dc.date.accessioned | 2022-01-18T19:34:44Z | |
dc.date.available | 2022-01-18T19:34:44Z | |
dc.date.created | 2022-01-18T19:34:44Z | |
dc.date.issued | 2012 | |
dc.identifier | https://hdl.handle.net/20.500.12866/11210 | |
dc.identifier | https://doi.org/10.4067/s0717-92272012000200004 | |
dc.description.abstract | Cases of acute psychosis which during longitudinal follow-up did not meet criteria for schizophrenic psychosis or affective psychosis are common in clinical practice; however, those cases can be classified into diagnostic categories that are not sufficiently representative of their nosological individuality. This intermediate group of psychosis: characterized by acute onset, usually brief course, polymorphic symptomatology and recovery without defect, has been conceived in different psychiatric schools through different concepts: in this sense, the construct of Cycloid Psychoses, original from German psychiatry, has demonstrated validity and is embedded in a heuristically profitable diagnostic system (the Wernicke-Kleist-Leonhard classification). Apropos of two representative cases, we review here the relevant literature and highlight the need to consider this diagnostic possibility - not fully considered in the present diagnostic systems yet- in order to avoid prolonged antipsychotic treatments based on unnecessarily ominous nosological hypothesis. | |
dc.description.abstract | Los casos de psicosis aguda que durante el seguimiento longitudinal no reúnen criterios de esquizofrenia ni de psicosis afectivas son frecuentes en la práctica clínica habitual; sin embargo, pueden ser catalogados dentro de categorías diagnósticas que no representan de modo suficiente su individualidad nosológica. Este grupo intermedio de psicosis: caracterizado por su inicio agudo, curso usualmente breve, sintomatología polimórfica y recuperación sin defecto, ha sido concebido en diferentes escuelas psiquiátricas mediante diferentes conceptos: en tal sentido, el constructo de Psicosis Cicloides, proveniente de la psiquiatría alemana, ha demostrado validez y se halla engarzado en un sistema diagnóstico heurísticamente valioso (el de Wernicke-Kleist-Leonhard). A propósito de dos casos representativos, revisamos la literatura pertinente y resaltamos la necesidad de considerar esta posibilidad diagnóstica, a fin de evitar prolongados y potencialmente perjudiciales tratamientos antipsicóticos, prescritos bajo hipótesis incorrectas y gravosas. | |
dc.language | spa | |
dc.publisher | Sociedad de Neurología, Psiquiatría y Neurocirugía | |
dc.relation | Revista Chilena de Neuro-Psiquiatría | |
dc.relation | 0717-9227 | |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.subject | Acute and transient psychotic disorders | |
dc.subject | Psychotic disorders | |
dc.subject | Schizophrenia | |
dc.title | Psicosis cicloides: a propósito de dos probables casos | |
dc.type | info:eu-repo/semantics/article | |