Dementia Praecox

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In 1887 Dr. Emile Kraepelin identified schizophrenia for the first time in history. Dr. Kraepelin used the term "dementia praecox” which means “early dementia,” separating it from other forms of dementia usually occurring later in life. Kraepelin believed that “dementia praecox” was primarily a disease of the brain. In 1911, a Swiss psychiatrist by the name of Eugene Bleuler, was the first to use the term “schizophrenia” and the first to describe the symptoms as “negative” or “positive.” Bleuler believed that the name given by Kreapelin was misleading, since the disease was not part of dementia since it did not lead to mental deterioration in all cases and it could occur in young age as well as in old age. Since Bleuler specified the term five types of schizophrenia were identified in the Diagnostic and Statistical Manual of Mental Disorders –III (DSM), these include: disorganized, catatonic, paranoid, residual and undifferentiated. In the present DSM IV these defined terms are still being used, yet more and more people are turning to use their own methods of identifying the disease rather than focusing on the given DSM terms. The onset of the disease is said to be between the ages of 15 and 25, yet there are cases where the disorder does show up in earlier years. Symptoms are divided into two categories: 1. Positive--which include symptoms that are new to one’s personality and include hallucinations, delusions, paranoia, agitation, disorganized behavior, and disorganized and incoherent speech. A hallucination can be defined as a perception of a sound, image, smell, or sensation that does not exist. Hearing voices that are not there is a common hallucination in schizophrenia. A delusion is a distortion of reality such as a paranoid belief as the belief the government is out to kill you. 2. Negative-- which are characterized by the loss of the aspects of a person’s personality such as lack of emotion or expression. A psychiatrist generally makes the diagnosis of schizophrenia. Usually the initial diagnosis will require for the individual to be put in the hospital for testing in order to rule out other causes of the individual’s symptoms, including metabolic disorders, infections and seizure disorders. The DSM-IV states that in order for the diagnosis of schizophrenia to be made there must be an identification of two “positive” symptoms for at least one consecutive month. These symptoms must interfere with some aspect of a person’s ability to function, either at work, school, or in relationships.

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