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Biomedical subjects

A Rohde

Publications and source records attributed to A Rohde.

58 records · Page 4Linked to original sources

[Manifestations of progressive paralysis. Not a theme of the past].

Investigations carried out on 293 cases of progressive paralysis showed that the widely held view of a "classical form" of progressive paralysis is not applicable. Thus megalomania was found in only 13% of the patients and a manic type state in less than half. Disturbances in affectivity, drive and intellectual functions in progressive paralysis are, in general, uncharacteristic and can appear in any psychotic syndrome. Moreover, neurological symptoms taken as characteristic for progressive paralysis such as the Argyll-Robertson phenomenon or the "mimic quivering" are more the exception than the rule.

Consciousness Disorders↗

Schizophrenia suspecta.

We investigated what makes a Schneider-oriented psychiatrist diagnose "suspected schizophrenia" yet nevertheless stop short of a definitive diagnosis of schizophrenia. We compared the case records of 1208 patients hospitalised for schizophrenia for the first time in their life and all patients with discharge diagnosis "suspected schizophrenia" (n = 358). We found that the main factors for making the diagnosis of "suspected schizophrenia" are, as when using Bleuler's concept, intrasymptomatological ones, i.e. type, structure and constellation of symptoms. Hereby the non-committal character of the "expression symptoms in the wider sense" (Schneider), i.e. disorders of thought, of affect and behaviour, is of particular importance. Psychotic productive symptoms in the form of delusions or hallucinations alone are not always sufficient to confirm the diagnosis of schizophrenia. Even first rank symptoms cannot establish the diagnosis schizophrenia if certain factors reducing their pathognomonic value are present.

Delusions↗