given work makes it possible to have a more comprehensive idea of the phenomenology of neuropsychic disorders in the burnt, as well as of the principles of organizing the psychiatric and psychotherapeutic aid, and of its position in a complex of treatment measures for burn disease.