Zur Klinik der sogenannten symptomatischen Psychosen<sup>1</sup>

Wieck, H. H.

doi:10.1055/s-0028-1115128

Cited by 73 publications

(5 citation statements)

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“…Further, vascular depression seems to me to be either a secondary or reactive psychosis, following disturbances of the cognitive consciousness and somatic system, or a primary psychosis with normal consciousness. Transit syndrome [5] is a kind of example.…”

Section: Discussionmentioning

confidence: 99%

Phenomenological aspects of consciousness — its disturbance in acute and chronic stages

Ohta¹

2005

Re-Engineering of the Damaged Brain and Spinal Cord

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SummaryThe meaning of a disturbance of consciousness is completely different in an acute as opposed to a chronic stage. In the acute stage, the grade of arousal is the most essential component in order to assess the changes of the level of intracranial pressure in neurosurgical emergency room. A new coma scale called Emergency Coma Scale has been proposed, which represents a combination of the Glasgow Coma Scale and the Japan Coma Scale.In the chronic stage, however, contents of consciousness or mental function deserve phenomenological and holistic investigations, keeping the di¤erence between consciousness and mind in consideration, in order not only to treat and care for patients following cerebral injuries, stroke and mild cognitive impairment in aged people. We propose the di¤erence in conception between consciousness and mind; that is, consciousness consists of psycho-sensory a¤erent system, mind of psycho-motor e¤erent and a¤erent system, and memory and language as liaison o‰cers between them. This proposal would play a role to understand mental change in the natural aging processes, when memory and cognition are deteriorating gradually, but is still in evolution in the field of culture.

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Section: Discussionmentioning

confidence: 99%

Phenomenological aspects of consciousness — its disturbance in acute and chronic stages

Ohta¹

2005

Re-Engineering of the Damaged Brain and Spinal Cord

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“…Besonders im deutschen Sprachgebrauch verläuft die Trennung zwischen Bezeichnungen wie "psychoorganisches Syndrom", "Durchgangssyndrom" und "Herzpsychose" unscharf. Im klinischen Alltag sowie der neueren deutschsprachigen Literatur wird zumeist an der von Wieck [168] bereits in den 50er jahren geprägten Bezeichnung "Durchgangssyndrom", einem Begriff, der den Verlaufscharakter der Störung betont, festgehalten [35,57,107]. Der Begriff Delir/Delirium findet, wahrscheinlich infolge seiner assoziativen Nähe zum Begriff "Delirium tremens", in der deutschsprachigen Literatur nur selten Anwendung in der Beschreibung postoperativer neuropsychologischer und psychopathologischer Störungen.…”

Section: Zur Terminologieunclassified

Neuropsychologische und psychopathologische Veränderungen nach kardiochirurgischen Eingriffen

Walzer

Herrmann²

1998

Fortschr Neurol Psychiatr

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Neuropsychological and neuropsychiatric disorders following open heart surgery are estimated to occur in as many as 80 per cent of all patients. They have been recognised from the very beginning of modern heart surgery. Despite a huge amount of scientific literature, data concerning incidence, the phenomenology and duration of symptoms diverge. This finding may be explained by heterogeneous aetiopathogenetic concepts and methodological and terminological problems associated with the investigation of postoperative delirium or neuropsychological and psychopathological sequelae of cardiac surgery. Nowadays, most authors agree in respect of a multifactorial pathogenesis of cognitive deficits following cardiac surgery. Factors influencing the psychopathological and neuropsychological outcome of cardiac surgery can be divided into pre-, intra- and postoperative variables. Advanced age, degree of cardiovascular impairment and other case histories, as well as history of drug abuse, are those preoperative variables that may be responsible for a postoperative cognitive decline. The predictive value of personality traits (depression and/or anxiety), however, is most controversial. Among the intraoperative variables related to the postoperative cognitive state, are e.g. the type of operation and technical procedure (micro-/macroembolism due to the way of oxygenation, pulsatile/-non-pulsatile flow) and duration of extracorporeal circulation. In the postoperative period, the duration of intubation or ICU stay and related variables (like sleep or sensory deprivation/hyperstimulation) were identified as significant predictors of neuropsychological and psychopathological alterations. Modern research focusses on neurobiochemical markers of brain injury which may serve as early predictors of a postoperative cognitive decrease. These parameters may indicate an early postoperative diagnosis and neuroprotective treatment in patients at risk.

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“…Beamish In Japan wird in einem Teil der Literatur die Ansicht vertreten, daß es sich bei MAP-Psychosen um eine Bewußtseinsstörung handelt (10,11,20,22,23,28,36,37,39,40,48,50). Die meisten dieser Mitteilungen erklären die Bewußtseinsstörung auf dem Boden des exogenen Reaktionstyps (37,39) nach Bonhoeffer (5), der Überwachheit (11, 28,50) von Zutt (52) und des Durchgangssyndroms von Wieck (49). Der Fall 1 von Sato et al (36) kam mit einem paranoid-halluzinatorischen Zustandsbild zur Aufnahme, bot zwei Wochen lang nächtliche Delirien ("In der Nähe der Tür steht eine Katze oder das Kind stirbt") und erinnerte sich später schwer an die Ereignisse.…”

Section: Kasuistikenunclassified

Ein Beitrag zur Kenntnis klinischer Verläufe von chronischen Methamphetaminpsychosen

Fujimori¹,

Nakatani²,

Sakaguchi³

1989

Fortschr Neurol Psychiatr

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3 cases with chronic methamphetamine psychoses (MAP-P) were studied from the clinical psychiatric point of view and discussed: 1.) The average time of occurrence of psychotic symptoms in our 3 cases after beginning of MAP abuse was two or three years. 2.) Although the psychotic states (often schizophrenia-like) were stable for a short time, the symptoms recurred promptly after reinjection of a small amount of MAP, unspecific stress or drinking sake (flashback phenomenon). The recurrence may happen even after several years. 3.) In cases of chronic MAP-P disturbances of consciousness are rare. Chronic process of MAP-P cases may show acute transient disturbances of consciousness (flashback phenomenon). 4.) The change of affects and behaviour ranges between irritable and indifferent attitudes. While there are close connections between the disturbance of feeling and change of personality (Wesensänderung), it is very difficult to decide whether premorbid character traits are dominant or there is a change of personality or emotional disturbance. 5.) About acute psychic symptoms which are responsible for recurrence of MAP-P, MAP-abusers make the experience that their intimate personal affairs are overlooked and become public (uncovered defensive experiences). In chronic cases of MAP-P we often meet patients with hypertrophic self-feeling or delusion of grandeur predominant in the symptomatology. 6.) In our cases sensations were amalgamated into each other and there were hallucinatory experiences without clear division between them. 7.) In chronic cases the auditory hallucinations criticized or censured the patients for their behaviour. Thought echoing (Gedankenlautwerden) was found. We found signs of mind reading (Gedankenausbreitung).

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Zur Klinik der sogenannten symptomatischen Psychosen¹

Cited by 73 publications

References 0 publications

Phenomenological aspects of consciousness — its disturbance in acute and chronic stages

Phenomenological aspects of consciousness — its disturbance in acute and chronic stages

Neuropsychologische und psychopathologische Veränderungen nach kardiochirurgischen Eingriffen

Ein Beitrag zur Kenntnis klinischer Verläufe von chronischen Methamphetaminpsychosen

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Zur Klinik der sogenannten symptomatischen Psychosen1

Cited by 73 publications

References 0 publications

Phenomenological aspects of consciousness — its disturbance in acute and chronic stages

Phenomenological aspects of consciousness — its disturbance in acute and chronic stages

Neuropsychologische und psychopathologische Veränderungen nach kardiochirurgischen Eingriffen

Ein Beitrag zur Kenntnis klinischer Verläufe von chronischen Methamphetaminpsychosen

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Zur Klinik der sogenannten symptomatischen Psychosen¹