The other “organic disorders”: the imperfection of classifications, the polar demand for diagnoses, specificity in adult and childhood

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Shaydukova LK. [The other “organic disorders”: the imperfection of classifications, the polar demand for diagnoses, specificity in adult and childhood]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2023;(1):69-74. Russian

Abstract

In this discussion article, in order to resolve the problem of the lack of demand for some diagnoses and the overdiagnosis of others, a number of organic disorders are discussed. It is suggested that the catatonic syndrome is associated in practicing doctors only with schizophrenia, as the manic syndrome is associated with bipolar affective disorder. The excessive demand for the diagnosis of “non-psychotic organic disorder” is associated with the complexity of its proof by medical-instrumental and clinical methods in childhood, as well as the abundance of difficult-to-confirm information about the pathology in the perinatal period. The author makes attempts to explain and overcome the current situation.

Keywords organic mental disorders; classification; diagnosis; features in adults and children

References

1. Tochilov VA. [ICD-10 in Russia – the end of classical psychiatry?] Social'naja i klinicheskaja psihiatrija [Social and clinical psychiatry]. 2010;(4):64–8. (In Russ.) 2. Kalinin VV. [Organic mental disorders in ICD-10: imperfection of diagnostic criteria or pseudo-diagnostic categories]. Social'naja i klinicheskaja psihiatrija [Social and clinical psychiatry]. 2014;24(3):42–4. (In Russ.) 3. International classification of diseases (10th revision). Classification of mental and behavioral disorders. St. Petersburg: Adis; 1994. 303 р. (In Russ.) 4. Fink M, Shorter E, Tailor MA. Catatonia Is not Schizophrenia: Kraepelin's Error and the Need to Recognize Catatonia as an Independent Syndrome in Medical Nomenclature. Schizophr Bull. 2010;36(2):314–20. DOI: https://doi.org/10.1093/schbul/sbp059 5. Levenson JL. Medical Aspects of Catatonia. Primary Psychiatry. 2009;16(3):23–6. 6. Rajagopal S. Catatonia. Adv Psychiatr Treat. 2006;13(1):51–9. DOI: https://doi.org/10.1192/apt.bp.002360 7. Wing L, Shah A. Catatonia in autistic spectrum disorders. Br J Psychiatry. 2000;176(4):357–62. DOI: https://doi.org/10.1192/bjp.176.4.357 8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Arlington, VA: American Psychiatric Publishing; 2013. 992 p. 9. Taylor MA, Fink M. Catatonia in psychiatric classification: a home of its own. Am J Psychiatry. 2003;160(7):1233–41. DOI: https://doi.org/10.1176/appi.ajp.160.7.1233 10. Harrison JE, Weber S, Jakob R, Chute CG. ICD-11: an international classification of diseases for the twenty-first century. BMC Medical Informatics and Decision Making. 2021;21(Suppl 6):206. DOI: https://doi.org/10.1186/s12911-021-01534-6 11. Blumer D. Catatonia and the neuroleptics: psychobiologic significance of remote and recent findings. Compr Psychiatry. 1997;38(4):193–201. DOI: https://doi.org/10.1016/S0010-440X(97)90027-4 12. Fricchione G, Mann SC, Caroff SN. Catatonia, lethal catatonia, and neuroleptic malignant syndrome. Psychiatr Ann. 2013;30(5):347–55. DOI: https://doi.org/10.3928/0048-5713-20000501-12 13. Northoff G. Options for the treatment of febrile catatonia. J Psychiatry Neurosci. 2010;35(4):5–6. DOI: https://doi.org/10.1503/jpn.100087 14. Bleuler E. Lehrbuch der Psychiatrie. 11 Aufl, neubear. Berlin: Springer; 1969. р. 99–104. (In German.) DOI: https://doi.org/10.1007/978-3-662-43158-0 15. Pommepuy N, Januel D. [Catatonia: resurgence of a concept]. A review of the international literature. Encephale. 2002;28(6, Pt 1):481–92. (In French.) PMID: 12506260 16. Fink M, Taylor MA. Catatonia: A Clinician's Guide to Diagnosis and Treatment. Cambridge; New York: Cambridge University Press; 2003. p. 30. 17. Wetterling T. Organische psychische Störungen. Hirnorganische Psychosyndrome. Steinkopff, Darmstadt; 2002. 573 р. (In German.) 18. Ilyushina EA, Tkachenko AA. [Osobennosti mekhanizmov sindromoobrazovaniya bredovykh i bredopodobnykh sostoyanii]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2013;(1):36–41. (In Russ.) 19. Pyatnitsky NYu. [Actual aspects of the phenomenology of delusion in "pre-Crepelinian" psychiatry]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2009;(2):51–9. (In Russ.) 20. Marneros A. Organische Bedingte Bipolare und Depressive Erkrankungen. Das Neue Handbuch der Bipolaren und Depressiven Erkrankungen. Thieme, Stuttgart; 2004. p. 593–604. (In German.) 21. Ushakov GK. Child psychiatry. Moscow, Medicine; 1973. 321 p. (In Russ.) 22. Kovalev VV. Psychiatry of childhood: a guide for doctors. Moscow: Medicine; 1995. 560 p. (In Russ.) 23. Isaev DN. Psychosomatic medicine of childhood. St. Petersburg: Special Literature; 1996. 454 p. (In Russ.) 24. Shaydukova LK. [Topical issues of depressive disorders in adults, children and adolescents: classification, clinic, treatment]. Social'naja i klinicheskaja psihiatrija [Social and clinical psychiatry]. 2022;32(4):88–94. (In Russ.)

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