Die Welt des Zwangskranken

Gebsattel, V. E. Freiherr Von

doi:10.1007/978-3-642-87964-7_4

Cited by 15 publications

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“…Twelve patients (7 males, 5 females; mean age=24.12 years, SD=±3. 26 The mean daily stabilized dose of clozapine was 324.9 mg (SD=±62.87 mg; range=250-400 mg). No patient received other drugs during the treatment with clozapine.…”

Section: Methodsmentioning

confidence: 97%

“…In fact, treatment with clozapine has been associated with the development (denovo) of obsessive-compulsive (OC) symptoms in up to 10% of adults 17 " 19 and adolescents 20 with schizophrenia; however, these symptoms seem responsive to an adjunctive selective serotonin reuptake inhibitor (SSRI) regimen. 1922 The use of atypical antipsychotics has contributed to a substantial dissection of the nosographical area of psychotic disorders, 25 1927 1927 Von Gebsattel 26 1938 Binswanger L 27 1957 Conrad K 1 Arieti S 28 Blankeburg EyH 2 9 Pao PN :!0 Callieri B 31 1958 1970 W 2 1971 1975 1979 1982 Wahnstimmung ("delusional mood") Loss of vital contact with reality Primitive panic Arrest of temporal flow Atmospherisation of the world Trema Prepsychotic panic Der verlust der naturlichen selbstuestdndlichkeit ("loss of natural evidence") Discordance Organismic panic Basic delusional intonation probably related to a secondary serotoninergic effect. 23 At any rate, both instruments (one conceptual and the other concrete) have led to renewed attention towards anxiety phenomenology during the course of schizophrenic processes, and has also stimulated new interest in the psychopathology of schizophrenia.…”

Section: Introductionmentioning

confidence: 99%

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Social Anxiety and Premorbid Personality Disorders in Paranoid Schizophrenic Patients Treated With Clozapine

Pallanti

Quercioli²,

Pazzagli³

2000

CNS spectr.

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The concept of anxiety as a distinct comorbid disorder in schizophrenia has recently been rediscovered after having been neglected for a long period of time due to both theoretical and clinical approaches adopted from the appearance of the first edition of the Diagnostic and Statistical Manual of Mental Disorders in 1950. This rediscovery was accentuated by the fact that the concept of comorbidity in various psychiatric disorders has recently won widespread favor within the scientific community, and that the use of atypical neuroleptic medication to treat patients with schizophrenia has been reported to lead to the emergence of anxiety symptoms. Of the atypical neuroleptic medications used to treat schizophrenia, clozapine has most frequently been reported to induce anxiety symptoms. In this paper, 12 cases of patients with paranoid schizophrenia who developed social phobia during clozapine treatment are reported, and their response to fluoxetine augmentation is assessed. Premorbid personality disorders were also investigated; patients were assessed using the Structured Clinical Interview for DSM-III-R—Patient Version and the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (DSM-III-R=Diagnostic and Statistical Manual of Mental Disorders, Third Edition Revised; DSM-IV=Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition). In addition, the Scale for the Assessment of Negative Symptoms, the Scale for the Assessment of Positive Symptoms, the Liebowitz Social Anxiety Scale (LSAS), the Frankfurt Beschwerde Fragebogen (Frankfurt Questionnaire of Complaints), and the Brief Psychiatric Rating Scale were used to rate clinical symptomatology. All patients were reevaluated after 12 weeks of cotreatment with clozapine and fluoxetine. In 8 (66.6%) of the 12 cases, symptoms responded (≥35% LSAS score reduction) to an adjunctive regimen of fluoxetine. Furthermore, in 7 (58.3%) of the 12 cases, an anxious personality disorder (avoidant=33.3%; dependent=25%) was identified, but no significant differences in the prevalence of comorbid personality disorders emerged in comparison with a group of 16 patients with paranoid schizophrenia treated with clozapine who did not show symptoms of social phobia. The clinical relevance of the assessment and treatment of anxiety disorders is discussed in light of a clinical therapeutic approach that overcomes the implicit hierarchy of classification. Considering that the onset of anxiety-spectrum disorders (such as social phobia) can occur during the remission of psychotic symptoms in clozapine-treated patients with schizophrenia, a comprehensive approach to pharmacological therapy for patients with schizophrenia (or, at least for those treated with clozapine) should be adopted.

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Section: Methodsmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Social Anxiety and Premorbid Personality Disorders in Paranoid Schizophrenic Patients Treated With Clozapine

Pallanti

Quercioli²,

Pazzagli³

2000

CNS spectr.

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“…During the 1930s and 1940s, two German psychopathologists with a phenomenological orientation, Erwin Straus [ 2 ] and Victor von Gebsattel [ 3 ], independently explored the world of persons who fear to be contaminated and seek to avoid contagion at all costs − what Straus termed “contamination obsession.” Their parallel accounts offer a phenomenological paradigm for contemporary social distancing biopolitics. In contamination obsession, most of the world is perceived in accord with the physiognomy of decay − what Straus calls aneidos, that is, the loss of form of a given thing in the world.…”

Section: Contamination Obsession: a Paradigm For Social Distancing Biopoliticsmentioning

confidence: 99%

The Bracketing of Presence: Dematerialization and Disembodiment in Times of Pandemic and of Social Distancing Biopolitics

Stanghellini

Sass

2021

Psychopathology

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The purpose of this paper is to help us understand how and why the COVID pandemic, and its associated biopolitics of social distancing, may have affected our relationships with our own bodies and other persons, thus helping to accelerate what might be termed a <i>bracketing of presence</i> that was already well underway in our modern and contemporary social practices. We focus on 3 historical vectors, all rooted in specific technologies, that have profound implications at the levels of our social imaginary and prereflective ways of being: architecture, social media, and medicine. Architecture has progressively eliminated “porosity” between spaces by establishing clear borders between public and private spaces (also within the private ones), thereby contributing to our drive for social distancing. Social media have provided apparatuses that replace intercorporeal encounters with disembodied, virtual interactions mediated by images. Visual experiences that are more embodied, participatory, and “immersed” are replaced by passive forms of “seeing”: the other becomes an image for me, and I for the other. The object of medicine has also recently dematerialized with the advent of the new “optical” and “digital” machines of modern medicine, which can operate remotely thanks to an increasingly powerful interface reliant on computational power and the resources of artificial intelligence, thereby dispensing with body-to-body interactions. We offer these reflections as routes to a better understanding of changes that have occurred and are occurring on the planes of both culture and individual psychological existence.

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“…This phenomenon is related to an original stagnation of time, whose physiognomy is that of rottenness and putrefaction. 4,7 It is a world in which everything appears without a neat shape. Such a matter causes a repulsive response, the emotion of disgust.…”

Section: Lived Timementioning

confidence: 99%

Real persons' experience of contamination obsession: Hypothese from a Strausian analysis

Stangehellini¹,

Muscelli²

2007

S. Afr. J. Psych.

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<p>The last two decades have witnessed a growing interest in the relation between philosophy, psychiatry and psychology (PP&P), to the extent that their kinship is now widely recognised. Erwin Straus* was a forerunner in this field. As one of the central scholars of the phenomenological approach to psychology and psychiatry in the 20th century, he acutely confronts the major thinkers of classic philosophy as well as his contemporaries. Through a profound reflection on philosophers (mainly Aristotle, Descartes, Husserl, Freud, Heidegger, Merleau-Ponty) and an engaged dialogue with the most important psychiatrists in his time (such as Binswanger and Minkowski), Straus came to elaborate an original theory whose fundamental basis is the phenomenological recognition of the inconsistency of Cartesian philosophy, of ‘experimental’ psychology (as originally described by Pavlov) and of psychoanalysis.</p>

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Die Welt des Zwangskranken

Cited by 15 publications

References 0 publications

Social Anxiety and Premorbid Personality Disorders in Paranoid Schizophrenic Patients Treated With Clozapine

Social Anxiety and Premorbid Personality Disorders in Paranoid Schizophrenic Patients Treated With Clozapine

The Bracketing of Presence: Dematerialization and Disembodiment in Times of Pandemic and of Social Distancing Biopolitics

Real persons' experience of contamination obsession: Hypothese from a Strausian analysis

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