Acute and Transient Psychoses by Andreas Marneros, Frank Pillmann

By Andreas Marneros, Frank Pillmann

Acute psychotic problems with a quick length and a mostly stable diagnosis have lengthy intrigued psychiatrists. even if they're integrated in across the world permitted diagnostic platforms, our figuring out of those issues continues to be at a minimum point. This e-book is the 1st complete evaluation in their scientific positive factors, biology, path and long term results. The authors additionally tackle their nosological prestige and effect on our realizing of the continuum of psychotic and affective problems.

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Sample text

Eugen and Manfred Bleuler (1911, 1972) knew of and described such overlaps and named them ‘Mischpsychosen’ (mixed psychoses). They allocated the ‘mixed psychoses’ to schizophrenia because of the primacy they gave to the so-called ‘fundamental symptoms’. According to Bleuler’s concept, only the presence of fundamental symptoms was decisive for the diagnosis of schizophrenia; not the course nor the outcome. Only in 1966 did the scholar and fellow of Manfred Bleuler, Jules Angst, investigate ‘mixed psychoses’ as a part of the affective disorders (Angst, 1966).

His book was published in 1916 and represented the first comprehensive survey of the field (see also Str¨omgren, 1986). He wrote: As psychogenic psychoses we designate . . the various, clinically independent psychoses, the main feature of which is, that they – usually on a (definite) predisposed foundation – are caused by mental agents (‘mental traumata’), and in such a way that these pathemata determine the point in time of the start of the psychosis, the fluctuations (remissions, intermissions, exacerbations) of the disease, very often also its cessation.

These definitions are not adequate to describe and define the ‘schizoaffective phenomenon’. The most important points of criticism against the definitions of DSM-IV and ICD-10 are the following. Firstly, there is no argument for the chronological distinction regarding the co-existence of schizophrenic and affective symptomatology. Secondly, neither diagnostic system involves the longitudinal aspect in their definitions. Nevertheless, one important element is common to all definitions of schizoaffective disorders: patients must fulfil the full criteria of a major depressive or manic episode and show schizophrenic symptoms.

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