학술논문
편집형 정신분연증 양상으로 시작된 조울병 3례
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- 영문명
- THREE CASES OF MANIC DEPRESSIVE ILLNESS ANTECEDED BY PARANOID SCHIZOPHRENIC PICTURES
- 발행기관
- 대한신경정신의학회
- 저자명
- 金光潤 金光日
- 간행물 정보
- 『신경정신의학』제15권 제3호, 247~252쪽, 전체 6쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1976.07.30
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국문 초록
영문 초록
Inspite of the fact that prognosis of schizophrenia has been increasingly interested in the field
of clinical psychiatry, few studies have been reported on the changeability of schizophrenia into
the other type of psychosis, especially manic depressive illness. The authors tried to prove the
possibility that typical schizophrenia could be shifted into typical manic depressive illness by a
clinical study of three cases.
Three cases of manic depressive illness wero examined who had been diagnosed as acute paranoid
schizophrenia. Diagnosis was made in the DSM-1.
It was obviously confirmed that the three cases of acute paranoid schizophrenia had shifted into
two cases of cyclic type and one case of depressive type of manic depressive illness. Clinical characteristics
of the cases were as follows; a) intial diagnosis of all cases was acute paranoid schizophrenia
with systematic persecutory delusion, b)
apparent affective picture could be seen even in the acute schizophrenic phase secondary to schizophrenic
thinking disorders, c) there were noticed mixed symptoms during the period of typical schizophrenic
phase shifting into manic depressive one, d)
abrupt Onset, short duration of active illness and continuing recurrence were the common pictures.
Three Speculative but possijbje factors in shifting of schizophrenia into manic depressive illness were
discussed,; a ) psychpdynamic reasons, insight and stigmata of insanty, b) biochemical change due
to antipsychotics, c) changeability of schizopitrenia per se into manic depressive illness. The reason
of shifting in disease entity and changeability of other types of schizophrenia would be interestingly
suggested for the futnre study
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