Skip to main content

Advertisement

Log in

Classification of nonschizophrenic psychotic disorders: A historical perspective

  • Published:
Current Psychiatry Reports Aims and scope Submit manuscript

Abstract

The existence of a group of psychoses that are symptomatologically and prognostically different from schizophrenia and affective psychotic disorders is supported by clinical and epidemiologic evidence. Although such "atypical" psychoses account for up to 10% of all psychotic disorders, their aetiology, pathophysiology, and neuropathology remain insufficiently understood. Moreover, they have been described by different schools of psychiatry a variety of ways, including non-process schizophrenia, schizophreniform psychosis, reactive (or psychogenic) psychosis, bouffées délirantes, and cycloid psychoses, but the extent to which these diagnostic categories overlap or differ has not been systematically explored. Neither Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), nor International Classification of Disease, Tenth Revision (ICD-10), provides adequate diagnostic criteria and classificatory categories for this group of disorders. Special attention to the refinement of the diagnosis and classification of the acute and transient psychotic disorders in future versions of the two classifications will be warranted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References and Recommended Reading

  1. Kraepelin E: Dementia Praecox and Paraphrenia. Edinburgh: Livingstone; 1919.

    Google Scholar 

  2. Jablensky A: The conflict of the nosologists: views on schizophrenia and manic depressive illness in the early part of the 20th century. Schizophr Res 1999, 39:95–100. An overview of the highly critical debate that followed Kraepelin’s delineation of dementia praecox and manic-depressive psychosis.

    Article  PubMed  CAS  Google Scholar 

  3. Bleuler E: Dementia Praecox Oder Die Gruppe der Schizophrenien. Leipzig, Wien: Deuticke; 1911.

    Google Scholar 

  4. Langfeldt G: The Schizophreniform States: A Katamnestic Study Based on Individual Re-examinations. London: Oxford University Press; 1939.

    Google Scholar 

  5. Stephens JH, Astrup C: Prognosis in "process" and "nonprocess" schizophrenia. Am J Psychiatry 1963, 119:945–953.

    Google Scholar 

  6. Wimmer A: Psykogene Sindssygdomsformer. In St Hans Hospital 1816–1915. Copenhagen: Jubilee Publication, Gad; 1916:85–216.

    Google Scholar 

  7. Magnan V, Legrain M: Les dégénérés. État mental et syndromes épisodiques. Paris: Rueff et Cir; 1895.

    Google Scholar 

  8. Pichot P: Psychiatric nosology in France and the Francophone tradition. In Mental Disorders, Alcohol- and Drug-related Problems. Amsterdam: Excerpta Medica; 1985:13–23.

    Google Scholar 

  9. Ungvari GS, Mullen PE: Reactive psychoses. In Troublesome Disguises. Edited by Bhugra D, Munro A. Oxford: Blackwell; 1997:52–90.

    Google Scholar 

  10. Wig NN, Singh G: A proposed classification of psychiatric disorders for use in India. Indian J Psychiatry 1967, 20:262–266.

    Google Scholar 

  11. Kraepelin E: Die Erscheinungsformen des Irreseins. Zeitschrift für die gesamte Neurologie und Psychiatrie 1920, 62:1–29.

    Article  Google Scholar 

  12. Bleuler E: Lehrbuch der Psychiatrie, 3o Auflage. Berlin: Springer; 1920.

    Google Scholar 

  13. World Health Organization: Schizophrenia: An International Follow-up Study. Chichester: Wiley; 1997.

    Google Scholar 

  14. Jablensky A, Sartorius N, Ernberg G, et al.: Schizophrenia: manifestations, incidence and course in different cultures:a World Health Organization ten-country study. In Psychological Medicine Monograph Supplement 20. Cambridge: Cambridge University Press; 1992.

    Google Scholar 

  15. Susser E, Wanderlling J: Epidemiology of nonaffective acute remitting psychosis vs schizophrenia. Arch Gen Psychiatry 1994, 51:294–301.

    PubMed  CAS  Google Scholar 

  16. Johnstone EC, Connelly J, Frith CD, et al.: The nature of "transient" and "partial" psychoses: findings from the Northwick Park ‘functional’ psychosis study. Psychol Med 1996, 26:361–369.

    Article  PubMed  CAS  Google Scholar 

  17. Strakowski SM: Diagnostic validity of schizophreniform disorder. Am J Psychiatry 1994, 151:815–824.

    PubMed  CAS  Google Scholar 

  18. Kendler KS, Walsh D: Schizophreniform disorder, delusional disorder and psychotic disorder not otherwise specified: clinical features, outcome and familial psychopathology. Acta Psychiatr Scand 1995, 91:370–378.

    PubMed  CAS  Google Scholar 

  19. Sommer R: Diagnostik der Geisteskrankheiten. Wien: Urban & Schwarzenberg; 1894.

    Google Scholar 

  20. Jaspers K: Kausale und ‘verständliche’ Zusammenhänge zwischen Schicksal und Psychose bei der Dementia praecox (Schizophrenie). Zeitschrift für die gesamte Neurologie und Psychiatrie 1913, 14:158–263.

    Google Scholar 

  21. Jaspers K: General Psychopathology. Manchester and Chicago: Manchester University Press and The University of Chicago Press; 1963.

    Google Scholar 

  22. Færgeman P: Psychogenic Psychoses. London: Butterworth; 1963.

    Google Scholar 

  23. Strömgren E: The development of the concept of reactive psychoses. Psychopathology 1986, 20:62–67.

    Google Scholar 

  24. McCabe MS: Reactive psychosis: A clinical and genetic investigation. Acta Psychiatr Scand 1975, 54(suppl):1–133.

    Google Scholar 

  25. Opjordsmoen S: Toward an operationalization of reactive paranoid psychoses (reactive delusional disorder). Psychopathology 1987, 20:72–78.

    PubMed  CAS  Google Scholar 

  26. Ungvari G: The Wernicke-Kleist-Leonhard school of psychiatry. Biol Psychiatry 1993, 34:749–752.

    Article  PubMed  CAS  Google Scholar 

  27. Kleist K: Autochtone Degenerationspsychosen. Zeitschrift für die gesamte Neurologie und Psychiatrie 1921, 69:1–11.

    Google Scholar 

  28. Leonhard K: Classification of Endogenous Psychoses and their Differentiated Etiology, edn 2. New York and Wien: Springer; 1995.

    Google Scholar 

  29. Perris C: A study of cycloid psychoses. Acta Psychiatr Scand Suppl 1974, 253:1–77.

    PubMed  CAS  Google Scholar 

  30. Brockington IF, Perris C, Kendell RE, et al.: The course and outcome of cycloid psychoses. Psychol Med 1982, 12:97–105.

    Article  PubMed  CAS  Google Scholar 

  31. Cutting J: Relationship between cycloid psychosis and typical affective psychosis. Psychopathology 1990, 23:212–219.

    PubMed  CAS  Google Scholar 

  32. Maj M: Cycloid psychotic disorder: validation of the concept by means of a follow-up and a family study. Psychopathology 1992, 23:196–204.

    Article  Google Scholar 

  33. Franzek E, Beckmann H: Different genetic background of schizophrenia spectrum psychoses: a twin study. Am J Psychiatry 1998, 155:76–83. Tentative evidence of high heritability of Leonhard’s periodic catatonia and low heritability of the cycloid psychoses.

    PubMed  CAS  Google Scholar 

  34. Franzek E, Becket T, Hofmann E, et al.: Is computerized tomography ventricular abnormality related to cycloid psychosis? Biol Psychiatry 1996, 40:1255–1266.

    Article  PubMed  CAS  Google Scholar 

  35. Strik WK, Fallgatter AJ, Stoeber G, et al.: Specific P300 features in patients with cycloid psychosis. Acta Psychiatr Scand 1996, 94:471–476.

    PubMed  CAS  Google Scholar 

  36. Jørgensen P, Bennedsen B, Christensen J, Hyllested A: Acute and transient psychotic disorder: a 1-year follow-up study. Acta Psychiatr Scand 1997, 96:150–154. This is part two of one of the few prospective investigations of the ICD-10 diagnostic category of acute and transient psychotic disorders.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jablensky, A. Classification of nonschizophrenic psychotic disorders: A historical perspective. Curr Psychiatry Rep 3, 326–331 (2001). https://doi.org/10.1007/s11920-001-0029-7

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11920-001-0029-7

Keywords

Navigation