Motility psychosis
Motility psychosis is a term first coined by Carl Wernicke (1892,1895). The name was later adopted by Karl Kleist , Ernst Fünfgeld and Karl Leonhard . A distinction is made between an akinetic and a hyperkinetic form of motility psychosis. The transition from the akinetic form, in which the patient lies rigidly in bed without speaking, to the hyperactive form can take place very quickly. In this respect there is a certain similarity to catatonia . In addition, there is a tendency towards periodicity and frequent change of phases. This in turn brings the clinical picture closer to the cycloid psychoses with their own inheritance. In the hyperactive form, there is increased physical activity in contrast to reduced verbal utterance by those affected. In this context it is also important to use the term expression disease , which tries to understand such “body language” as a means of expression that the person concerned cannot use with words.
Motility psychosis is differentiated from catatonia in that the repertoire of movements - unlike catatonia - is not bizarre or abnormal, but only changes quantitatively ( i.e. either hyperactive or hypoactive ). In addition, there are no residuals in the course of motility psychosis , which are typical for catatonia. However, there is currently no separate DSM or ICD code for motility psychosis, and it is disputed among experts whether motility psychosis and catatonia should be differentiated from one another and whether the clinical picture should generally be viewed as an expression of psychosis.
See also
Individual evidence
- ↑ Uwe Henrik Peters : Lexicon of Psychiatry, Psychotherapy, Medical Psychology. 6th edition. Urban & Fischer, Munich 2007, ISBN 978-3-437-15061-6 .
- ↑ Motility psychosis. In: Uwe Henrik Peters: Dictionary of Psychiatry and Medical Psychology. 3. Edition. Urban & Schwarzenberg, Munich 1984, ISBN 3-541-04963-4 , p. 359.
- ↑ https://www.wjgnet.com/2220-3206/full/v7/i3/177.htm ; accessed on March 16, 2019