Trauma, posttraumatic stress disorder and psychosis: etiopatho­genic and nosological implications

Background: Hysteria in its most severe expression may reach psychotic manifestations. Such symptomatology has been occasionally described by various authors starting from the 19th century and defined as “hysterical psychosis” (HP) by Hollender and Hirsch in 1964. Currently, diagnostic psychiatric manuals such as DSM and ICD do not include the diagnosis of HP, although this term is commonly used in clinical practice. This raises a well-known problem with case definition due to an inconsistent use of terminology. Summary: Here, we propose a review of the literature that aims to highlight the clinical features of HP endorsed by the majority of authors, such as histrionic premorbid personality, acute reactive onset, short duration, altered state of consciousness, unstable delusions, typical hallucinations, labile mood, lack of flat affect. In the discussion, we focus on the differential diagnosis between HP and other diagnoses such as brief psychosis and schizophrenia, trying to point out aspects of distinction and continuity. Key Messages: The debate about this nosographic entity still remains a huge dilemma and needs further contributions.

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The “Clinical Interview for Psychotic Disorders” (CIPD): Development and expert evaluation

Martins¹,

Carvalho²,

Castilho³

et al. 2015

IJCNMH

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Background: New treatment approaches for psychosis indicate that effective interventions require a therapeutic focus on emotional regulation, cognitive appraisals, and functioning. Efficacy of psychotherapeutic interventions' evaluation has changed from exclusively assessing symptom frequency/severity to a comprehensive and functional assessment of interference, functioning, and the relationship people have with symptoms. This shift led to new needs in clinical assessment. This study aimed to develop and submit to expert evaluation a new clinical interview for psychotic disorders which considers the new needs of the field.

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Trauma, posttraumatic stress disorder and psychosis: etiopathogenic and nosological implications

Cited by 4 publications

References 108 publications

PTSD mit psychotischem Erleben bei Kriegsopfern

PTSD mit psychotischem Erleben bei Kriegsopfern

The “Hysterical Psychosis” Dilemma: A Narrative Review

The “Clinical Interview for Psychotic Disorders” (CIPD): Development and expert evaluation

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Trauma, posttraumatic stress disorder and psychosis: etiopatho­genic and nosological implications

Cited by 4 publications

References 108 publications

PTSD mit psychotischem Erleben bei Kriegsopfern

PTSD mit psychotischem Erleben bei Kriegsopfern

The “Hysterical Psychosis” Dilemma: A Narrative Review

The “Clinical Interview for Psychotic Disorders” (CIPD): Development and expert evaluation

Contact Info

Product

Resources

About

Trauma, posttraumatic stress disorder and psychosis: etiopathogenic and nosological implications