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Age Disorientation in Chronic Schizophrenia: The Nature of the Cognitive Deficit

Published online by Cambridge University Press:  29 January 2018

T. J. Crow  and
M. Stevens
T. J. Crow
Affiliation:
Division of Psychiatry, Clinical Research Centre, Northwick Park Hospital, Harrow, Middlesex HA1 3UJ
M. Stevens
Affiliation:
Division of Psychiatry, Clinical Research Centre, Northwick Park Hospital, Harrow, Middlesex HA1 3UJ
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Summary

In an interview survey of temporal orientation in chronic schizophrenia, patients with age disorientation (n = 77) were much less likely than patients without age disorientation (n = 222) to be able to give correct answers to simple questions about dates and the passage of time (e.g. their date of birth, the present year and the duration of their hospital stay). The age disorientated systematically underestimate the present year and their duration of hospital stay; in individual patients the errors they make are consistent with their concept of their own age. ‘Time stands still’ for these patients.

However, there are patients in whom an incorrect appreciation of their own age co-exists with correct awareness of the present year. Between these patients and those for whom subjective time stands still, there appears to be a continuum of increasing temporal disorientation. This dimension may be a clinical correlate of intellectual impairment.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 133 , Issue 2 , August 1978 , pp. 137 - 142
Copyright
Copyright © Royal College of Psychiatrists, 1978 

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References

Asano, N. (1967) Pneumoencephalographic study of schizophrenia. pp 209–19 in: Clinical Genetics in Psychiatry, edited by Mitsuda, H. & Takasuki, O. Tokyo: Igaku-Shoin.Google Scholar
Crow, T. J. & Mitchell, W. S. (1975) Subjective age in chronic schizophrenia: evidence for a subgroup of patients with defective learning capacity? British Journal of Psychiatry, 126, 360–3.Google Scholar
Dahl, M. (1958) A singular distortion of temporal orientation. American Journal of Psychiatry, 115, 146–9.Google Scholar
Depue, R. A. (1976) An activity-withdrawal distinction in schizophrenia: behavioural, clinical, brain damage and neurophysiological correlates. Journal of Abnormal Psychology, 85, 174–85.CrossRefGoogle ScholarPubMed
Ehrenteil, O. F. & Jenney, P. B. (1960) Does time stand still for some psychotics? Archives of General Psychiatry, 3, 1–3.Google Scholar
Haug, J. O. (1962) Pneumoencephalographic studies in mental disease. Acta Psychiatrica Scandinavica, 38, suppl. 165, 1–104.Google ScholarPubMed
Johnstone, E. C., Crow, T. J., Frith, C. D., Husband, J. & Kreel, L. (1976) Cerebral ventricular size and cognitive impairment in chronic schizophrenia. Lancet, ii, 924–7.Google Scholar
Lanzkron, J. & Wolfson, W. (1958) Prognostic value of perceptual distortion of temporal orientation in chronic schizophrenics. American Journal of Psychiatry, 114, 744–6.Google Scholar
Lilliston, L. (1970) Tests of cerebral damage and the process-reactive dimension. Journal of Clinical Psychology, 26, 180–1.Google Scholar
Lilliston, L. (1973) Schizophrenic symptomatology as a function of probability of cerebral damage. Journal of Abnormal Psychology, 82, 377–81.Google Scholar
Michelson, N. (1968) A note on age confusion in psychosis. Psychiatric Quarterly, 42, 331–8.Google Scholar
Orme, J. E. (1966) Knowledge of the year, brain damage and memory for designs. Diseases of the Nervous System, 27, 202–3.Google Scholar
Quitkin, F., Rifkin, A. & Klein, D. F. (1976) Neurologic soft signs in schizophrenia and character disorders. Archives of General Psychiatry, 33, 845–53.CrossRefGoogle ScholarPubMed
Siegel, S. (1956) Nonparamelric Statistics. McGraw-Hill, New York.Google Scholar
Stevens, M., Crow, T. J., Bowman, M. J. & Coles, E. C. (1978) Age-disorientation in chronic schizophrenia: a constant prevalence of 25 per cent in a mental hospital population? British Journal of Psychiatry (in press).Google Scholar
Stoffler, F. (1973) Disordered consciousness of time in schizophrenic women. Münchener Medizinische Wochenschrifl, 115, 2285–6.Google Scholar
Weinstein, E. A. & Kahn, R. L. (1951) Patterns of disorientation in organic brain disease. Journal of Neuropathology and Clinical Neurology, 1, 214.Google ScholarPubMed
Zangwill, O. L. (1953) Disorientation for age. Journal of Mental Science, 99, 698–701.Google Scholar
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