[A Shakespeare's tragedy: the unclear border between affective and psychotic disorders].
The original radical separation between early dementia and manic-depressive illness, even considered incompatible, has its correlate in the present nosological systems that difficulty include clinical pictures in which the affective co-exists with the psychotic. The schizoaffective disorder is the only category that specifically includes this combination in the ICD-10 and DSM-IV international classifications. However, this is a very restrictive category. The concept of marginal psychosis, which has disappeared as a specific category, constituted an approach to those borderline cases, which in view of the diagnostic difficulties posed by pictures like the case presented, could be interesting to recover.
Varela González
O
O
Servicio de Psiquiatría, Hospital Clínico San Carlos, Madrid, Spain. ovarela.hcsc@salud.madrid.org
Peleteiro Pensado
L
L
Yáñez Sáez
R M
RM
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D019964:Mood Disorders / Q000175:diagnosis* / Q000523:psychology*; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000523:psychology*