Koro-misidentification syndrome in schizophrenia? A plea for clinical psychopathology.
Although current diagnostic procedures favour the diagnosis of similar syndromes in different pathological processes, it cannot be overlooked that many psychiatric symptoms that share a similar 'surface grammar' differ in their 'deep grammar' or structure. In the case presented, we describe an acute psychosis where a Koro-misidentification syndrome might be diagnosed. In the discussion we point out how confusing this approach might be, as well as a feasible way to compensate for the shortcomings of contemporary descriptive psychopathology.
Rejón Altable
Carlos
C
Centres Assistencials Dr. Emili Mira i López, Santa Coloma de Gramenet, Spain.
Rodríguez Urrutia
Amanda
A
D000208:Acute Disease; D000328:Adult; D001828:Body Image; D003702:Delusions; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D006801:Humans; D016911:Koro / Q000175:diagnosis* / Q000523:psychology*; D008297:Male; D010413:Penis; D012559:Schizophrenia / Q000175:diagnosis*; D016728:Self-Injurious Behavior; D009626:Terminology as Topic; D013737:Testis