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1

Sulejmanpašić Arslanagić, Gorana. "Gender related differences in demographic and clinical manifestations in patients suffering from various subtypes of schizophrenia." Journal of Health Sciences 1, no. 3 (December 15, 2011): 126–29. http://dx.doi.org/10.17532/jhsci.2011.126.

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Introduction: Schizophrenia is devastating neuropsychiatric disorder that has no clearly identified etiology. The subtypes of schizophrenia are distinguished by the prevalent symptomatology. The aim of this study was to determine gender related differences in demographic and clinical manifestations in patients suffering from various subtypes of schizophrenia.Methods: A longitudinal, prospective,original,clinical investigation first in our local area, with application of Structured Clinical Interview for DSM IV Axis I Disorders (SCID I) was used in this work. The study included 121 patients during five years period. Patients were recruited as consecutive admissions to the Psychiatric clinic, from all parts of Bosnia and Herzegovina, mostly Sarajevo region.Results: The study was conducted on a group of schizophrenic patients which consisted of 52.1% male and 47.9% female patients. Average duration of the episode was about a month. Majority of patients (male) were in the group of disorganized (hebephrenic) schizophrenia. The duration of current psychotic episode was similar in all three groups regarding subtypes of schizophrenia. Psychotic episodes appear equally in both gender (higher in disorganized group) with a statistically significant difference between all groups (p<0.001).Conclusions: Male group patients showed tendency to be younger than women. Most of the schizophrenic individuals start to suffer from this disease between age of 20 and 39 years. Male group patients suffered mostly of disorganized (hebephrenic) type of schizophrenia. Duration of psychotic episode was proportionally the same in both groups while in male group the highest number of episodes was found in group of disorganized schizophrenia.
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Trifu, Simona, Daniela Elena Ion, Iulia Ioana Enache, and Antonia Ioana Trifu. "GANSER SYNDROME AS A PARTICULARITY OF THE COGNITIVE DEFICIT IN SCHIZOPHRENIA." International Journal of Research -GRANTHAALAYAH 7, no. 11 (June 12, 2020): 222–30. http://dx.doi.org/10.29121/granthaalayah.v7.i11.2020.360.

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Introduction: Disorganized schizophrenia is a subtype of schizophrenia which is not recognized in the updated version of DSM. It is found in ICD-10 with the name of hebephrenic schizophrenia. The paper presents a 27-year-old patient with multiple admissions at psychiatry for schizophrenia with an unknown onset, initially considered to be paranoid; the current level of disorganization of the behavioral acts, of the language, of the thinking, having the intensity of hebephrenic schizophrenia. The paper presents a Ganser syndrome in association with alcohol consumption and prohibited substances use. Methods: hospitalization, psychiatric evaluation under antipsychotic treatment with haloperidol and zuclopenthixol, counseling, social assistance. Results: The patient fulfills all the criteria for the classification in hebephrenic schizophrenia, with a reserved prognosis and an involuntary accentuated potential considering the multiple admissions, the early onset, the lack of social and family support, the absence of the obvious triggering factor, the resistance to the treatment, the probable association with the substance use. Considering school dropout and the potential subcultural context, it can be considered the presence of a mild to moderate intellectual disability. Conclusions: In the context of the profound dissociation of the behavior, affect and thinking, the patient associate traits from the Ganser syndrome with his vulnerable personality, which are grafted on the halls created by his absent family support and emotional neglect. The bizarre attitudes and positions along with the Ganser syndrome predict a potential catatonic episode.
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Medeiros, A. B., N. Descalço, C. Fernandes Santos, R. Gomes, and M. Veiga Pereira. "Hebephrenic schizophrenia as a variant of frontotemporal dementia – the true dementia praecox?" European Psychiatry 64, S1 (April 2021): S165. http://dx.doi.org/10.1192/j.eurpsy.2021.440.

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IntroductionFrontotemporal Demential (FTD) is a neurodegenerative disorder evolving the frontal or temporal brain lobes. They have been described six variants. Behaviour variant (BvFTD) is the most common, and is characterized by changes in social behaviour and conduct, with loss of social awareness and poor impulse control. Hebephrenic schizophrenia (HSz), or disorganized schizophrenia, was recognized as a schizophrenia subtype, characterized by desorganized behaviour and a cognitive deteriorization. Subtypes of schizophrenia are no longer recognized as separate conditions neither in the Diagnostic and Statistical Manual of Mental Disorders, nor in the new International Statistical Classification of Diseases.ObjectivesTo review the literature about the concepts of hebephrenic schizophrenia and their similarities with the concept of frontotemporal dementiaMethodsNarrative review of the literature on PubMed/MEDLINE, using the keywords “hebephrenic szchizophrenia” AND “frontotemporal dementia”. Only articles in English were included.ResultsSome authors described dificulty in establish a diferential diagnosis between HSz and BvFTD. HSz has an earlier onset. However, BvFTD is an early age dementia. The fenomenology of both diseases is similar, and schizophrenia was historical conceptualized as praecox dementia. Frontotemporal abnormalities are common neuroimagiological findings in schizophrenia. Clinically, FTD shows a profound alteration in personality and social conduct, emotional blunting and loss of insight. Memory, intellectual functions, executive and attentional abilities may be disturbed in both.ConclusionsA diferential diagnosis between HSz and BvFTD is dificult to establish (clinically and imagiologically). The response to treatment is weak in both. It should be investigated the possibility they could be the same syndrome, onseting in diferent ages.DisclosureNo significant relationships.
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RINSLEY, DONALD B. "New Hope for the Diagnosis of Hebephrenic Schizophrenia?" American Journal of Psychiatry 143, no. 4 (April 1986): 560—b—560. http://dx.doi.org/10.1176/ajp.143.4.560-b.

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Deshmukh, Sushil Diliprao, Bhushan B. Mhetre, and Sharmistha S. Deshpande. "Adult Metachromatic Leukodystrophy with Hebephrenic Schizophrenia-like Symptoms: A Case Report." MMJ-A Journal by MIMER Medical College, Pune, India 2, no. 2 (2018): 41–43. http://dx.doi.org/10.15713/ins.mmj.32.

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Ujike, H., M. Takaki, K. Nakata, Y. Tanaka, T. Takeda, M. Kodama, Y. Fujiwara, A. Sakai, and S. Kuroda. "CNR1, central cannabinoid receptor gene, associated with susceptibility to hebephrenic schizophrenia." Molecular Psychiatry 7, no. 5 (June 2002): 515–18. http://dx.doi.org/10.1038/sj.mp.4001029.

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7

Gorduza, Oana Cornelia, Irina Nicoleta Văcaru, Vasile Chiriță, and Roxana Chiriță. "Hebephrenic schizophrenia and the need for an early diagnosis. Case presentation." Bulletin of Integrative Psychiatry 92, no. 1 (March 15, 2022): 123–31. http://dx.doi.org/10.36219/bpi.2022.1.11.

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8

TAKEDA, TAKATSUNA, YASUO WATANABE, and KENICHI HASEGAWA. "Behavior patterns of patients with hebephrenic schizophrenia when they attempt academic study." Psychiatry and Clinical Neurosciences 58, no. 2 (April 2004): 125–32. http://dx.doi.org/10.1111/j.1440-1819.2003.01205.x.

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9

Chavarría-Siles, Iván, Javier Contreras-Rojas, Elizabeth Hare, Consuelo Walss-Bass, Paulina Quezada, Albana Dassori, Salvador Contreras, et al. "Cannabinoid receptor 1 gene (CNR1) and susceptibility to a quantitative phenotype for hebephrenic schizophrenia." American Journal of Medical Genetics Part B: Neuropsychiatric Genetics 147B, no. 3 (2008): 279–84. http://dx.doi.org/10.1002/ajmg.b.30592.

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10

Williams, Julie, Anne E. Farmer, Simon Wessely, David J. Castle, and Peter McGuffin. "Heterogeneity in schizophrenia: An extended replication of the hebephrenic-like and paranoid-like subtypes." Psychiatry Research 49, no. 3 (December 1993): 199–210. http://dx.doi.org/10.1016/0165-1781(93)90061-k.

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Kaplan, Robert. "Madness and James Joyce." Australasian Psychiatry 10, no. 2 (June 2002): 172–76. http://dx.doi.org/10.1046/j.1440-1665.2002.00447.x.

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Objective: To consider the association between the author James Joyce and madness. Conclusions: Joyce lived closer to the state of madness than he would have preferred. His mother died in a state of delirium. His daughter Lucia developed hebephrenic schizophrenia and was permanently hospitalised. His son married a manic depressive. Joyce, an acute observer of the world around him, portrayed different states of madness in his writings, most famously in the Nighttown chapter of Ulysses. Critics of his works accused him of being mad, interpreting his use of the stream-of-consciousness and other unique literary techniques as the product of a disordered mind. A psychiatrist referred to him as the schizoid origin of his daughter's insanity. Yet Joyce, who displayed an extraordinary discipline in writing his works, always had a clear idea of his intentions and believed his approach would ultimately be vindicated.
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Palimariciuc, Matei, Tudor Florea, Vlad Teodor Iacob, Bianca Georgiana Secrieru, and Roxana Chiriță. ""The effect of antipsychotic treatment in hebephrenic schizophrenia on hospitalization indicators in an adult inpatient and outpatient population"." BULLETIN OF INTEGRATIVE PSYCHIATRY 83, no. 4 (December 8, 2019): 101–15. http://dx.doi.org/10.36219/bpi.2019.04.12.

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Endres, Dominique, Miriam Matysik, Bernd Feige, Nils Venhoff, Tina Schweizer, Maike Michel, Sophie Meixensberger, et al. "Diagnosing Organic Causes of Schizophrenia Spectrum Disorders: Findings from a One-Year Cohort of the Freiburg Diagnostic Protocol in Psychosis (FDPP)." Diagnostics 10, no. 9 (September 14, 2020): 691. http://dx.doi.org/10.3390/diagnostics10090691.

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Introduction: Secondary schizophrenia spectrum disorders (SSDs) have clearly identifiable causes. The Department for Psychiatry and Psychotherapy at the University Hospital Freiburg has continued to expand its screening practices to clarify the organic causes of SSDs. This retrospective analysis was carried out to analyze whether a comprehensive organic diagnostic procedure could be informative in patients with SSDs. Methods and Participants: The “Freiburg Diagnostic Protocol in Psychosis” (FDPP) included basic laboratory analyses (e.g., thyroid hormones), metabolic markers, pathogens, vitamin status, different serological autoantibodies, rheumatic/immunological markers (e.g., complement factors), cerebrospinal fluid (CSF) basic and antineuronal antibody analyses, as well as cranial magnetic resonance imaging (cMRI) and electroencephalography (EEG). The findings of 76 consecutive patients with SSDs (55 with paranoid–hallucinatory; 14 with schizoaffective; 4 with hebephrenic; and 1 each with catatonic, acute polymorphic psychotic, and substance-induced psychotic syndromes) were analyzed. Results: Overall, vitamin and trace element deficiency was identified in 92%. Complement factor analyses detected reduced C3 levels in 11%. Immunological laboratory alterations were detected in 76%. CSF analysis revealed general alterations in 54% of the patients, mostly with signs of blood–brain barrier dysfunction. cMRI analyses showed chronic inflammatory lesions in 4%. Combination of EEG, cMRI, and CSF revealed alterations in 76% of the patients. In three patients, autoimmune psychosis was suspected (4%). Discussion: On the basis of these findings, we conclude that a comprehensive diagnostic procedure according to the FDPP in patients with SSD is worthwhile, considering the detection of secondary, organic forms of SSDs, as well as alterations in “modulating factors” of the disease course, such as vitamin deficiency. Larger studies using comprehensive diagnostic protocols are warranted to further validate this approach.
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Kraam, Abdullah, and Paula Phillips. "Hebephrenia: a conceptual history." History of Psychiatry 23, no. 4 (November 19, 2012): 387–403. http://dx.doi.org/10.1177/0957154x11428416.

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This paper traces the conceptual history of hebephrenia from the late nineteenth century until it became firmly embedded into modern psychiatric classification systems. During this examination of the origins and the historical context of hebephrenia it will be demonstrated how it became inextricably linked with twentieth-century notions of schizophrenia. The first detailed description of hebephrenia in 1871 by Ewald Hecker, then a virtually unknown German psychiatrist, created a furore in the psychiatric establishment. Within a decade hebephrenia was a firmly embedded concept of adolescent insanity. Daraszkiewicz, Kraepelin’s brilliant assistant in Dorpat, broadened Hecker’s concept of hebephrenia by including severe forms. This paved the way for Kraepelin to incorporate it together with catatonia as a subtype of dementia praecox. We recognize Hecker’s hebephrenia in DSM-IV as schizophrenia, disorganized type. Although DSM-5 will probably abolish subtypes of schizophrenia, characteristic features of hebephrenia will be found within the proposed domains of disorganization, restricted emotional expression and avolition.
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Susilawati, Sakti, and Muhammad Syafiq. "GAMBARAN TEKANAN (STRESSORS) YANG DIHADAPI PASIEN SKIZOFRENIA RAWAT JALAN DAN STRATEGI COPING." Jurnal Psikologi Teori dan Terapan 5, no. 2 (February 19, 2015): 119. http://dx.doi.org/10.26740/jptt.v5n2.p119-134.

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The aim of this study was to explore stressors faced by schizophrenic patients who have on-going treatments in Surabaya and to reveal strategies they employ to cope with the stressors. This was a qualitative research with a case study method. The participants of this study were two schizophrenic patients who have diagnosed by the expert as having paranoid and hebephrenic and schizophrenia have on going treatment. Data were collected through semi-structure interviews from main participants and their significant others and analyzed using thematic analysis. The results showed that the participants have experienced some stressors during on-going treatment process. Some of those stressors are: negative reaction from society, less attention from others, and loneliness. That stressors can become obstacles for schizophrenic patients to recover. To cope with the stressors, participants of this study employ two coping strategies, namely problem and emotion focused copings. The problem focused coping strategy helps participants to be directly active in solving the stressors. While, emotion focused coping strategy helps to control emotion and built their positive perspectives. In general, this study concludes that the participants use emotion focused coping when they are unable to solve stressors directly. Emotion focused coping helps participants to maintain their positive emotions. The participants’ coping ability indicates that they have opportunity to decrease the possibility of relapse risk and engage in normal life.Abstrak: Penelitian ini bertujuan untuk mengetahui gambaran stressor yang dialami oleh penderita skizofrenia rawat jalan atau sudah pada tahap remisi di Surabaya serta strategi yang digunakan untuk menghadapi stressor tersebut. Pendekatan kualitatif dengan metode studi kasus digunakan. Partisipan utama adalah tiga orang yang telah diagnosis oleh ahli sebagai penderita skizofrenia paranoid dan hebrefenik dalam tahap remisi. Data diperoleh melalui wawancara mendalam semiterstruktur dengan kedua partisipan dan significant others mereka. Data dianalisis menggunakan teknik analisis tematik. Hasil penelitian ini menunjukkan bahwa kedua partisipan mengalami beberapa stressor antara lain mendapatkan tanggapan negatif dari masyarakat, kurangnya perhatian dari orang terdekat, dan mengalami kesepian. Untuk menghadapi berbagai stressor tersebut, kedua partisipan menggunakan strategi berfokus pada masalah dan strategi berfokus pada emosi. Strategi coping berfokus pada masalah membantu partisipan untuk bertindak aktif secara langsung menyelesaikan masalah, sedangkan strategi coping berfokus pada emosi digunakan untuk membantu mengelolah emosi secara positif. Secara umum, penelitian ini menyimpulkan bahwa partisipan penelitian ini lebih sering menggunakan strategi coping yang berfokus pada emosi. Coping berfokus emosi membantu partisipan untuk mengatur dan mengendalikan emosi mereka. Kemampuan ketiga partisipan dalam melakukan coping terhadap berbagai stressor yang dialaminya menunjukkan peluang yang besar bagi mereka untuk mengurangi risiko kekambuhan dan hidup secara normal.
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Maggini, Carlo, and Riccardo Dalle Luche. "An overview on Hebephrenia, a diagnostic cornerstone in the neurodevelopmental model of Schizophrenia." History of Psychiatry 33, no. 1 (January 10, 2022): 34–46. http://dx.doi.org/10.1177/0957154x211062534.

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Pre-Kraepelinian observations converged in Kahlbaum’s and Hecker’s description of Hebephrenia. For Kraepelin, Hebephrenia was an ‘idiopathic incurable dementia whose onset is in adolescence’. It became the core of ‘Dementia Praecox’, and then Bleulerian ‘Schizophrenia’. In recent decades, the resurgence of the ‘late neurodevelopment’ hypothesis of schizophrenia has brought into focus Hecker’s clinical reports of adolescents who, as a result of a putative loss of psychic energy, showed a rapidly progressive cognitive impairment leading to functional and behavioural disorganization. This paper summarizes the nineteenth-century conceptualization of Hebephrenia as a developmental illness.
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Lau, Steffen. "Die Schizophrenie im Entwurf der ICD-11 und Implikationen für die Beurteilung der Schuldfähigkeit." Forensische Psychiatrie, Psychologie, Kriminologie 15, no. 1 (January 12, 2021): 13–19. http://dx.doi.org/10.1007/s11757-020-00650-9.

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ZusammenfassungDie Veränderungen zur Klassifizierung schizophrener Psychosen in der Revision der ICD (International Classification of Diseases) gehen nicht mit einer grundsätzlichen Veränderung der bekannten Konzepte einher. Die Beurteilung der psychiatrischen Voraussetzungen der Schuldfähigkeit wird kaum beeinflusst. Die Aufgabe der Subtypen der Schizophrenie ist jedoch möglicherweise mit der Gefahr verbunden, dass die besonderen und individuellen Verläufe bei Betroffenen mit schizophrenen Psychosen in ihrem Variantenreichtum nicht mehr bekannt sein und wahrgenommen werden. Dies ist insbesondere problematisch in Fällen, in denen die psychotische Erkrankung nicht in dem weit verbreiteten und bekannten Phänomen „paranoid-halluzinatorisches Syndrom“ mündet, sondern eher mit Verhaltensauffälligkeiten einhergeht oder mit Veränderungen des Affektes, sprich den hebephrenen Verläufen. Die forensische Psychiatrie ist gefordert, das Wissen um solche Verläufe aktiv zu fördern, um jugendliche Straftäter, bei denen Psychopathologie mit „normalen“ Besonderheiten der Entwicklung verschränkt ist, adäquat als im Sinne der §§ 20 und 21 StGB „krankhaft seelisch gestört“ zu identifizieren und ihre sachgerechte forensisch-psychiatrische Beurteilung zu gewährleisten.
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Barrera, Alvaro, Owen Curwell-Parry, and Marie-Claire Raphael. "Hebephrenia is dead, long live hebephrenia, or why Hecker and Chaslin were on to something." BJPsych Advances 25, no. 6 (May 3, 2019): 373–76. http://dx.doi.org/10.1192/bja.2019.24.

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SUMMARYSince its first description in 1863, ‘hebephrenia’ has highlighted a group of patients characterised by an early onset of illness, formal thought disorder, bizarre behaviour and incongruent emotional expression. A proportion of patients with the most severe form of mental illness have a clinical presentation that is best captured by this diagnosis. Here, we outline the construct of hebephrenia and two of its core overlapping constituent parts: bizarre behaviour and the disorganisation dimension. We argue that, despite the removal of hebephrenia (disorganised schizophrenia) from DSM-5, clinicians should consider it as a differential diagnosis, particularly in suspected personality disorder.
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Putra, Teguh Yuliandri. "REPRESENTASI SCHIZHOPHRENIC TOKOH UTAMA DALAM NOVEL NAPAS MAYAT KARYA BAGUS DWI HANANTO." KEMBARA: Jurnal Keilmuan Bahasa, Sastra, dan Pengajarannya 3, no. 1 (April 29, 2018): 107. http://dx.doi.org/10.22219/kembara.vol3.no1.107-115.

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Penelitian ini mendeskripsikan tentang representasi gejala schizophrenic yang dialami tokoh utama dalam novel Napas Mayat karya Bagus Dwi Hananto. Permasalahan inti yang digambarkan dalam novel ini adalah gambaran terpecahnya kepribadian seseorang, sehingga memicu terjadinya penyimpangan. Penelitian ini menggunakan pendekatan kualitatif sedangkan, metode dalam penelitian ini menggunakan metode deskriptif yakni cara yang dilakukan dalam penelitian ini untuk mengungkap fakta-fakta yang tampak atau mengungkap data dengan cara memberi deskripsi yang mendalam dan merujuk pada interpretasi yang menggambarkan atau melukiskan keadaan subjek atau objek. Adapun permasalahan yang diteliti adalah representasi reaksi schizophrenic yang dialami tokoh utama yang ditandai dalam tiga wujud reaksi, di antaranya (1) Schizophrenic Hebephrenic, (2) Schizophrenic Catatonic, (3) Schizophrenic Paranoid.
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Inoue, Shimpei. "Hebephrenia as the Most Prevalent Subtype of Schizophrenia in Japan." Psychiatry and Clinical Neurosciences 47, no. 3 (September 1993): 505–14. http://dx.doi.org/10.1111/j.1440-1819.1993.tb01792.x.

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Stanghellini, Giovanni. "Psychopathological roots of early schizophrenia: adolescent vulnerability, hebephrenia and heboidophrenia." Current Opinion in Psychiatry 17, no. 6 (November 2004): 471–77. http://dx.doi.org/10.1097/00001504-200411000-00009.

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Passerieux, C., MC Hardy-Bayle, and D. Widlöcher. "Semantic inhibition disorders in schizophrenic patients assessed by a lexical decision task." European Psychiatry 10, no. 1 (1995): 36–43. http://dx.doi.org/10.1016/0767-399x(96)80073-3.

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SummaryLexical decision tasks were used in 17 schizophrenic subjects and 11 control subjects, to evaluate the so-called automatic priming of semantic links, and the controlled processes which involve longer lexical anticipation strategies. In this type of trial, inhibition in the recognition of the target word, when the preceding priming word is not semantically linked to it, indicates the activation of such controlled processes. Postulating that patients in the schizophrenic group were heterogeneous in terms of cognition, we compared the resultant scores in two subtypes of schizophrenic patients: paranoid and hebephrenic (CIM-9 criteria). The study demonstrated that there was a difference in performance between the schizophrenic subtypes. Although these findings need to be confirmed, they demonstrate the necessity of determining individual profiles of patients entering the trial, to take into account those of their phenomenological differences that may correspond to differences in cognitive functioning. The results indicate an absence of inhibition, but only in the paranoid group. In these subjects, results were consistent with the hypothesis of a failure to set up controlled processes rather than a stronger “automatic” activation of the semantic links. However, as the results were not significant, the hypothesis remains open to further investigation. The reasons for the nonsignificance of the results and alternative hypotheses are discussed.
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Clauss, Julie, Anne Danion-Grilliat, Marianna Scarfone, Volker Hess, and Christian Bonah. "T93. RESHAPING THE DIAGNOSTIC BORDERS OF SCHIZOPHRENIA: THE LOOK OF HISTORY OF PSYCHIATRIC PRACTICES." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S267. http://dx.doi.org/10.1093/schbul/sbaa029.653.

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Abstract Background The diagnostic concept of Schizophrenia as defined by DSM and ICD is increasingly being questioned. It is criticized above all for its lack of validity. It refers to very heterogeneous disorders in terms of signs and symptoms but also in terms of evolution and heritability. Clinicians and researchers are therefore considering how to rethink this concept, in the absence of known physiopathological mechanisms and etiology, by integrating various advances in fields such as genetics, molecular biology, brain imaging and cognitive sciences. However, the renewal of the concept of schizophrenia has yet to be explored in terms of its potential impact on psychiatric practice. It is an essential point because this diagnostic concept does not correspond to a theoretical entity that exists for itself but it is a tool of psychiatrists’ daily practice when they seek to name the disorders presented by a patient. Thus, a renewal of the concept of schizophrenia would necessarily have an impact on the diagnoses made by psychiatrists and we know how important the diagnosis in psychiatry is: for the medical care but also for the personal history of the patient. This impact that a renewal of the concept of schizophrenia could have on the diagnostic practices of psychiatrists can be better understood through the analysis of a historical example: the introduction of the concept of Schizophrenia at the Psychiatric Clinic of Strasbourg in France during the period 1920–1930. The concept of Schizophrenia was first discussed in 1908 by the swiss psychiatrist Eugen Bleuler at the Annual Meeting of the German Psychiatric Association in Berlin. At the Psychiatric Clinic of Strasbourg, it was first used by psychiatrists in 1922. How did this then new concept find its place among the other diagnostic concepts that had been used until then in this institution? Methods In an attempt to answer this question, we implemented a methodology that combined a quantitative and a qualitative approach. The first is a retrospective descriptive statistical study whose objective is to establish the evolution of the proportion of the different diagnoses made at the Psychiatric Clinic of Strasbourg during the period 1920–1930. This study includes all hospitalized patients and uses admission records for data collection. This quantitative approach was complemented by a qualitative approach that consists in reconstructing the diagnostic trajectory of some patients with a diagnosis of schizophrenia after the period of introduction of this concept. The diagnoses made during their previous hospitalizations were systematically collected and analyzed, this time using the medical records of these patients as sources. Results The diagnostic concept of Schizophrenia seems to have replaced the one of Dementia praecox within the diagnostic practices: the latter was given extensively in 1924, but hardly any longer in 1928. However, in the same period of time, other diagnostic concepts of the field of psychosis like Manic-depressive Illness were less commonly used while others like Catatonia were increasingly employed. The reconstruction of patients’ diagnostic trajectories tends to show that the diagnostic of schizophrenia would have taken over from the diagnostic of Dementia Praecox but also from some of the diagnoses of Manic-depressive Illness, Hebephrenia and Psychopathy. Discussion This historical perspective makes it possible to understand the impact on psychiatrist’s diagnostic practices of a “nosological innovation” that is theoretical, such as the renewal of the concept of schizophrenia could be. In the diagnostic practices, one diagnostic concept would not simply replace another, but it’s introduction could induce a broader reshaping of diagnostic mapping.
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Taylor, Michael Alan, Edward Shorter, Nutan Atre Vaidya, and Max Fink. "The failure of the schizophrenia concept and the argument for its replacement by hebephrenia: applying the medical model for disease recognition." Acta Psychiatrica Scandinavica 122, no. 3 (February 5, 2010): 173–83. http://dx.doi.org/10.1111/j.1600-0447.2010.01589.x.

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Ferliana, Herlin, Nyoman Anita Damayanti, Diana Nurfarida Aisyah, Nuh Huda, and Dwi Ernawati. "Determinants of family independence in caring for hebephrenic schizophrenia patients." Journal of Public Health Research, July 2, 2020. http://dx.doi.org/10.4081/jphr.2020.1828.

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Background: Schizophrenic patients are very susceptible to recurrent incidences, therefore the family plays a key role in providing care as a part of the recovery team. This study aimed to determine the relationship between knowledge, perceptions, attitudes and support with family independence in caring for hebephrenic schizophrenic patients. Design and Methods: It was used a correlational analytic design with cross sectional approach, and consecutive sampling technique was used, which attained 57 respondents. The independent variables were knowledge, perceptions, attitudes, and support, while independence was the dependent variable, and both were measured using questionnaires, and Spearman rank test was used for data analysis. Results: The results indicate the presence of a relationship between knowledge, perceptions, attitudes, as well as support and family independence in caring for hebephrenic schizophrenia. In addition, the spearman rank test showed P-values of 0.008, 0.011, 0.032, and 0.027 in family knowledge, perception, attitudes and support, respectively, at <0.05. Conclusions: This study indicates the importance of family support in attempts to improve the self-esteem of schizophrenic patients. Based on this data, the hospital is expected to improve the family-based patient recovery program.
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S., Temnik. "Deficiency of dominant response formation in hebephrenic schizophrenia." Frontiers in Human Neuroscience 4 (2010). http://dx.doi.org/10.3389/conf.fnins.2010.14.00157.

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Coulibaly, Souleymane dit Papa, Baba Ba, Pakuy Pierre Mounkoro, Brehima Diakite, Yaya Kassogue, Mamoudou Maiga, Aperou Eloi Dara, et al. "Descriptive study of cases of schizophrenia in the Malian population." BMC Psychiatry 21, no. 1 (August 20, 2021). http://dx.doi.org/10.1186/s12888-021-03422-9.

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Abstract Background Schizophrenia is a relatively common disease worldwide with a point prevalence of around 5/1000 in the population. The aim of this present work was to assess the demographic, clinical, familial, and environmental factors associated with schizophrenia in Mali. Methods This was a prospective descriptive study on a series of 164 patients aged at least 12 years who came for a follow-up consultation at the psychiatry department of the University Hospital Center (CHU) Point G in Mali between February 2019 and January 2020 for schizophrenia spectrum disorder as defined by DSM-5 diagnostic criteria. Results Our results revealed that the male sex was predominant (80.5%). The 25–34 age group was more represented with 44.5%. The place of birth for the majority of our patients was the urban area (52.4%), which also represented the place of the first year of life for the majority of our patients (56.1%). We noted that the unemployed and single people accounted for 56.1 and 61% respectively. More than half of our patients 58.5% reported having reached secondary school level. With the exception of education level, there was a statistically significant difference in the distribution of demographic parameters. Familial schizophrenia cases accounted for 51.7% versus 49.3% for non-familial cases. The different clinical forms were represented by the paranoid form, followed by the undifferentiated form, and the hebephrenic form with respectively 34, 28 and 17.1%. We noted that almost half (48.8%) of patients were born during the cold season. Cannabis use history was not observed in 68.7% of the patients. The proportions of patients with an out-of-school father or an out-of-school mother were 51.2 and 64.2%, respectively. Conclusion The onset of schizophrenia in the Malian population has been associated with socio-demographic, clinical, genetic and environmental characteristics.
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Marques, João Gama, and Sara Pires. "Psychosis in Autistic Patients With Splinter Skills (Savant Syndrome) Presenting Abnormal Cerebellar Anatomy Misdiagnosed as Disorganized (Hebephrenic) Schizophrenia." Primary Care Companion For CNS Disorders 21, no. 5 (September 12, 2019). http://dx.doi.org/10.4088/pcc.18l02421.

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29

Krisnawardhani, Karina Kandhi, and IGAA Noviekayati. "Positive Reinforcement Techniques as a Media to Improve Social Interaction Capabilities in Adolescent with Hebefrenic Schizophrenia." Proceedings of The ICECRS 8 (January 7, 2021). http://dx.doi.org/10.21070/icecrs2020584.

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This study aims to intervene in one of the adolescent patients with hebephrenic schizophrenia who are in RSJ Menur Surabaya. The Researcher gave an intervention in the form of behavioral therapy which is a positive reinforcement to be able to improve the ability of social interaction with others, dare to socialize with the environment or actively participate in groups. The intervention carried out eight meeting sessions. Each session has a different target according to indicators of social interaction. If the client is able to reach the target, the researcher gives an reward in the form of praise, food or activities (for example: drawing) that he likes.This therapy is believed to be able to increase the ability of social interaction. The method used in study is an experimental with a case study approach. Before the behavioral interventions that appear on the client are ideology of greatness, visual and auditory hallucinations, don’t want to communicate with others, like to be alone, lack confidence, and do not participate in group activities. After being given an intervention the client realizes his mind is only an imagination, no longer hears whispers, wants to communicate with others, and is active in a group. The results of this study indicate that positive reinforcement is effectively used as a medium to improve the ability af social interaction on the subject.
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"A Study of the Diagnostic Practices for Mental Disorders in Ghana." Journal of Clinical Review & Case Reports 5, no. 4 (April 14, 2020). http://dx.doi.org/10.33140/jcrc.05.04.10.

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Introduction: A lack of awareness of the diagnosis of mental disorders exists in the Ghanaian community due to the general misconceptions about mental health. One major challenge in diagnosing mental disorders is that no blood test or scan can be performed to confirm a particular mental disorder, unlike other medical conditions such as cancer, malaria, diabetes, and hepatitis. A stepwise progressive observation and assessment to rule out all possible medical conditions that might be associated with a mental disorder is essential to enhance the quality of diagnosis and treatment. This study focuses on describing the diagnostic practices of mental disorders to educate the public, create awareness, and to improve diagnosis in Ghana. Objective: This paper aims to describe the current diagnostic practices used to diagnose mental disorders to understand the impact of the diagnosis of mental disorders and to provide evidence for mental health policy and planning to improve diagnostic practice in psychiatry in Ghana. Methods: We collected and described data on the diagnosis of mental disorders from 30 mental health professionals aged 20 years and above who were purposively selected from six hospitals. We carried out in-person structured interviews with all participants at their various hospital premises. Results: Stages of diagnosing mental disorders can be single, dual, or multiple. Proportions representing the patterns of diagnosis of the most common types of mental disorders in the population included 73.3% for mania without psychotic syndrome, and 63.3% for hebephrenic schizophrenia. Moderate depressive episodes, bipolar affective disorder with mild or moderate depression, and organic delusion (schizophrenia-like) disorder achieved the same results (56.7%). Phobic anxiety disorder and schizoid personality disorder were also reported by the same proportions (46.7%). Also, symptomatic epilepsy and epileptic syndrome was reported by (43.3%) and 40% for mood disorder due to known physiological condition with manic symptoms. Persistent delusional disorder as well as dementia with behavioral disturbance and dementia with depression and anxiety were reported by the same proportions (36.7%), and 33.3% for psychoactive substance abuse with psychoactive sub-induced anxiety disorder. The level of diagnostic quality in the psychiatric hospitals was higher than in the primary health centers (83.3% vs 63.3%). The most suitable intervention to improve diagnostic quality (40%) was associated with diagnostic education. Most participants (56.7%) assigned a moderate rating to the effectiveness of the interventions to improve diagnostic practices. Conclusion: We plan to use our findings to solicit support from mental health stakeholders to provide comprehensive public education involving basic and specific knowledge on the diagnosis of mental disorders. We recommend that any national programme would need to have sustainable long-term policies to encourage and motivate mental health professionals to participate in diagnostic activities and to pay more attention to patients. Incorporating mental health education into the school curriculum is also important.
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