ABSTRACT
PROBLEM: In the last years there has been a shift from curative to preventive objectives in politics (prevention law) and medicine, by which socialpsychiatric practice also is affected. This requires a critical reflection about ethical, methodical and therapeutic problems of the prevention of psychological disorders--especially schizophrenic psychosis. ARGUMENTS: Studies dealing with the prodromal stage of schizophrenia point to a successful early detection and intervention. But also negative consequences like stigmatization and side effects by psychotherapeutic or pharmacologic interventions should be taken into account. CONCLUSION: Under critical consideration of the ethical principles of not causing harm, acting for the well-being and the person's right of self-determination prevention should play a larger role in psychiatry. Therefore further empirical studies about the efficacy of early detection and intervention are needed.
Subject(s)
Community Psychiatry/ethics , Schizophrenia/prevention & control , Antipsychotic Agents/adverse effects , Antipsychotic Agents/therapeutic use , Humans , Schizophrenia/diagnosis , Schizophrenic Psychology , StereotypingABSTRACT
The case report is presented of a 33-year-old male who developed coenaesthesia after suffering from chickenpox. While central nervous involvement of the herpes zoster virus infection was not found, suffering a children's disease at an adult age proved an important psychodynamic factor for release of the coenaesthetic symptomatology.
Subject(s)
Chickenpox/psychology , Cognition Disorders/psychology , Encephalitis, Herpes Simplex/psychology , Herpes Zoster/psychology , Neuralgia/psychology , Psychoanalytic Theory , Sick Role , Adult , Atrophy , Cerebral Cortex/pathology , Cerebral Ventricles/pathology , Chickenpox/diagnosis , Cognition Disorders/diagnosis , Diagnosis, Differential , Encephalitis, Herpes Simplex/diagnosis , Herpes Zoster/diagnosis , Humans , Magnetic Resonance Imaging , Male , Neuralgia/diagnosis , Parent-Child Relations , Schizophrenia/diagnosis , Schizophrenic Psychology , Social Adjustment , Somatoform Disorders/diagnosis , Somatoform Disorders/psychologyABSTRACT
A case report of a female schizophrenic patient is presented who showed a coincidence of erotomania and Frégoli syndrome with some interesting symptom constellations only rarely mentioned in the literature. Organic and psychodynamic factors were found in the etiopathogenesis of this disorder. A combination of psychotherapy and neuroleptic therapy was partly successful.
