Childhood-onset psychosis: evolution and comorbidity [clinical conference]
| Autor: | Joseph Gartner, Sheldon Weintraub, Gabrielle A. Carlson |
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| Rok vydání: | 1997 |
| Předmět: | |
| Zdroj: | American Journal of Psychiatry. 154:256-261 |
| ISSN: | 1535-7228 0002-953X |
| DOI: | 10.1176/ajp.154.2.256 |
| Popis: | E dward was a 12-year-old child with a lifelong history of serious problems in behavior, mood, and reality testing. Elucidating his psychotic disorder was especially difficult because his attention deficits and disruptive behavior were more prominent to his caretakers than his psychotic symptoms, which were initially tenuous and intermittent. Disentangling symptoms required obtaining records from many sources as well as careful and systematic questioning of Edward and his parents. Edward’s case was like the blind men describing the elephant; each of the programs and professionals he encountered had to deal with what was in front of them. In fact, the entire longitudinal perspective was necessary to put the picture together. In addition, the psychotic spectrum symptoms that did occur did not meet the full criteria for a particular psychosis, and even when criteria were met, diagnosis was not entirely satisfactory. Finally, Edward was very sensitive to psychosocial stressors, further complicating our understanding of his psychopathology. In the end, Edward’s case points out that we are confronted with disorders that are probably evolving and that there are limitations to our current nosology. There is as yet no satisfactory resolution of his diagnosis. |
| Databáze: | OpenAIRE |
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