Bipolar Spectrum: A Review of the Concept and a Vision for the Future
Psychiatry Investigation
;
: 218-224, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-116457
ABSTRACT
This paper reviews the bipolar spectrum concept historically and empirically. It describes how the concept derives from Kraepelin, but was lost with DSM-III, which divided the broad manic-depressive illness concept, based on recurrent mood episodes of either polarity, to the bipolar versus unipolar dichotomy, based on allowing non-recurrent mood episodes of only one polarity. This approach followed the views of Karl Leonhard and other critics of Kraepelin. Thus post DSM-III American psychiatry is not neo-Kraepelinian, as many claim, but neo-Leonhardian. The bipolar spectrum approach, as advocated by Akiskal and Koukopoulos first, harkens back to the original broad Kraepelinian view of manic-depressive illness. The evidence for and against this approach is discussed, and common misconceptions, including mistaken claims that borderline personality is similar, are revealed and critiqued.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Transtorno Bipolar
/
Doenças Genéticas Ligadas ao Cromossomo X
/
Manual Diagnóstico e Estatístico de Transtornos Mentais
Idioma:
Inglês
Revista:
Psychiatry Investigation
Ano de publicação:
2013
Tipo de documento:
Artigo
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