By Andreas Marneros, Frank Pillmann

Acute psychotic problems with a quick period and a usually stable analysis have lengthy intrigued psychiatrists. even if they're integrated in the world over authorised diagnostic platforms, our knowing of those issues continues to be at a minimum point. This publication is the 1st complete evaluation in their scientific gains, biology, direction and long term results. The authors additionally tackle their nosological prestige and influence on our knowing of the continuum of psychotic and affective problems.

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1990). 9). e. delusions, hallucinations, disorganised speech, grossly disorganised or catatonic behaviour) not fulfilling the criteria for any specific psychotic disorder. Examples are postpartum psychoses not fulfilling the criteria of any other psychotic or organic disorder, psychoses failing to meet the duration criteria of a specific disorder and psychoses with unclear or unusual clinical symptoms that cannot be classified elsewhere. From these descriptions it becomes clear that the category ‘Psychotic Disorders Not Otherwise Specified’ in the DSM is a true ‘residual’ category and does not define a nosological entity.

As previously mentioned, in the 1880s Valentin Magnan (1835–1916) (Fig. 3) described for the first time a psychopathological condition, named ‘syndromes ´episodiques des d´eg´en´er´es’ or ‘bouff´ee d´elirante des d´eg´en´er´es’. The concept created by Magnan was completed by his pupils , Legrain and Saury (Legrain, 1886; Saury, 1886; Magnan and Legrain, 1895). It was later renewed by Henri Ey (1952, 1954). Magnan, the ‘grey eminence’ of French psychiatry (Shorter, 1997) and one of the most important French nosologists, worked at the Paris mental hospital SainteAnne.

The research team made consensus ratings of the presence of psychosis, DSM-III-R diagnosis, mode of onset of disorder, and course of disorder. Brief Psychoses were defined by a diagnosis of non-affective psychosis at the initial evaluation and a rating of full remission at the 6-month follow-up; Acute Brief Psychoses met the additional criterion of acute onset as defined by ICD-10. Of the sample of 221 patients, 20 patients (9%) were considered to suffer from Brief Psychoses. Only 7 patients (3%) were diagnosed with Acute Brief Psychoses.

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