{"title":"Problems of schizo-affective psychoses. Symposium of the World Psychiatric Association Section of Clinical Psychopathology. Vienna, October 5-6, 1982.","authors":"E. Gabriel","doi":"10.1159/ISBN.978-3-318-05703-4","DOIUrl":"https://doi.org/10.1159/ISBN.978-3-318-05703-4","url":null,"abstract":"","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4 1","pages":"71-304"},"PeriodicalIF":0.0,"publicationDate":"1983-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65312311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Course of paranoid psychoses in relation to diagnostic grouping.","authors":"N Retterstøl","doi":"10.1159/000283968","DOIUrl":"https://doi.org/10.1159/000283968","url":null,"abstract":"<p><p>The author stresses the importance of diagnosis in psychiatry and gives a short presentation of the Scandinavian concepts of reactive psychoses and schizophreniform psychoses. On the basis of his own personal follow-up investigations on 301 consecutively admitted patients to the University Psychiatric Clinic in Oslo, followed up through 5-18 years, he concludes that the schizophreniform (schizo-affective) psychosis also in prognostic respects is a group in between. Of the patients with a discharge diagnosis of reactive psychosis, 81% had a favourable course compared to 61% of the patients with a discharge diagnosis of psychosis e genere incerto (Langfeldt's schizophreniform psychoses) and only 23% of the patients with a discharge diagnosis of schizophrenia.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"198-206"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283968","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17678747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Classification of schizo-affective patients by multidimensional scaling and cluster analysis.","authors":"J Angst, C Scharfetter, H H Stassen","doi":"10.1159/000283974","DOIUrl":"https://doi.org/10.1159/000283974","url":null,"abstract":"<p><p>269 patients with schizophrenia, schizo-affective or affective disorders admitted to a hospital in Zürich were examined by the AMP system and the syndrome checklist of Wing and co-workers. The data were analyzed using a special set-theoretical similarity measure for nonlinear graduations, multidimensional scaling to achieve a metric representation of the similarity matrices, and a cluster analysis, originally described by Meisel in 1972.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"254-64"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283974","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17678750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What can genetics contribute to reduce the problems of schizo-affective psychoses?","authors":"V Lange","doi":"10.1159/000283971","DOIUrl":"https://doi.org/10.1159/000283971","url":null,"abstract":"<p><p>The biological base of psychoses is controlled by multifactorial genotype compounds using sometimes the same gene locus or DNA information section for diverse diseases, but always in different and repeatable combinations. These compounds can be formed by special regulatory or junction genes. With the help of inherited serum markers of the haptoglobin and the Gc system including quantitative studies of the ceruloplasmin and transferrin serum level, the combinations of diverse biological factors have been presented especially for cycloid psychoses, unsystematic schizophrenias, and paranoid psychoses with late onset and a cyclic axis syndrome. Considering the specifications of genetic control and clinical course no indefinite mixtures in the sense of schizo-affective psychoses should be discussed furthermore.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"224-33"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283971","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17635262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of the schizo-affective psychoses within the psychopathological and nosological systematics.","authors":"J M Burchard","doi":"10.1159/000283956","DOIUrl":"https://doi.org/10.1159/000283956","url":null,"abstract":"<p><p>Schizo-affective psychoses lead more often to reintegration of the paranoid-hallucinatory pattern than schizophrenic psychoses. The author interprets schizo-affective psychoses in the light of his systematic psychopathology and concludes that excitation is intensified in comparison with cyclothymia. Ego destruction is more serious, but paranoid manifestations decrease in the course and emotional syndromes become more pronounced. Prognosis depends on the intensity of therapeutic efforts in the sense of psychopharmacological and supportive therapies and is not prestabilized.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"109-25"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kurt Schneider's 'Zwischen-Fälle', 'mid-cases' or 'cases in between'.","authors":"A. Marneros","doi":"10.1159/000283954","DOIUrl":"https://doi.org/10.1159/000283954","url":null,"abstract":"Kurt Schneider's concept recognizes an intermediate area between the two groups of the major psychoses: the 'Zwischen-Fälle', in translation 'mid-cases' or 'cases in between'. We investigated 108 such cases, and we found that some features external to the symptomatology distinguished the 'mid-cases' or the 'cases in between' from schizophrenia and suggested particular similarities to the affective psychoses. Such external factors were: age, heredity, educational and occupational level, broken home situation, life events, and necessity for long hospitalization.","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4 1","pages":"87-102"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65092696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Classification and course of schizo-affective psychoses. Follow-up of patients treated with lithium.","authors":"B Küfferle, G Lenz","doi":"10.1159/000283965","DOIUrl":"https://doi.org/10.1159/000283965","url":null,"abstract":"<p><p>68 patients given an ICD (international classification of diseases) diagnosis of schizo-affective disorder during a hospitalization and consecutively treated in a lithium outpatient clinic were investigated. In a 'polydiagnostic approach' the overlaps and differences between different classificatory systems were assessed. A grouping of the patients according to a 'schizophrenic axial syndrome' with an emphasis on specific thought disorders showed significant differences between these groups in regard to the development of residual symptoms. Furthermore, a relationship between the absence of the schizophrenic axial syndrome and a good response to prophylactic lithium treatment was observed.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"169-77"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283965","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17203773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On the reason, why psychiatry in 80 years could not integrate schizo-affective psychoses. Can it now?","authors":"U H Peters","doi":"10.1159/000283955","DOIUrl":"https://doi.org/10.1159/000283955","url":null,"abstract":"<p><p>Schizo-affective psychoses are neither schizophrenias nor affective psychoses. What makes them particular are the pathological changes in emotions. As has already been pointed out by Wernicke in 1900, virtually all changes in the patient's psychopathology are dependent on the actual degree of anxiety or other pathological emotions. But neither emotion nor even anxiety has ever been part of any psychiatric semiology. Although emotional psychoses--a term we would prefer instead of schizo-affective psychoses--are easy to diagnose, if the psychiatrist takes into consideration the pathology of emotions which we outline here, it seems unlikely that psychiatry is now more able to integrate these psychoses than it was 80 years ago. This can be put down to language problems, but there are also historical, symptomatical, methodological, and systematic reasons for it.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"103-8"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283955","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Schizophrenia and schizo-affective psychosis.","authors":"K Achté, A Tuulio-Henriksson","doi":"10.1159/000283959","DOIUrl":"https://doi.org/10.1159/000283959","url":null,"abstract":"<p><p>The position taken in the 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM III), which holds that schizo-affective psychoses cannot be defined unequivocally, that no unambiguous criteria for these psychoses can be determined, and that they cannot be placed into either of the two main groups of functional psychoses, illustrates the present status of schizo-affective psychoses. The study of their position in relation to schizophrenia and manic-depressive psychoses is also essential: after all, the placing of a patient into either category plays a crucial role in the choice of treatment. For example, recent research on the success of lithium treatment in schizo-affective psychoses shows the practical relevance of this line of study. It seems that, like many other mental disorders, the internal structure of schizo-affective psychoses is highly heterogenous, and it is therefore not always possible to place them as a whole into either of Kraepelin's diagnostic categories.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"126-40"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Problems of schizo-affective disorders.","authors":"A Okasha","doi":"10.1159/000283963","DOIUrl":"https://doi.org/10.1159/000283963","url":null,"abstract":"<p><p>The inclusion of schizo-affective type under schizophrenia in ICD-9 (9th revision of the international classification of diseases) and under psychotic disorders not elsewhere classified in DSM-3 (3rd edition of diagnostic and statistical manual of mental disorders), the absence of this term in the French classification, and its parallelism among Scandinavian writers with cycloid psychosis - all the above data reflect the present perplexity of schizo-affective disorders. Recent studies showed the presence of depressive symptoms in a large number of acute and chronic schizophrenias as an integral part of the schizophrenic process. The difficulty of differential diagnosis between mania and schizophrenia has added to our present dilemma. A review and discussion of the present status of the term 'schizo-affective disorders' are presented. A plea is made to abandon the dichotomy of functional psychosis with delineating 'psychosis of unknown etiology' into three or four categories (as this is no more functional).</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"149-55"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283963","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}