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A Follow Up Study of Schizophrenia and Depression in Young Adults

Published online by Cambridge University Press:  29 January 2018

John A. Clark  and
Bernard L. Mallett
John A. Clark
Affiliation:
Crichton Royal, The Maudsley Hospital
Bernard L. Mallett
Affiliation:
Guy's Hospital, The Maudsley Hospital
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Extract

The differential diagnosis of schizophrenia and depression is clinically important in so far as these diagnoses carry therapeutic and prognostic implications. The Kraepelinian dichotomy was foreshadowed in Griesinger's recognition that “a state of vague, objectless emotion, be it sad or cheerful, and vague general delirium, is always more favourable than the appearance and continuance of fixed ideas … In melancholia, too, the appearance of hallucinations is decidedly unfavourable; those especially which refer the malady to external agencies (to other persons, to witchcraft, etc.) are remarkably persistent, and introduce at a later period a condition of dementia” (Griesinger, 1861). Kraepelin's descriptions of maniacal-depressive conditions and of dementia praecox remain the basis of contemporary systems of classification of the functional psychoses.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 109 , Issue 461 , July 1963 , pp. 491 - 499
Copyright
Copyright © Royal College of Psychiatrists, 1963

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