[Hypochondriacal euphoria as a special form of monopolar affective psychosis].
BACKGROUND
In contemporary concepts of affective psychoses the existence of monopolar manias is widely questioned. Nevertheless, cases of manias with monomorphous symptomatology are reported repeatedly from all over the world. Based upon subtle observation of signs and course over many years, Karl Leonhard developed a concept of affective psychoses that permits a distinction of monopolar from bipolar forms, e.g. monopolar manias and euphoric euphorias.


METHODS
As an example for the pure forms of euphorias we present two cases of hypochondriacal euphoria.


CONCLUSIONS
We discuss some of the literature relevant to the issue and propose the application of a differentiated psychopathological analysis for the discrimination of monopolar from bipolar manias.
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universität Würzburg. burkhard.jabs@mail.uni-wuerzburg.de
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Jabs
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Bartsch
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Pfuhlmann
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Beckmann
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Franzek
D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D005059:Euphoria; D005260:Female; D006801:Humans; D008875:Middle Aged; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000523:psychology; D012803:Sick Role