{"title":"Is the concept of 'schizo-affective psychoses' prognostically of value?","authors":"K. Leonhard","doi":"10.1159/000283966","DOIUrl":"https://doi.org/10.1159/000283966","url":null,"abstract":"The concept of 'schizo-affective psychoses' covers favourable as well as unfavourable forms of endogenous psychoses. Thus, it does not help us for a nosological classification which must also allow for the prognosis. In order to make a prognostic distinction we have to subdivide the schizo-affective psychoses into the 'cycloid psychoses' and the 'non-systematic schizophrenias'. Also the latter display affective symptoms and can take a bipolar course, but, despite this, tend to deterioration; they do so increasingly shift after shift, whereas the cycloid psychoses completely recover after every phase. Even during the first phase or shift a reliable differential diagnosis can be made. This has been confirmed by follow-up examinations, as the cycloid psychotics, in fact, had recovered. Only very few misdiagnoses could be detected. If we want to classify prognostically, we must separate the cycloid psychoses from the true schizophrenias.","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4 1","pages":"178-85"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283966","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65092778","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":"Cerebral malignancy in psychiatry: EEG aspects.","authors":"S Hoste, M Schwemmler, B van Sweden","doi":"10.1159/000284163","DOIUrl":"https://doi.org/10.1159/000284163","url":null,"abstract":"<p><p>The prevalence of cerebral malignancy in psychiatric patients is investigated in our own clinical material and compared with literature data. The importance of cellular type and localization of the lesion is checked and related to clinical symptoms such as seizures and psychopathological symptoms. The recognition of cerebral malignancy in psychiatric patients, especially in the early stages when few or no neurological signs are present, is shown to be a complex clinical problem. The possibilities and restrictions of technical investigations in general and of the EEG in particular are stressed.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 5-6","pages":"340-9"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000284163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17702667","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 psychoses. Symposium of the World Psychiatric Association Section of Clinical Psychopathology. Vienna, October 5-6, 1982.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"71-304"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677614","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":"Nosological position of schizo-affective psychoses in France.","authors":"C B Pull, M C Pull, P Pichot","doi":"10.1159/000283961","DOIUrl":"https://doi.org/10.1159/000283961","url":null,"abstract":"<p><p>French clinicians unanimously reject the term 'schizo-affective' in favor of two specific French diagnostic categories: the 'bouffées délirantes polymorphes, Magnan-type' and the 'dysthymic schizophrenias'. The present article presents the results of two recent nationwide investigations into French clinicians actual opinions and diagnostic practices in this field. It provides operational definitions based upon empirical diagnostic criteria and compares the two concepts with related concepts from other schools.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"141-8"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283961","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677888","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":"Approaches to an exact definition of schizo-affective psychoses for research purposes.","authors":"P Berner, C Simhandl","doi":"10.1159/000283973","DOIUrl":"https://doi.org/10.1159/000283973","url":null,"abstract":"<p><p>The perplexity psychiatry is faced with when approaching the problem of 'schizo-affective disorders' is the result of two characteristic features of human psychology: The first consists in the tendency to pick up quickly attractively formulated terms and to prefer them to others designating the same facts. The second psychological trend referred to concerns the use of a well-sounding term in a definition which deviates from the original one. The nosological implications of the existence of the 'cases in between' (K. Schneider), attributable neither to schizophrenia nor to cyclothymia, are briefly reviewed. It is suggested to speak of schizo-affective disorders only if the criteria for both disorders manifest simultaneously. Applying the Vienna Research Criteria we found that 'schizo-affective' disorders occur rarely as compared to other frequently used less restrictive diagnostic instruments.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"245-53"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283973","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17678749","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":"Ego function assessment of schizo-affective patients as compared to schizophrenic and affective psychotic patients.","authors":"A A Dahl","doi":"10.1159/000283976","DOIUrl":"https://doi.org/10.1159/000283976","url":null,"abstract":"<p><p>A 1-year sample of consecutively admitted patients between 18 and 40 years of age is studied. Psychopathology has been elicited by the Schedule for Affective Disorders and Schizophrenia (SADS), and diagnoses have been set according to Research Diagnostic Criteria (RDC). The sample consists of 57 cases with schizophrenia, 8 cases with schizo-affective psychosis and 23 cases with affective psychoses. Bellak's Ego Function Assessment Test was given to all these patients. The test does not show any significant differences between the schizo-affective and the schizophrenic groups. Some significant differences are found between the schizo-affective group and the group of affective psychosis. The findings do not validate schizo-affective psychosis as a diagnostic category.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"275-85"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283976","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17678752","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":"Prognostic prediction in RDC schizo-affective disorder on the basis of first-rank symptoms weighted in terms of outcome.","authors":"K Koehler","doi":"10.1159/000283967","DOIUrl":"https://doi.org/10.1159/000283967","url":null,"abstract":"<p><p>Most recent research has failed to demonstrate that first-rank symptoms (FRS), globally or individually, have any ability to predict outcome. yet, some findings have suggested that misidentification of person (Personenverkennung) and/or thought insertion and/or made impulses on the one hand, and voices commenting on the other, might be associated with a good and a poor prognosis, respectively, in schizophrenia. In the present study, FRS, weighted with respect to prognosis on the basis of this hypothesis, were used to arbitrarily set up subsamples of RDC schizo-affective disorders in terms of several predicted outcome categories. However, no differences came to light between various RDC schizo-affective groupings defined in this way with respect to total outcome mean scores. In contrast, however, a significant difference on this prognostic measure was found when RDC schizo-affective probands with any type of FRS were compared with those lacking FRS, the latter group having the lower or better outcome score.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"186-97"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17678746","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":"","DOIUrl":"","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"87-102"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677616","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":"[Psychiatric consultation service in a large medical clinic: evaluation over a 3-year period].","authors":"W Bender, W Greil, G Meyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The report is based on 1,165 medical inpatients seen by the consultant psychiatrist within a 3-year period. During the last year evaluated for this study psychiatric consultation was requested for 2.8% of the total non-psychiatric hospital admissions. Questions to the consultant are most often referred to psychogenic factors, depression and suicidality. The most frequent psychiatric diagnosis was neuroses/reactions/ personality disorders followed by suicidality, organic psychoses, psychosomatic illnesses, endogenous psychoses, somatopsychic syndromes and addictions. Further details and problems in psychiatric consultation are discussed.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 5-6","pages":"324-39"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17702665","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 in the establishment of psychopathologic terms. A contribution to the conceptual classification of functional cerebral psychosyndromes].","authors":"G Ulrich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Numerous terms commonly used in psychiatry show a lack of preciseness and logical consistency. This results in an obscuration of the objects under observation and generates fictitious problems which function as a source of permanent confusion. The reasons for this are analyzed and exemplified with respect to organic psychoses.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 5-6","pages":"350-64"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17702669","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}