Relevanzanalysen bei Kranken in der Bewu�tseinstr�bung und im schweren Durcngangs-Syndrom

Wieck, H. H.; Philipps, Klaus

doi:10.1007/bf00342905

Cited by 3 publications

(1 citation statement)

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“…In dem Versuch einer funktionalen Erklärung wird die Frage angegangen, wie Bewußtsein Erkenntnis leiste. Dabei taucht der Begriff des Relevanzmerkmals als Attribut von Bewußtseinsinhalten auf, ein Begriff, der bereits in Wiecks (48,49) Überlegungen zu den Bewußtseinsinhalten in der Psychose eine Rolle gespielt hat. Die hochinteressante Frage, ob es sich dabei möglicherweise um ein im Gehirn gesondert repräsentiertes Attribut handeln könnte, wird nicht diskutiert.…”

Section: Der Bewußtseinsbegritt In Der Interdisziplinär Orientierten unclassified

Der Bewußtseinsbegriff aus neuropsychiatrischer und in interdisziplinärer Sicht

Jf¹

1992

Fortschr Neurol Psychiatr

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In German neuropsychiatric literature there is an established tradition of viewing the disturbance of consciousness as a leading symptom of the acute, potentially reversible organic psychoses. Following the late H. H. Wieck acute organic psychoses which are characterized by a disturbance of wakefulness (syndromes of somnolence, sopor, coma), have to be distinguished from those with preserved wakefulness, which he called 'Durchgangssyndrom' (e.g. amnesic syndrome with affective lability). These two syndromes have found their way into textbooks and everyday language in medicine as 'disturbance of consciousness'. But neurology and psychiatry are developing in different directions. Furthermore classical phenomenological psychopathology is not a numerative science and consciousness is still under the persisting eliminative verdict of behaviorism. During the last decades consciousness and the psychopathology of acute organic psychoses have been subject to methodological reflection only with the aim of elaborating quantitative scales. In philosophy and psychology there has been a development towards a new impartiality about consciousness during the same time. The biological sciences have acquired more knowledge about cerebral functions with respect to conscious mental processes and between these sciences a fruitful cooperation has evolved from this. The different views of consciousness in relevant neighbouring sciences are looked at from two main points of view. Following classical descriptive tradition are: philosophy (Bunge, Seifert, Hastedt), philosophically oriented psychiatry (Jaspers, Ey), descriptive psychology (Deleay/Pichot), and the post-behaviorist psychology (Hilgard, Mandler, Natsoulas). On the other hand the neurobiologically oriented sciences: clinical neuropsychology (Mesulam, Kolb/Wishaw, Poeck, Stuss, Shallice), neurophysiology (Brain, Goldman-Rakic, Creutzfeldt, Roland), and neurophilosophy (Churchland, Oeser). These more recent developments can contribute to a more actual sight of psychopathology of consciousness in neurology and psychiatry.

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Section: Der Bewußtseinsbegritt In Der Interdisziplinär Orientierten unclassified

Der Bewußtseinsbegriff aus neuropsychiatrischer und in interdisziplinärer Sicht

Jf¹

1992

Fortschr Neurol Psychiatr

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Zum Wandel ätiologischer Konzepte des Dermatozoenwahn-Syndroms (DWS)

Hofmann

Joraschky

Hornstein

1990

Neue Entwicklungen in Der Dermatologie

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Empirical Investigations on the Reliability and the Value for Differential Diagnosis of 21 Clinical Symptoms of Disturbed States of Consciousness

Aggernæs

Myschetzky

Paikin

et al. 1975

Acta Psychiatr Scand

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Two groups of patients in disturbed states of consciousness (DSC's) were compared with three groups of patients in clear states of consciousness (CSC's): demented, schizophrenic, and non-psychotic patients. In each of the groups, 15 patients were evaluated for 21 "objective" symptoms; each patient was evaluated by two psychiatrists. In this way, reliable symptoms were sought out which could discriminate: 1) elderly patients in DSC's from elderly demented but clear patients; and 2) schizophrenic patients from patients in DSC's caused by either withdrawal states after abuse of alcohol or barbiturates, or psychogenic psychoses. Reliable and discriminating symptoms were found. However, different symptoms discriminated when patients in different diagnostic groups were compared. Three kinds of discriminating values of a symptom may be distinguished from one another: 1) only the presence of a symptom is informative; 2) only its absence is informative; 3) both presence and absence of the symptom are informative.

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Relevanzanalysen bei Kranken in der Bewu�tseinstr�bung und im schweren Durcngangs-Syndrom

Cited by 3 publications

References 10 publications

Der Bewußtseinsbegriff aus neuropsychiatrischer und in interdisziplinärer Sicht

Der Bewußtseinsbegriff aus neuropsychiatrischer und in interdisziplinärer Sicht

Zum Wandel ätiologischer Konzepte des Dermatozoenwahn-Syndroms (DWS)

Empirical Investigations on the Reliability and the Value for Differential Diagnosis of 21 Clinical Symptoms of Disturbed States of Consciousness

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