[Is periodic psychosis in adolescence a disease of its own? The differential diagnosis of psychomotor psychoses in childhood and adolescence].
A historically orientated analysis of a disease that must be seen in connection with menstruation is made on the basis of literature on periodical psychoses in adolescence, which are described as nosologically separate disturbances. This relation turns out to be by no means obligatory, and this also applies to the homogeneity of the disease. Psychomotor disturbances of psychopathological importance are described by means of ideally typical cases of disease and presented with a differentiated diagnosis. Psychoses occurring during different periods in childhood and adolescence, do not show any sex-specific differences and no absolute dependence in accordance with the menstruation rhythm, but are mostly connected with a hereditary and also a perinatal strain in childhood. In their acute and long-term progress the psychomotoric disturbances allow a differentiated prognosis and therefore a therapeutic explanation. They can be classified in accordance with the Wernicke-Kleist-Leonhard classification schema as motility psychosis and periodic catatonia. With this in mind, the positive-negative dichotomy of schizophrenic disturbances in childhood and adolescence should be carefully reconsidered.
Neumärker
K J
KJ
Universitätsklinik und Poliklinik für Psychiatrie, Humboldt-Universität zu Berlin.
Dudeck
U
U
Neumärker
U
U
D000293:Adolescent; D002389:Catatonia / Q000145:classification / Q000453:epidemiology / Q000523:psychology; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008598:Menstruation; D011595:Psychomotor Agitation / Q000145:classification / Q000453:epidemiology / Q000523:psychology; D011596:Psychomotor Disorders / Q000145:classification / Q000453:epidemiology / Q000523:psychology*; D012561:Schizophrenia, Childhood / Q000145:classification / Q000453:epidemiology / Q000523:psychology