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From Akute Primäre Verruckheit to Bouffée Delirante: The background of Acute Transient Psychosis

Published online by Cambridge University Press:  01 September 2022

J. Romão*
Affiliation:
Centro Hospitalar Universitário Lisboa Norte, Psychiatry, Lisboa, Portugal
M. Gonçalves
Affiliation:
Centro Hospitalar Universitário Lisboa Norte, Psychiatry, Lisboa, Portugal
R. André
Affiliation:
Centro Hospitalar Universitário Lisboa Norte, Psychiatry, Lisboa, Portugal
F. Félix
Affiliation:
Centro Hospitalar Universitário Lisboa Norte, Psychiatry, Lisboa, Portugal
R. Saraiva
Affiliation:
Centro Hospitalar Universitário Lisboa Norte, Psychiatry, Lisboa, Portugal
M. Abreu
Affiliation:
Centro Hospitalar Universitário Lisboa Norte, Psychiatry, Lisboa, Portugal
*
*Corresponding author.

Abstract

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Introduction

Ever since the end of the 19th century that descriptions of acute and transient psychosis (ATP) have been found in the literature. Psychiatrists from different countries gave different names for these types of episodes, throughout the ages. Those early descriptions were an important part of the development of the concept of acute and transient psychotic disorders (F23: ICD-10).

Objectives

This review aims to provide historical background of the development of different concepts to describe ATP.

Methods

Non-systematic review of literature on acute and transient psychotic disorders, bouffee delirante, brief psychotic disorder, atypical psychosis.

Results

In 1876, K.Westphal introduced the term akute primäre Verruckheit, refering to a sudden paranoia associated with delusion ideas and hallucinations. In 1895, Magnan described Bouffée delirante, characterized by a recorrent, sudden psychosis with polymorphic symptoms. Later (1924), the term cycloid psychosis was introduced by K.Kleist: phasic psychosis with good prognosis. Different concepts appeared throughout history: psychogenic psychosis (Wimmer,1916); atypical psychosis (Mitsuda,1942), holodisfrenia (Barahona,1957). Nowadays, the classification systems include many of these concepts in the same categories: Schizophreniform disorder, Brief psychotic disorder (DSM-5), and ATP (F23 in ICD-10).

Conclusions

All throughout the History of Psychiatry, there was an evolution of concepts associated to ATP. They were strongly influenced by different time epochs. It is important to have context on the historical background of the concepts used in the contemporaneous Psychiatry. Diagnosis is challenging due to their heterogeneous presentation. There are not many studies available, because of ATP’s low diagnostic stability.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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