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1.
Schizophr Res ; 262: 21-29, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37918290

RESUMO

BACKGROUND: Although the concept of schizophrenia is still widely presented as having replaced that of dementia praecox, studies have shown that the former was broader than the latter, resulting in a more complex diagnostic redistribution. However, this is poorly documented by quantitative approaches. AIMS: We sought to test the hypothesis that the use of the concept of schizophrenia had caused a diagnostic redistribution and to quantify it. METHOD: A retrospective study, based on admission register archives of the Strasbourg University Clinic of Psychiatry was conducted. The frequency of diagnoses given to patients were examined at two key time periods: one before (TP1) and one after (TP2) the introduction of the schizophrenia concept (established between 1926 and 1928). Eight main diagnoses related to schizophrenia were considered. RESULTS: Patients diagnosed with schizophrenia at TP2 mainly received the diagnoses of dementia praecox but also depression, hebephrenia, manic depressive illness, hysteria, paraphrenia, catatonia and mania at TP1. Dementia praecox and hebephrenia were the most relayed by schizophrenia. Bayesian sensitivity analyses confirmed the robustness of our data against distinct scenarios challenging our hypothesis. CONCLUSIONS: Our results confirm the broadening of the concept of schizophrenia compared to that of dementia praecox but also qualify the different concepts supposed to have been impacted. They provide unique quantitative data that define the contours of the diagnostic redistribution thus provoked. They also give relevant input in the current context where the need to rethink the DSM/ICD concept of schizophrenia is still debated.


Assuntos
Transtorno Bipolar , Esquizofrenia Hebefrênica , Humanos , Teorema de Bayes , Estudos Retrospectivos , Esquizofrenia Paranoide
2.
Rev Colomb Psiquiatr (Engl Ed) ; 52(2): 139-145, 2023.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-37453821

RESUMO

INTRODUCTION: The publication of Hecker's article on hebephrenia in 1871 was a fundamental milestone for clinical psychiatry. Despite the initial recognition, many voices were raised against this diagnostic category and its limits were attenuated throughout the 20th century until its disappearance at the beginning of this century (along with the other subtypes of schizophrenia) in the DSM and ICD. DISCUSSION: However, given the consistency of the clinical picture, there is the possibility of other criteria emerging that would lead its systematic study to continue or recommence. In this sense, the concepts of deficit schizophrenia, hebephrenia as a replacement for schizophrenia as a whole, and Leonhard's hebephrenias as systematic schizophrenias stand out. This article discusses the main diagnostic conflicts of the category of hebephrenia over time, with emphasis on the problems of recent decades. CONCLUSIONS: The concept of hebephrenia has begun to be revalued in recent years, and the concepts of deficit schizophrenia, of hebephrenia as a major category, and of systematic hebephrenias allow further investigation of this foundational picture of clinical psychiatry.


Assuntos
Psiquiatria , Esquizofrenia , Humanos , Esquizofrenia Hebefrênica/diagnóstico , Esquizofrenia/diagnóstico
3.
Ideggyogy Sz ; 76(5-6): 149-157, 2023 May 30.
Artigo em Húngaro | MEDLINE | ID: mdl-37294028

RESUMO

Background and purpose:

Although ru­mination and schizotypal traits can be considered transdiagnostic phenomena and can occur within non-clinical population as well, a relatively small number of research has been carried out on the topic involving both patient and non clinical participants. The aim of this study is to examine the rela­tionship between schizotypal traits and rumination using a transdiagnostic approach, involving participants living with psychotic disorders and sine morbo individuals.

. Methods:

We recruited participants living with psychotic disorders (paranoid schizophrenia, hebephrenia, schizoaffective disorder, etc.) (n = 30) and controls who had not been diagnosed with any mental illnesses (n = 67). The connection between rumination and schizotypal traits was examined by self-report questionnaire method in a cross-sectional arrangement. The Oxford-Liverpool Inventory was used to measure schizotypal traits, and the Ruminative Thought Style Questionnaire was used to determine the level of rumination. 

. Results:

Schizotypal symptoms (β = 0.575; p < 0.001), especially cognitive disorganization (β = 0.459; p < 0.001) and unusual experiences (β = 0.221; p = 0.029) significantly explained the degree of rumination. 

. Conclusion:

Our results support the hypothesis that the association between rumination and schizotypic traits is due to decreased cognitive inhibitory functions.

.


Assuntos
Transtornos Psicóticos , Transtorno da Personalidade Esquizotípica , Humanos , Transtorno da Personalidade Esquizotípica/psicologia , Estudos Transversais , Transtornos Psicóticos/psicologia , Inquéritos e Questionários , Personalidade
4.
Rev. colomb. psiquiatr ; 52(2)jun. 2023.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1536131

RESUMO

Introducción: La publicación del artículo de Hecker sobre la hebefrenia en 1871 fue un hito fundamental para la psiquiatría clínica. A pesar del reconocimiento inicial, se alzaron muchas voces en contra de esta categoría diagnóstica y sus límites se fueron diluyendo a lo largo del siglo XX hasta su desaparición a comienzos de este siglo -con el resto de los subtipos de esquizofrenia- del DSM y la CIE. Discusión: Contrariamente a su disolución conceptual, la consistencia del cuadro clínico hace posible que surjan otros criterios para continuar o reiniciar su estudio sistemático. Sobresalen en este sentido los conceptos de esquizofrenia deficitaria, de hebefrenia como sustitución de la esquizofrenia en su conjunto y las hebefrenias como esquizofrenias sistemáticas de Leonhard. En el presente artículo se discuten los principales conflictos diagnósticos de la categoría de hebefrenia a lo largo del tiempo, haciendo hincapié en la problemática de las últimas décadas. Conclusiones: El concepto de hebefrenia comenzó a revalorizarse en los últimos arios y los conceptos de esquizofrenia deficitaria, de hebefrenia como categoría mayor y de hebefrenias sistemáticas permiten profundizar en nuevas investigaciones sobre este cuadro fundacional de la psiquiatría clínica.


Introduction: The publication of Hecker's article on hebephrenia in 1871 was a fundamental milestone for clinical psychiatry. Despite the initial recognition, many voices were raised against this diagnostic category and its limits were attenuated throughout the 20th century until its disappearance at the beginning of this century (along with the other subtypes of schizophrenia) in the DSM and ICD. Discussion: However, given the consistency of the clinical picture, there is the possibility of other criteria emerging that would lead its systematic study to continue or recommence. In this sense, the concepts of deficit schizophrenia, hebephrenia as a replacement for schizophrenia as a whole, and Leonhard's hebephrenias as systematic schizophrenias stand out. This article discusses the main diagnostic conflicts of the category of hebephrenia over time, with emphasis on the problems of recent decades. Conclusions: The concept of hebephrenia has begun to be revalued in recent years, and the concepts of deficit schizophrenia, of hebephrenia as a major category, and of systematic hebephrenias allow further investigation of this foundational picture of clinical psychiatry.

5.
Psychol Med ; 53(9): 3777-3782, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37246586

RESUMO

In the eighteenth century, masturbation was extended from the moral to the medical sphere and conceptualized as being the cause of various deteriorative physical illnesses. In the nineteenth century, psychiatrists accepted that difficult to control masturbation was a feature of many mental disorders. They also believed that masturbation could play a casual role in a specific type of insanity with a distinctive natural history. In 1962, E.H. Hare published an article on the concept of masturbatory insanity that became an important explication of the masturbation and mental illness relationship in the history of psychiatry. Historical research published subsequent to Hare's article suggests several updates to his analysis. Hare did not note that the masturbation and mental illness relationship was promoted to the general public by quacks peddling quick cures. Hare emphasized psychiatrists' condemnatory language only, neglecting the aspiration of psychiatrists to treat disorders caused by excessive masturbation, not punish the sin of masturbation. Hare recognized the importance of hebephrenia and neurasthenia to this history but attributed the decline of masturbation related mental illness in part to the rejection of an irrational, unscientific hypotheses about masturbation's causal role. As an alternative, we suggest that before the causal role of masturbation was widely abandoned, the concepts of hebephrenia and neurasthenia gained a competitive advantage and became primary diagnoses for cases that once would have been conceptualized as masturbatory insanity.


Assuntos
Lebres , Psiquiatria , Transtornos Psicóticos , Disfunções Sexuais Psicogênicas , Humanos , Animais , História do Século XIX , Masturbação/história
6.
J Nerv Ment Dis ; 211(3): 169-173, 2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-36095305

RESUMO

ABSTRACT: Edward Spitzka, a prominent New York-based alienist, who spent 3 years in Germany studying psychiatry, published a textbook in 1883-the same year as the first edition of Kraepelin's textbook-that contained detailed descriptions of all the seven psychiatric syndromes that formed the basis of Kraepelin's nosologic synthesis: mania, melancholia, katatonia, secondary deteriorations, hebephrenia, circular insanity, and monomania. A study of this text provides us with a "before" picture-a view of the canvas of psychiatric diagnostic categories-from which Kraepelin worked. Studying what Spitzka's diagnostic categories contain and what they are missing highlights the key steps Kraepelin took in the development of his nosologic synthesis. For example, Spitzka does not describe a commonality in symptoms or outcome in katatonia, hebephrenia, and the move severely ill delusional monomaniacs, nor did he link together mania, melancholia, and circular insanity, but instead comments on wide differences in outcome among these three syndromes.


Assuntos
Transtorno Depressivo , Psiquiatria , Transtornos Psicóticos , Humanos , História do Século XIX , História do Século XX , Mania , Alemanha
7.
Hist Psychiatry ; 33(4): 475-489, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36408554

RESUMO

The little-known writing by Frederik Lange translated in this Classic Text belongs to what can be called the prolegomenal history of the construction of the concept of schizophrenia. It describes one effort to capture the convergence of certain words of diverse coinage (dementia praecox, acquired idiocy, hebephrenia, heboidophrenia, etc.) with some newly accepted concepts (e.g. the temporalization of madness and the view that adolescence was an independent period of life), and with some old behaviours (which for centuries had been called madness, the portmanteau soon to be rebaptized as psychosis). This convergence culminated in the work of Kraepelin, who was to call it 'dementia praecox'. Lange's transitional efforts and pangs can be sensed as he struggles to describe a new form of madness that affects young people.


Assuntos
Demência , Psiquiatria , Transtornos Psicóticos , Adolescente , Humanos , Psiquiatria/história , Esquizofrenia Hebefrênica/história , Redação
8.
Hist Psychiatry ; 33(1): 34-46, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35000477

RESUMO

Pre-Kraepelinian observations converged in Kahlbaum's and Hecker's description of Hebephrenia. For Kraepelin, Hebephrenia was an 'idiopathic incurable dementia whose onset is in adolescence'. It became the core of 'Dementia Praecox', and then Bleulerian 'Schizophrenia'. In recent decades, the resurgence of the 'late neurodevelopment' hypothesis of schizophrenia has brought into focus Hecker's clinical reports of adolescents who, as a result of a putative loss of psychic energy, showed a rapidly progressive cognitive impairment leading to functional and behavioural disorganization. This paper summarizes the nineteenth-century conceptualization of Hebephrenia as a developmental illness.


Assuntos
Psiquiatria , Esquizofrenia , Adolescente , Humanos , Psiquiatria/história , Esquizofrenia/diagnóstico , Esquizofrenia/história , Esquizofrenia Hebefrênica/diagnóstico , Esquizofrenia Hebefrênica/história , Esquizofrenia Hebefrênica/psicologia
9.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-34446257

RESUMO

INTRODUCTION: The publication of Hecker's article on hebephrenia in 1871 was a fundamental milestone for clinical psychiatry. Despite the initial recognition, many voices were raised against this diagnostic category and its limits were attenuated throughout the 20th century until its disappearance at the beginning of this century (along with the other subtypes of schizophrenia) in the DSM and ICD. DISCUSSION: However, given the consistency of the clinical picture, there is the possibility of other criteria emerging that would lead its systematic study to continue or recommence. In this sense, the concepts of deficit schizophrenia, hebephrenia as a replacement for schizophrenia as a whole, and Leonhard's hebephrenias as systematic schizophrenias stand out. This article discusses the main diagnostic conflicts of the category of hebephrenia over time, with emphasis on the problems of recent decades. CONCLUSIONS: The concept of hebephrenia has begun to be revalued in recent years, and the concepts of deficit schizophrenia, of hebephrenia as a major category, and of systematic hebephrenias allow further investigation of this foundational picture of clinical psychiatry.

10.
Dialogues Clin Neurosci ; 22(1): 37-49, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32699504

RESUMO

While the ICD-DSM paradigm has been a major advance in clinical psychiatry, its usefulness for biological psychiatry is debated. By defining consensus-based disorders rather than empirically driven phenotypes, consensus classifications were not an implementation of the biomedical paradigm. In the field of endogenous psychoses, the Wernicke-Kleist-Leonhard (WKL) pathway has optimized the descriptions of 35 major phenotypes using common medical heuristics on lifelong diachronic observations. Regarding their construct validity, WKL phenotypes have good reliability and predictive and face validity. WKL phenotypes come with remarkable evidence for differential validity on age of onset, familiality, pregnancy complications, precipitating factors, and treatment response. Most impressive is the replicated separation of high- and low-familiality phenotypes. Created in the purest tradition of the biomedical paradigm, the WKL phenotypes deserve to be contrasted as credible alternatives with other approaches currently under discussion.
.


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Assuntos
Manual Diagnóstico e Estatístico de Transtornos Mentais , Fenótipo , Transtornos Psicóticos/classificação , Transtornos Psicóticos/diagnóstico , Encefalopatia de Wernicke/classificação , Encefalopatia de Wernicke/diagnóstico , Humanos , Reprodutibilidade dos Testes
11.
JAMA Psychiatry ; 77(11): 1181-1187, 2020 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-32520320

RESUMO

In 1893 and 1896, in his fourth and fifth textbook editions, Emil Kraepelin brought together 3 syndromes to form the first and second of his 2 prequels to dementia praecox (DP), a definitive version of which he would propose in his 1899 sixth textbook edition. These syndromes, which would become hebephrenic DP, catatonic DP, and paranoid DP, each had distinct histories. Hebephrenic DP was derived from syndromes first proposed by Hecker, and catatonic DP was derived from syndromes first proposed by Kahlbaum, and then both were substantially revised. Kraepelin created paranoid DP de novo from a division of his early broad delusional syndrome Verrücktheit, distinguishing it from paranoia. Two of these syndromes (catatonic DP and paranoid DP) were present in different forms in his earlier textbook editions, and 1 syndrome (hebephrenic DP) was not. In his 2 prequels, the 3 syndromes were listed together with a brief preface. In the sixth textbook edition, they became "clinical forms" of DP with a lengthy integrative introduction. Much more than in his prequels, in his sixth edition, Kraepelin stitched these 3 syndromes together, emphasizing their shared signs, symptoms, and course. Hebephrenia was the core of Kraepelin's DP concept, while the paranoid subtype fitted least comfortably within his framework. His term dementia was meant in a broad sense consistent with both short-term and rare long-term recoveries. Kraepelin was a pragmatist, not a purist, in his nosologic work and focused both on clinical features and course and outcome. He experimented with various nosologic categories, willing to revise earlier formulations in the light of new data. He was more tentative about his conclusions than many who followed him.


Assuntos
Catatonia/história , Demência/história , Catatonia/fisiopatologia , Demência/diagnóstico , Demência/fisiopatologia , Alemanha , História do Século XIX , Livros de Texto como Assunto/história
12.
Mol Psychiatry ; 25(1): 180-193, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-30967680

RESUMO

In developing his mature concept of hebephrenic dementia praecox (DP) in his 4th (1893) through 6th textbook editions (1899), Kraepelin worked from the hebephrenic syndrome first described by Hecker (1871) and then carefully studied by his student Daraszkiewicz (1892). Working under Kraepelin's supervision, Daraszkiewicz followed Hecker in emphasizing several key features of hebephrenia (distinctive deteriorative course, importance of silliness and minimal positive psychotic symptoms) but expanded the syndrome to include cases developing severe dementia, rejected the link to prodromal depressive and manic phases, and reduced the emphasis on thought disorder. Daraszkiewicz proposed a soft subtyping of hebephrenia based on level of deterioration, which Kraepelin adopted in his 4th edition with an additional emphasis on severe positive psychotic symptoms. In his 5th edition, Kraepelin created a third subform with even more pronounced and bizarre delusions and hallucinations. In his 6th edition, which contained his first articulation of DP, Kraepelin eliminated his hebephrenia subforms presenting a single syndrome, which, compared to Hecker, included more emphasis on positive psychotic and catatonic symptoms and severe dementia. Kraepelin's paths to hebephrenic and paranoid DP differed in important ways. Paranoid DP was a de novo syndrome created by differentiation from paranoia. Hebephrenia, by contrast, evolved from a disorder created in the Kahlbaum/Hecker paradigm of the iterative study of clinical features, course and outcome. Kraepelin further implemented this approach in substantially reworking, over several drafts, the hebephrenic syndrome to fit into his emerging construct of dementia praecox.


Assuntos
Esquizofrenia Hebefrênica/diagnóstico , Esquizofrenia/diagnóstico , Esquizofrenia/fisiopatologia , Transtorno Bipolar , Demência , Alucinações , História do Século XIX , História do Século XX , Humanos , Transtornos Paranoides , Psiquiatria/história , Transtornos Psicóticos/história , Esquizofrenia/história , Esquizofrenia Hebefrênica/história , Esquizofrenia Hebefrênica/fisiopatologia , Síndrome
13.
Schizophr Bull ; 46(3): 471-483, 2020 04 10.
Artigo em Inglês | MEDLINE | ID: mdl-31677384

RESUMO

Through a close reading of texts, this essay traces the development of catatonia from its origination in Kahlbaum's 1874 monograph to Kraepelin's catatonic subtype of his new category of Dementia Praecox (DP) in 1899. In addition to Kraepelin's second to sixth textbook editions, I examine the six articles referenced by Kraepelin: Kahlbaum 1874, Brosius 1877, Neisser 1887, Behr 1891, Schüle 1897, and Aschaffenburg 1897 (Behr and Aschaffenburg worked under Kraepelin). While Brosius and Neisser confirmed Kahlbaum's descriptions, Behr, Schüle, and Aschaffenburg concluded that his catatonic syndrome was nonspecific and only more narrowly defined forms, especially those with deteriorating course, might be diagnostically valid. Catatonia is first described by Kraepelin as a subform of Verrücktheit (chronic nonaffective delusional insanity) in his second to fourth editions. In his third edition, he adds a catatonic form of Wahnsinn (acute delusional-affective insanity). His fourth and fifth editions contain, respectively, catatonic forms of his two proto-DP concepts: Psychischen Entartungsprocesse and Die Verblödungsprocesse. Kahlbaum's catatonia required a sequential phasic course. Positive psychotic symptoms were rarely noted, and outcome was frequently good. While agreeing on the importance of key catatonic signs (stupor, muteness, posturing, verbigeration, and excitement), Kraepelin narrowed Kahlbaum's concept, dropping the phasic course, emphasizing positive psychotic symptoms and poor outcome. In his fourth to sixth editions, as he tried to integrate his three DP subtypes, he stressed, as suggested by Aschaffenburg and Schüle, the close clinical relationship between catatonia and hebephrenia and emphasized the bizarre and passivity delusions seen in catatonia, typical of paranoid DP.


Assuntos
Catatonia/história , Esquizofrenia/história , Catatonia/diagnóstico , Catatonia/fisiopatologia , História do Século XIX , Humanos , Esquizofrenia/diagnóstico , Esquizofrenia/fisiopatologia
14.
Nervenarzt ; 89(1): 18-26, 2018 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-28642983

RESUMO

Ewald Hecker was the first psychiatrist to describe the disease entity of hebephrenia in some detail, focusing mainly on disturbances of affect. Later Emil Kraepelin and Eugen Bleuler saw hebephrenia as a subtype of dementia praecox or schizophrenia. Willy Mayer-Gross and Karl Leonhard characterized hebephrenia with highly differentiated psychopathological descriptions, whereas this construct only played a minor role in the works of Klaus Conrad and Kurt Schneider. The International Classification of Diseases (ICD-10) lists hebephrenia as a subtype of schizophrenia but in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) no subtypes of schizophrenia are mentioned and the concept of hebephrenia is thus lost. Hebephrenia can be seen as an ideal type describing a psychopathological course pattern. This construct can be useful to conceptualize a group of disorders of affect which otherwise escape description, especially since these psychopathological alterations of affect are difficult to operationalize. To have a viable concept of these disorders is relevant for the prognosis and therapy planning. If the concept of hebephrenia is abolished, important psychopathological knowledge might be lost for future generations of psychiatrists.


Assuntos
Esquizofrenia Hebefrênica/psicologia , Sintomas Afetivos/diagnóstico , Sintomas Afetivos/psicologia , Sintomas Afetivos/terapia , Diagnóstico Diferencial , Manual Diagnóstico e Estatístico de Transtornos Mentais , Classificação Internacional de Doenças , Prognóstico , Teoria Psicológica , Psicopatologia , Esquizofrenia Hebefrênica/classificação , Esquizofrenia Hebefrênica/diagnóstico , Esquizofrenia Hebefrênica/terapia
15.
Am J Psychiatry ; 174(2): 102-109, 2017 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-27523503

RESUMO

The nosology for major psychiatric disorders developed by Emil Kraepelin in the 1890s has substantially shaped psychiatry. His theories, however, did not arise de novo, being strongly influenced by Karl Kahlbaum and Ewald Hecker. From the 1860-1880s, they articulated a paradigm shift in the conceptualization of psychiatric diagnosis, from symptom-based syndromes, popular since the late 18th century, to proto-disease entities. This effort was influenced by parallel developments in general medicine, especially the rise of bacterial theories of disease where different syndromes had distinctive symptoms, courses, and etiologies. Their thinking was particularly shaped by the increasing understanding of general paresis of the insane. Indeed, this disorder, with its distinct course and characteristic symptoms, was paradigmatic for them. Their hope was that a similar progression of medical understanding would evolve for the other major psychiatric syndromes. Their thinking and its connection with Kraepelin's nosology are illustrated through a close reading of their essays on hebephrenia, catatonia, and cyclic insanity. Kahlbaum, Hecker, and Kraepelin shared both a commitment to a clinical research agenda for psychiatry (to utilize methods of clinical assessment and follow-up to help define disease forms) and a skepticism for the brain-based neuropathological paradigm of psychiatric research then dominant in most European centers. Understanding the historical origins of our key diagnostic concepts can help us to evaluate their strengths and limitations. It remains to be determined whether this "Kahlbaum-Hecker-Kraepelin paradigm"-defining disorders based on distinctive symptoms and course-will produce psychiatric syndromes of sufficient homogeneity to yield their etiologic secrets.


Assuntos
Empirismo/história , Transtornos Mentais/história , Psiquiatria/história , Transtornos Psicóticos/história , Alemanha , História do Século XIX , Humanos
16.
Rev. chil. neuro-psiquiatr ; 53(2): 117-126, jun. 2015.
Artigo em Espanhol | LILACS | ID: lil-753505

RESUMO

Blankenburg applied Husserl's phenomenolgy to patients with hebephrenic schizophrenia which no longer have a sense for what is sociable suitable. These patients lose a sense for things that are evident in every day common sense. Blankenburg debates with Jaspers and Binswanger about the role of intuition and phenomenological method in hebephrenia. He returns to a Husserlian approach of genetic phenomenology to uncover the loss of natural evidence in the formation of attenuated schizophrenia. Phenomenological philosophy can help clarify the concepts at the heart of schizophrenia and thus has practical relevance. Philosophical thinking and a more patient-centered approach to psychiatry should be integrated into the research of psychiatrists.


Blankenburg aplicó la fenomenología de Husserl en pacientes aquejados de esquizofrenia hebefrénica que ya no poseen un sentido para lo que es socialmente adecuado. Estos pacientes pierden el sentido para las cosas que son evidentes para el sentido común cotidiano. Blankenburg debate con Jaspers y Binswanger acerca del papel de la intuición y el método fenomenológico en la hebefrenia. Él retorna a la fenomenología genética para develar la pérdida de la evidencia natural en la formación de la esquizofrenia atenuada. La filosofía fenomenológica puede ayudar a clarificar los conceptos en el corazón de la esquizofrenia y así conseguir relevancia práctica. El pensar filosófico y un acercamiento en psiquiatría más centrado en el paciente se debe integrar a la investigación de los psiquiatras.


Assuntos
Humanos , Esquizofrenia Hebefrênica , Comportamento Social
17.
Schizophr Bull ; 39(4): 751-3, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23674819

RESUMO

The diagnoses of paranoia, catatonia, and hebephrenia preceded the use of dementia praecox and Bleuler's subsequent recognition of a heterogenous "Group of Schizophrenias." With some modification, traditional schizophrenia subtypes have been formalized for many years in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Diseases (ICD) classification systems. While widely used in the past, it is not clear that the schizophrenia subtypes remain in wide use or are influential in 21st-century research and clinical practice, and especially in the scientific literature. A review of published articles reveals over the last 20 years (1990, 2000, 2010) the use of traditional subtypes in the literature has fallen from 27.7% to 9.8% to 6.5%. Thus, by 2010, the use of subtypes in the leading literature venues declined to <10%. These facts strongly support DSM-5 and ICD-11 proposed elimination of traditional schizophrenia subtypes from a research and evolving knowledge perspective because traditional subtypes are simply no longer being used much in the scientific literature.


Assuntos
Manual Diagnóstico e Estatístico de Transtornos Mentais , Classificação Internacional de Doenças/estatística & dados numéricos , Esquizofrenia Catatônica , Esquizofrenia Hebefrênica , Esquizofrenia Paranoide , Humanos
18.
Psychiatr Pol ; 46(1): 123-31, 2012.
Artigo em Polonês | MEDLINE | ID: mdl-23214155

RESUMO

Leon Daraszkiewicz (1866-1931) was a Polish psychiatrist, a pupil and co-worker of E. Kraepelin and V. Tsiz on the University of Dorpat (now Tartu, Estonia), the author of highly regarded monograph on hebephrenia (1891). In his work on the basis of over 20 case histories, he described a natural history of hebephrenia and his own views on its aetiology and prognosis. Hebephrenia as described by Daraszkiewicz, served as a clinical model for the Kraepelinian concept of dementia praecox. In the article, the life and career of Daraszkiewicz is covered, with particular emphasis on the role of his doctoral dissertation on hebephrenia in the history of the concept of schizophrenia.


Assuntos
Padrões de Prática Médica/história , Psiquiatria/história , Esquizofrenia Hebefrênica/história , Emoções , Estônia , História do Século XIX , História do Século XX , Humanos , Polônia , Editoração/história
19.
Inf. psiquiátr ; (203): 35-56, ene.-mar. 2011.
Artigo em Espanhol | IBECS | ID: ibc-104282

RESUMO

El término hebefrenia, acuñado por la psiquiatría clásica, fue sustituido por el de psicosis indiferenciada en los manuales modernos. Un caso clínico, que por su complejidad ha obligado la intervención de varios servicios de la red psiquiátrica, muestra que el concepto de hebefrenia sigue siendo útil y actual (AU)


The term hebephrenia, coined by classical psychiatry, was replaced by undifferentiated psychosis in modern textbooks. A clinical case, that complexity has forced the intervention of several psychiatric network services, shows that the concept of hebephrenia remains useful and current (AU)


Assuntos
Humanos , Feminino , Adolescente , Esquizofrenia Hebefrênica/diagnóstico , Anorexia Nervosa/complicações , Carência Cultural , Diagnóstico Diferencial , Baixo Rendimento Escolar , Apoio Social
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