Tijdschrift voor psychiatrie
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Historical Article
[A hundred years of schizophrenia: from Bleuler to DSM-V].
In 2008 it will be 100 years since the term 'schizophrenia' was introduced by Eugen Bleuler. Although the name 'schizophrenia' will still be used in dsm-v, the concept of schizophrenia has undergone a remarkable transformation in the course of time. ⋯ Because the biomedical schizophrenia concept has not been validated, uncritical use of the concept may well constitute a threat to empirical research into the neurobiological and neuropsychological determinants of psychotic symptoms. Therefore, deconstruction of the current concept is advocated, especially where it is put at the service of empirical scientific studies.
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Review Case Reports
[Autism and catatonia: successful treatment using lorazepam. A case study].
A 24-year-old man who was mentally retarded and had an autistic disorder, developed mutism and motor symptoms. He was diagnosed with catatonia and was treated successfully with lorazepam. Additionally, we review the literature about the diagnosis and treatment of catatonia in patients with autism; in such cases accurate diagnosis is vital but is complicated by overlapping symptoms.
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The dream has always been of interest to psychiatrists. It can assist with the diagnosis and treatment of psychiatric disorders. ⋯ Not only is the dream a fascinating subject for research, it is also useful in the diagnosis and treatment of a number of psychiatric disorders.
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In this article we discuss the case of a patient with schizophrenia who presented with the clinical symptoms ofcoma, fever and rigidity. Initially it was suspected that the patient had a neuroleptic malignant syndrome. ⋯ It is known that cocaine can cause a variant of the neuroleptic malignant syndrome. The patient was treated with dantrolene sodium and bromocriptine in the Intensive Care Unit and made a complete recovery within four days.