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Catastrophic schizophrenia

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In psychiatry, catastrophic schizophrenia or schizocaria is a rare[1][2] and acute form of schizophrenia leading directly to a severe and unremitting chronic psychosis[3] (the long term occurrence of psychosis[4]) and deterioration of the personality.[1] Catastrophic schizophrenia has "an acute onset and rapid decline into a chronic state without remission".[5]

History

Eugen Bleuler's son[6] Manfred Bleuler described the elimination of what he called catastrophic schizophrenia by improved hospital care prior to the advent of antipsychotic medications. Catastrophic schizophrenia, which was the prototype for Kraepelin's dementia praecox, was characterized by an acute onset of a severe psychosis, followed with little improvement by a severe chronic psychosis lasting until death.[7]

Recent studies

The outcome of a study by Luc Ciompi and Christian Müller in 1976 has shown that only 6 percent of schizophrenic patients were judged to be suffering from catastrophic schizophrenia.[3][8][9]

References

  1. 1.0 1.1 Robert Jean Campbell, Campbell's Psychiatric Dictionary, 2009, page 872
  2. Bleuler, M.; Huber, G.; Gross, Gisela; Schüttler, R., The long-term course of schizophrenic psychoses: The combined results of two research studies, Der Nervenarzt, Vol 47(8), Aug 1976, 477-481..
  3. 3.0 3.1 Richard P. Bentall, Reconstructing schizophrenia, 1992, page 62
  4. Chronic Psychosis.
  5. Schizophrenia--treatment, management, and rehabilitation, Alan S. Bellack, 1984, 417 pages
  6. Introduction to Manfred Bleuler's "The Offspring of Schizophrenics".
  7. Irving B. Weiner, Donald K. Freedheim, George Stricker & Thomas A. Widiger, Handbook of Psychology: Clinical psychology, 2003, page 74
  8. George Stein, Greg Wilkinson, Seminars in General Adult Psychiatry, 2007, 835 pages, Page 301
  9. Luc Ciompi, Christian Müller: Lebensweg und Alter der Schizophrenen. Eine katamnestische Langzeitstudie bis ins Senium (Life and age of schizophrenics. A longitudinal study catamnestic down to senility). Springer, Berlin, Heidelberg, New York, NY (USA), 1976

Further reading

  • Luc Ciompi, Christian Müller, Lebensweg und Alter der Schizophrenen. Eine katamnestische Langzeitstudie bis ins Senium (Life and age of schizophrenics. A longitudinal study catamnestic down to senility). Springer, Berlin, Heidelberg, New York, NY (USA), 1976
  • Richard P. Bentall, Reconstructing schizophrenia, 1992
  • Alan S. Bellack, Schizophrenia—treatment, management, and rehabilitation, 1984, 417 pages
  • Irving B. Weiner, Donald K. Freedheim, George Stricker & Thomas A. Widiger, Handbook of Psychology: Clinical psychology, 2003

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