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https://doi.org/10.20471/may.2024.60.03.01

Paraphrenia - a Review of a Forgotten Diagnosis

Pedro Jorge Melo Medeiros Ribeiro ; Psychiatry and Mental Health Department, University Hospital Center of Algarve, Faro, Portugal *
Miguel Pão-Trigo ; Psychiatry and Mental Health Department, University Hospital Center of Algarve, Faro, Portugal
Marco Mota-Oliveira ; Psychiatry and Mental Health Department, University Hospital Center of Algarve, Faro, Portugal

* Dopisni autor.


Puni tekst: engleski pdf 192 Kb

str. 189-196

preuzimanja: 0

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Sažetak

Aim: Kraepelin described and systematized the clinical criteria for paraphrenia. We aim to review the history of paraphrenia, from its first mention in 1863 by Kahlbaum to nowadays, and to report a clinical case that meets Munro’s criteria for paraphrenia. Subjects and Methods: We conducted a non-systematic narrative review of on published scientific articles and books on the historical evolution of paraphrenia. Results: Kraepelin described paraphrenia as clinically placed between Schizophrenia and Delusional Disorder. Contemporarily, Ballet proposed Chronic Hallucinatory Psychosis, an entity with clinical similarities to Paraphrenia. Mayer-Gross reviewed the paraphrenic patients diagnosed by Kraepelin, concluding that 64 % had a different diagnosis. Since then, paraphrenia became a controversial diagnosis, with decreased clinical usage, being absent from the current classification systems. More recently, there has been a resurgence of clinical investigation on this topic with the formulation of new diagnostic criteria by Munro, as well as some recent anatomo-pathological findings by Casanova. Conclusion: Additional clinical research on paraphrenia is needed in order to clarify its validity and diagnostic stability. Munro’s criteria may help to create more homogeneous and robust samples, with longer follow-up periods, allowing to elucidate the place of paraphrenia in nosological classifications.

Ključne riječi

Psychotic disorders; paranoid disorders; schizophrenia; psychiatry; history

Hrčak ID:

323281

URI

https://hrcak.srce.hr/323281

Datum izdavanja:

1.12.2024.

Posjeta: 0 *