Feeling sick

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The term sickness has two meanings:

  • A general feeling of illness refers to several symptoms, which are also summarized with the French name malaise .
  • Feeling sick is the patient's impression of being sick. The feeling of illness can be assessed in the psychopathological findings according to the AMDP system and should not be confused with the term insight into illness . A patient with hypochondria feels ill because he feels physically ill, but no insight into illness if he does not accept the concept of mental illness. A patient with mania can have insight into disease, although he does not feel sick and even finds the state of mania pleasant. A schizophrenic can feel completely healthy and have no insight into the disease, although he has pronounced negative symptoms or even has acoustic hallucinations. Even with dementia, there is sometimes a lack of insight into the disease. In view of this, it becomes clear that the feeling of illness and the insight into illness are independent of one another, as the following table illustrates again.
Independence from feeling and insight into illness
diagnosis Feeling sick Disease insight
hypochondria Yes No
mania No Yes
schizophrenia No No

Disease awareness in the sense of Pick 1882

The concept of disease awareness was considered more closely by Arnold Pick in 1882 after researching psychosis, obsessive-compulsive disorder, and depression. He published an article entitled: On Disease Awareness in Mental Illness. He later divided the term into feeling sick and being sick. Karl Jaspers commented on the concept of insight in his work General Psychopathology .

Individual evidence

  1. ^ Volker Diehl: Medical therapy in clinic and practice . Springer-Verlag, 2013, ISBN 978-3-662-12451-2 , pp. 781 ( limited preview in Google Book search).
  2. ↑ a b c d e working group f methodology u documentation in d psychiatry: The AMDP system: manual for the documentation of psychiatric findings . Hogrefe Verlag, 2006, ISBN 978-3-8409-1925-1 , pp. 120 ff . ( limited preview in Google Book search).
  3. ^ Ivana Marková: Insight in Psychiatry . Cambridge University Press, 2005, ISBN 978-0-521-82518-4 , pp. 316 ( limited preview in Google Book Search).
  4. ^ Alma Kreuter: German-speaking neurologists and psychiatrists: A biographical-bibliographical lexicon from the forerunners to the middle of the 20th century . Walter de Gruyter, 1995, ISBN 978-3-11-096165-2 , p. 1093 ( limited preview in Google Book Search).
  5. ↑ Dr Arnold Pick: About disease awareness in mental illness . In: Archives for Psychiatry and Nervous Diseases . tape 13 , no. 3 , October 1, 1882, ISSN  0003-9373 , p. 518-581 , doi : 10.1007 / BF02013549 ( springer.com [accessed July 28, 2015]).
  6. ↑ a b Sonay Bal: Disease insight and cognitive functions in schizophrenia with persistent positive symptoms . Wuppertal 2011, p. 60 ( PDF download 1.7MB ).
  7. ↑ Karl Jaspers: General Psychopathology . Springer-Verlag, 2013, ISBN 978-3-662-11113-0 ( limited preview in the Google book search).