RESUMO
For a rather long period of time the authors have seen and followed up the evolution of a very characteristic syndrome. It is not frequent and it appears only in puberty, in boys as well as in girls, and it has been called "acute obsessive crisis". It appears suddenly in the form of a very intense anguish with the constant repetition of questions about the possibility of being in mortal sin and with the evidence of poorness of thought. The acute period lasts about 72 hours and then remission begins spontaneously and in one week it is all over. The evolution of this syndrome showed that it is not repeated later and that it does not leave any defect. It is essential to make the differential diagnosis with schizophrenia. The author's hypothesis is that acute obsessive crisis is the extreme manifestation of the painful mental experiences associated to corporal changes so frequent during puberty.
Assuntos
Transtorno Obsessivo-Compulsivo/diagnóstico , Puberdade , Doença Aguda , Adolescente , Catolicismo , Criança , Feminino , Culpa , Humanos , Masculino , Sexo , Síndrome , PensamentoRESUMO
Se describe un sindrome - la crisis obsesiva aguda que aparece en la pubertad - que se puede confundir con el comienzo de una esquizofrenia pero que tiene siempre un buen pronostico y que remite en forma rapida y espontanea. El material clinico esta constituido por cinco casos. De comienzo agudisimo, sin prodromos, el cuadro dura unos tres dias y se caracteriza por ansiedad intensa y constante, insomnio total y la repeticion del tema central, que es el estar en pecado mortal o ser victima del demonio. Se plantea la hipotesis de que este cuadro puede ser la manifestacion extrema de las vivencias angustiantes que acompanan casi invariablemente los cambios corporales de la pubertad
Assuntos
Adolescente , Transtornos Psicóticos , Comportamento ObsessivoRESUMO
For a rather long period of time the authors have seen and followed up the evolution of a very characteristic syndrome. It is not frequent and it appears only in puberty, in boys as well as in girls, and it has been called [quot ]acute obsessive crisis[quot ]. It appears suddenly in the form of a very intense anguish with the constant repetition of questions about the possibility of being in mortal sin and with the evidence of poorness of thought. The acute period lasts about 72 hours and then remission begins spontaneously and in one week it is all over. The evolution of this syndrome showed that it is not repeated later and that it does not leave any defect. It is essential to make the differential diagnosis with schizophrenia. The authors hypothesis is that acute obsessive crisis is the extreme manifestation of the painful mental experiences associated to corporal changes so frequent during puberty.
RESUMO
Se describe un sindrome - la crisis obsesiva aguda que aparece en la pubertad - que se puede confundir con el comienzo de una esquizofrenia pero que tiene siempre un buen pronostico y que remite en forma rapida y espontanea. El material clinico esta constituido por cinco casos. De comienzo agudisimo, sin prodromos, el cuadro dura unos tres dias y se caracteriza por ansiedad intensa y constante, insomnio total y la repeticion del tema central, que es el estar en pecado mortal o ser victima del demonio. Se plantea la hipotesis de que este cuadro puede ser la manifestacion extrema de las vivencias angustiantes que acompanan casi invariablemente los cambios corporales de la pubertad
