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  • Print publication year: 2004
  • Online publication date: August 2009

11 - Defining the brief, acute and transient psychotic disorders: the polymorphic psychotic core

from Part III - Issues of nosology

Summary

The boundaries of homogeneity

Both APA and WHO try to define ‘Brief Psychoses’ and ‘Acute and Transient Psychotic Disorder’, respectively, by using the time factor (duration of an episode of the disturbance is at least 1 day, but less than 1 month) as well as the cultural aspect (a symptom is not included if it is a culturally sanctioned response pattern, see p.) and by the exclusion of the effects of a substance or of general medical conditions. The WHO tries to achieve homogeneity on the one hand by using similar exclusion criteria like those of DSM-IV (time factor, organic cause, etc.), but on the other by defining subgroups (see p. 7ff). The first way, the time factor, however, applied by the WHO is somewhat more complicated than that of the APA. The first time factor used by the WHO concerns the development of symptoms (the time-interval between the first appearance of any psychotic symptoms and the presentation of the fully developed disorder should not exceed 2 weeks). And the second factor, the duration of an episode, depends on the type of the subgroup: the total duration of the disorder in the subgroups with schizophrenic symptoms (F23.1: Acute Polymorphic Psychotic Disorders with Symptoms of Schizophrenia, F23.2: Acute Schizophrenia-like Psychotic Disorders) must not exceed 1 month. This is also valid for the unspecified type (F23.8).

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