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Catatonic Schizophrenia

Another “Silent Killer”

How targeted interventions may reduce the burden of premature mortality among patients with schizophrenia and other psychiatric disorders.

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Catatonic Schizophrenia

Emil Kraepelin diagnosed the paranoid, catatonic, and hebephrenic forms of dementia praecox, a disease he created.

The current system of payment for mental health care in the US can lead, or even incentivize, clinicians to focus on and code for Axis I disorders and their more readily reimbursed psychopharmacological treatment approaches.

In my view, Dr Angell’s assertions reflect both a serious misunderstanding of psychiatric diagnosis, and—equally important—a failure to address the core philosophical issues involved in her use of the terms “subjective,” “objective,” “behaviors,” and “signs.”

DSM-II was published in 1968. DSM-5 will be published in 2013. How much progress have we made? I propose that we approach this question with a quiz.

ECT, like abortion, is surrounded by controversy and strong opinions on both sides. Fortunately, for those of us who practice ECT, the discussion is not quite as heated nor the risks as high as for our colleagues in ob-gyn.

Dr Stone's vivid description of the military's abusive use of ECT 50 years ago -- while compelling to read from an historical perspective -- should in no way be confused with ECT today.

During my residency training at Harvard’s McLean Hospital from 1956-1959, the treatment of choice for all of our patients was intensive psychodynamic psychotherapy.


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