INVOLUTIONAL MELANCHOLIA PDF

In Kraepelin described involutional melancholia as a single clinical entity separate from manic-depressive psychosis. Because of the high incidence of depression in the involutional period, its symptomatic characteristics, and somewhat poor prognosis, this was recognized as valid at that time. Nowadays, the broadening concept of mood disorder denies involutional melancholia as a valid independent entity, and so it is included in mood disorders. A closer psychopathological inspection, however, still reveals several crucial differentiating points, which suggest that should be separated from the current mood disorder concept. Its cardinal symptoms are as follows: unveiled basic anxiety Schneider K , specific autistic thinking Kranz H , lack of insight, dissimulation, and severe suicidal thoughts. Patients fear that their innermost mind will be revealed, try to hide it, and even pretend to be healthy.

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Louis University School of Medicine. Great diversity of opinion exists in the minds of most neuropsychiatrists as to the status that should be accorded involutional melancholia as a clinical entity.

As with most types of psychoses, no one has yet demonstrated a single direct or specific cause for this mental illness. Involutional melancholia is probably a subdivision of manic-depressive, but by virtue of its distinctive symptomatology its lengthy course and its association with a definite physiological life epoch climacteric , it merits separate description. The present state of our knowledge only permits the statement that the climacteric and the widespread changes induced are in some sense causal factors, but as to the exact mechanism there is very little definite information.

Henderson and Gillespie 2 in their textbook attempt to define the condition by giving a description of the signs and symptoms as found in this mental disease, without offering any specific. Coronavirus Resource Center. All Rights Reserved. Twitter Facebook Email. This Issue. AULT, M. WEIS, M. Author Affiliations ST. From the Department of Medicine, St. Save Preferences. Privacy Policy Terms of Use.

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[A Study on Involutional Melancholia]

Louis University School of Medicine. Great diversity of opinion exists in the minds of most neuropsychiatrists as to the status that should be accorded involutional melancholia as a clinical entity. As with most types of psychoses, no one has yet demonstrated a single direct or specific cause for this mental illness. Involutional melancholia is probably a subdivision of manic-depressive, but by virtue of its distinctive symptomatology its lengthy course and its association with a definite physiological life epoch climacteric , it merits separate description. The present state of our knowledge only permits the statement that the climacteric and the widespread changes induced are in some sense causal factors, but as to the exact mechanism there is very little definite information. Henderson and Gillespie 2 in their textbook attempt to define the condition by giving a description of the signs and symptoms as found in this mental disease, without offering any specific. Coronavirus Resource Center.

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Involutional melancholia

Involutional melancholia or involutional depression is a traditional name for a psychiatric disorder affecting mainly elderly or late middle-aged people, usually accompanied with paranoia. It is classically defined as " depression of gradual onset occurring during the involutional years in women and in men , with symptoms of marked anxiety, agitation, restlessness, somatic concerns, hypochondriasis , occasional somatic or nihilistic delusions, insomnia, anorexia, and weight loss. Hodophobia is a specific phobia as classified in the DSM Electroconvulsive therapy may also be used. Mid-century, there was a consensus that the technique indeed 'yields the best results in the long-lasting depressions of the change of life, the so-called "involutional melancholias", which before this form of treatment was introduced often required years of hospitalization'. Otto Fenichel considered that 'psychoanalytically, not much is known about the structure and mechanism of involutional melancholias; they seem to occur in personalities with an outspoken compulsive character of an especially rigid nature. In the climacterium the compulsive defensive systems fail'.

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