Clinical and psychopathological conceptualizations of psychotic onsets from late nineteenth century to the I Gen

Author/s Riccardo Piero Dalle Luche
Publishing Year 2023 Issue 2023/2 Language Italian
Pages 21 P. 119-139 File size 731 KB
DOI 10.3280/RSF2023-002008
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The updated wide psychiatric literature concerning psychotic onsets in adolescence does not refer at all to classical conceptualizations of Hebephrenia, described by Hecker in 1871, that represents the clinical core of kraepelinian Dementia praecox and of the following conceptualizations of Eugen Bleuler’s Schizophrenia. These early onset clinical psychoses have been deeply analysed with psychopathologic analysis in the twentieth cen- tury and renamed as Polymorph Simplex Schizophrenia and Subapophanic Schizophrenia. These classical conceptualizations and clinical descriptions should be revisited by psychiatrists and psychotherapists of our times in or- der to enhance their abilities to evaluate correctly onsets at high psychotic risks. The crisis of categorial nosography and the widespread acceptance of late neurodevelopmental models of psychopathology in adolescence, the many comorbidities and changes of diagnoses in adolescence and early youth and, at last, the large aspecificity of symptomathology, concur in reshaping the psychotic onsets in dynamic, dimensional and psychopathological mod- els. At last, the radical changes of values, cognitive attitudes and patterns of behaviours of digital natives (I Gen), can easily confuse the clinical evalua- tions preventing the young patients from receiving appropriate treatments.

Keywords: Psychotic onsets, Schizophrenia, Hebephrenia, Dementia praecox, Subapophanic schizophrenia, IGen.

  1. Maggini C., Dalle Luche R. Genealogia della schizofrenia. Ebefrenia, Dementia Praecox, Neurosviluppo. Milano: Mimesis; 2018.
  2. Kahlbaum K L. Die Gruppierung der psychischen Krankheiten und die Eintheilung des Seelenstörungen. Danzig: Kafemann; 1863.
  3. Hecker E. Die Hebephrenie. Archiv für pathologische Anatomie und Physiologie und für klinische Medicin, 1871; 52: 394-429; tr. Ingl. Sad- ler MJ, The American journal of psychiatry 1985; 142 (11): 1565-71; tr. It. In Maggini C., Dalle Luche R., 2018, cit.
  4. Kraepelin E. Psychiatrie: Ein kurzes Lehrbuch für Studierend und Ärt- ze. Abel, Leipzig. III ed.,1887, IV ed. 1889, V ed 1893, VI 1896.
  5. Kraepelin E. Psychiatrie: Ein Lehrbuch für Studierend und Ärtze, 7 Aufl, JA Barth, Liepzig. 1904; tr. it, Trattato di psichiatria 7a ed., tr. It di G. Guidi e A. Tamburini, Vallardi, Milano, 1907.
  6. Daraszkiewicz L. Über Hebephrenie insbesondere deren schwere Form. Lexington, KY: Elibron Classics Replica Edition, Admant Media Corporation; reprint of original 1892 publication.
  7. Sterz H. Über psychische Störungen im Pubertatsälter. Jahrbücher für Psych. I: 94-119, 1879.
  8. Krafft-Ebing R. Lehrbuch der Psychiatrie. Ferdinand Eche, Stuttgart, 1879.
  9. Fink E. Beitrag zur Kenntniss der Iugendirresein. All Zeitschft f. Psychiatrie, 1881.
  10. Schüle H. Traité clinique des maladies mentales. Troisiéme edition, Tr. franc, J. Dagonet e G. Duhamel, Paris, 1886
  11. Kowalewsky N. Degeneracy, its causes, signs and results. Neur. Review. 1886.
  12. Tsisch W. von (1886), cit. in Darszkiewicz op. cit
  13. De Berardis D, De Filippis S, Masi G, Vicari S, Zuddas A. A Neu- rodevelopmental Approach for a Transitional Model of Early Onset Schizophrenia. Brain Science, 2021; 11 (2): 275.
  14. Serbsky V. Contribution à l’étude de la démence précoce (I) e II, Ann Méd Psychol 61(II): 379-388; 62 (I): 19-35, 188-203, 1904.
  15. Clouston TS. The neuroses of development, Morrison lectures Oliver and Boyd. 1891.
  16. Maudsley H. The pathology of Mind. A study of the Distempers and Disorders. McMillan e Co., 1895.
  17. Bleuler E. Dementia praecox oder gruppe der schizophrenien. Leipzig, Germany: Deuticke; 1911.
  18. American Psychiatric Association: Diagnostic and Statistical Manual of Mental disorder. Washington DC, Third Ed (1980), Fourth Ed (1994) Fourth ed. Revised (2000).
  19. American Psychiatric Association. American Psychiatric Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, D.C.: American Psychiatric Association, 2013.
  20. Taylor MA, Shorter E, Vaidya NA, Fink M. The failure of the schi- zophrenia concept and the arguments for its replacement by hebephre- nia: applying the medical model for disease recognition. Acta Psychiatri- ca Scandinavica 2010; 122: 173-83.
  21. Huber G. Psychiatrie: Lehrbuch für Studierende und Ärzte. 5. Auflage. Stuttgart; New York: Schattauer; 1994.
  22. Pantelis C, Yücel M, Wood SJ, McGorry PD, Velakoulis D. Early and late neurodevelopmental disturbances in schizophrenia and their fun- ctional consequences. Australian and New Zealand Journal of Psychia- try 2003; 37: 399-406.
  23. Schultze-Lutter F, Koch E. Schizophrenia Proneness Instrument: child and youth version (SPI-CY). Rome: Fioriti; 2010.
  24. Mc Gorry PD, Hickie IB. Clinical staging in psychiatry: making dia- gnosis work for research and treatment. Cambridge: Cambridge Uni- versity Press; 2019. Trad. it. Stadiazione clinica in psichiatria: rendere la diagnosi funzionale per la ricerca e per il trattamento. Roma: Gio- vanni Fioriti; 2022.
  25. Feinberg I. Schizophrenia: caused by a fault in programmed elimi- nation during adolescence? Journal of Psychiatric Research 1982; 17 (4):319-34. DOI: 10.1016/0022-3956(82)90038-
  26. Weinberger DR. Implications of normal brain development for the pa- thogenesis of schizophrenia. Archives of General Psychiatry 1987; 44: 660-9.
  27. Murray RM, Lewis SW. Is schizophrenia a neurodevelopmental disor- der? British medical journal (Clinical research ed.) 1987; 295: 681-82.
  28. McGlashan TH, Hoffman RE. Schizophrenia as a Disorder of Develop- mentally reduced Synaptic Connectivity. Archives of general psychia- try 2000; 57(7):637-48.
  29. Keshavan MS, Diwadkar VA, Montrose DM, Rajarethinam R, Swe- eney JA. Premorbid indicators and risk for schizophrenia: a selective review and update. Schizophrenia Research 2005; 79(1): 45-57.
  30. McGlashan TH. Is active psychosis neurotoxic? Schizophrenia Bulletin 2006; 32(4): 609-13.
  31. Bordier C, Nicolini C, Forcellini G, Bifone A. Disrupted modular orga- nization of primary sensory brain areas in schizophrenia. NeuroImage: Clinical 2018; 18: 682-93.
  32. Lasalvia A, Tansella M. What is the name? Renaming schizophrenia as a starting point for moving ahead with its re-conceptualization. Epidemiology and psychiatric Sciences 2013; 22: 285-7.
  33. Binswanger L. Der Fall Ellen West. Schweizer Archiv für Neurologie, Neurochirurgie und Psychiatrie 1944; 53: 255-77, 54: 69-117, 1945; 55: 16- 40. Trad. it. Il caso Ellen West. Milano: Bompiani; 1973.
  34. Conrad K. Die Beginnende Schizophrenie. Stuttgart: Thieme; 1958. Trad. It. Alessandrini M, ed. La schizofrenia incipiente. Roma: Gio- vanni Fioriti; 2012.
  35. Blankenburg W. La perdita dell’evidenza naturale. Un contributo alla psicopatologia delle schizofrenie pauci-sintomatiche. Milano: Raffael- lo Cortina; 1998.
  36. Ballerini A. La verità privata. Roma: Giovanni Fioriti; 2008.
  37. Ballerini A. L’autismo tra nosografia della schizofrenia e condizione umana. In: Mistura S, ed. Autismo. L’umanità nascosta. Torino: Einau- di; 2006. pp. 3-50.
  38. Dalle Luche R., Maggini C., Un nido d’uccelli non è un nido d’uccelli. Il caso Ellen West ovvero l’eclissi della diagnostica psichiatrica. In: Di Fiorino M, Saviotti FM, ed. La persuasione socialmente accettata, il plagio e il lavaggio del cervello. Vol. 1. Forte dei Marmi: Psichiatria e Territorio, 1990. pp.178-86.
  39. Bettoni Pojaghi M, Capocacia LM, Ciocca A, Ferro FM, Rizzo M. Un’altra volta, ancora: nuove riflessioni su Ellen West. Roma: Giovanni Fioriti; 2013.
  40. Grivois H. Naître à la folie: les Empécheurs de penser en ronde. Le Plessis-Robinson: Synthélabo; 1991.
  41. Jaspers K. Psicopatologia Generale. Roma: Il Pensiero Scientifico; 1963.
  42. Lewin K. Principles of Topological Psychology. New York: Mc- Graw-Hill; 1936.
  43. Janzarik W. Dynamische Grundkonstellationen in endogenen psycho- sen. Berlin: Springer; 1959. Trad. It. Giovannini S, Dalle Luche R, Maggini C, in corso di stampa.
  44. Parnas J., Handest P. Phenomenology of Anomalous Self-Experience in Early Schizophrenia. Comprehensive psychiatry 2003; 44 (2): 121-34.
  45. Tatossian A. Phénoménologie des Psychoses. Paris: Masson; 1979. Trad. it. Dalle Luche R, Di Piazza G, ed. La fenomenologia delle psico- si. Roma: Giovanni Fioriti; 2001.
  46. Wyrsch J. Das Problem der schizophrenen Person. Psychiatria et Neu- rologia 1966; 151 (3): 129-49.
  47. Lost Generation: I neet, giovani che non studiano, non lavorano, non… Brain Magazine, 2023; 4 (3).
  48. Adolescenti, l’allarme del Gaslini: “Boom di disturbi psichiatrici tra gli adolescenti”. La 28/3/2023. -- https://genova.repubblica. it/cronaca/2023/03/28/news/adolescenti_lallarme_del_gaslini_boom_ di_disturbi_psichiatrici_tra_gli_adolescenti-393992334/? vfz=me- dium%3Dsharebar (ultima visualizzazione 09/06/2023).
  49. Twenge JM. Iperconnessi. Perché i ragazzi oggi crescono meno ribelli, più tolleranti, meno felici e del tutto impreparati a diventare adulti. To- rino: Einaudi; 2018.
  50. Kohut H. The restoration of the self. New York: International Universi- ties Press; 1977.
  51. Dalle Luche R. Del nuovo romanticismo giovanile. Una nota su “Con- versations with Friends (Parlarne con amici)”, di Lenny Abrahamson, dal romanzo di Sally Rooney, BBC studios, RaiPlay, 2023, Psychiatry Online 27/3/2023. -- (ultima visualizzazione 09/06/2023).
  52. Bleger J. Simbiosis y ambigüedad: estudio psicoanalítico. Buenos Ai- res: Editorial Paidós; 1967. Trad. it. Petrilli ME, Rossetti M, ed. Sim- biosi e ambiguità. Studio psicoanalitico. Loreto: Liberia editrice Laure- tana; 1992.
  53. Kimura Bin Écrits de psychopathologie phénoménologique. Paris: Presses universitaires de France (PUF); 1992. Trad. It. A Ballerini, ed. Scritti di psicopatologia fenomenologica. Roma: Giovanni Fioriti; 2005.
  54. Dalle Luche R. Disturbo di dismorfismo corporeo, manierismo, auti- smo: annotazioni sulla psicopatologia del mostrarsi. Psichiatria e psico- terapia, 2016: 1-2: 46-60.
  55. Dell’Osso L., Dalle Luche R. L’altra Marilyn: psichiatria e psicoanalisi di un cold case. Firenze: Le Lettere; 2015.
  56. Borgna E. Il tempo e la vita. Milano: Feltrinelli; 2015.
  57. Moscati A. Ellen West: Una vita indegna di essere vissuta. Macerata: Quodlibet, 2021.
  58. Freud S. Jenseits des Lustprinzips. (1920). Trad. it. Al di là del principio del piacere. In: Freud S. Opere 1917-1923: L’io e l’es e altri scritti. Tori- no: Boringhieri; 1977.

Riccardo Piero Dalle Luche, Concettualizzazioni cliniche e psicopatologiche degli esordi psicotici dalla seconda metà dell’800 ai nativi digitali in "RIVISTA SPERIMENTALE DI FRENIATRIA" 2/2023, pp 119-139, DOI: 10.3280/RSF2023-002008