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Manic-Depressive Psychosis: An Alternative Conceptual Model

Published online by Cambridge University Press:  29 January 2018

J.H. Court*
Affiliation:
Department of Mental Health, University of Adelaide, Adelaide, South Australia

Extract

The traditional concept of manic-depressive psychosis has been either a bi-polar or a circular one, used interchangeably. The psychoanalytic school has invoked the polarity of much of human behaviour as an appropriate analogy. For example “The tragedy is succeeded by the satyr play: after the serious worship of God comes the merry fair… On the same basis the same sequence is represented by the cycle of guilt feelings and unscrupulousness, later by the sequence of guilt feelings and forgiveness…. The manic-depressive cycle is a cycle between periods of increased and decreased guilt feelings: … this cycle, in the last analysis, goes back to the biological cycle of hunger and satiety in the infant” (Fenichel, 1946, p. 409).

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1968 

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References

Adreani, G., Caselli, G., and Martelli, G. (1958). “Rilievi clinici ed elettroencepalografici durante il trattamento con sali di litio in malati psichiatrici.” G. Psichiat. Neuropat., 86, 273.Google Scholar
Akimoto, H., Nakakuki, M., and Machiyama, Y. (1960). “Clinical experiences with MAO inhibitors.” Dis. nerv. Sys., 21, 645648.Google Scholar
Baastrup, P. C. and Schou, M. (1967). “Lithium as a prophylactic agent.” Arch. gen. Psychiat., 16, 162172.CrossRefGoogle Scholar
Bevan-Lewis, W. (1899). Textbook of Mental Diseases. London: Blakiston.Google Scholar
Brooks, G. W., and Weaver, L. A. (1962). Psychomotility, Drugs and Schizophrenic Rehabilitation. Report: U.S. Public Health Service, Grant, N.Y. 1752.Google Scholar
Bunney, W. E., and Hartmann, E. L. (1965). “Study of a patient with 48-hour manic-depressive cycles. I. An analysis of behavioural factors.” Arch. gen. Psychiat., 12, 611618.Google Scholar
Bunney, W. E., and Hartmann, E. L. and Mason, J. W. (1965). “Study of a patient with 48-hour manic-depressive cycles. II. Strong positive correlation between endocrine factors and manic defense patterns.” Arch. gen. Psychiat., 12, 619625.Google Scholar
Cade, J. F. J. (1949). “Lithium salts in the treatment of psychotic excitement.” Med. J. Aust., 36, 349.Google Scholar
Cade, J. F. J. (1967). “Lithium in psychiatry: historical origins and present position.” Aust. N.Z. J. Psychiatry, 1, 2, 6162.Google Scholar
Coppen, A. (1965). “Mineral metabolism in affective disorders.” Brit. J. Psychiat., 111, 11331142.Google Scholar
Court, J. H. (1964). “A longitudinal study of psychomotor functioning in acute psychiatric patients.” Brit. J. med. Psychol., 37, 167173.Google Scholar
Court, J. H. (1967). “Psychomotor concomitants of psychological disorder.” Unpublished Ph.D. Thesis, Adelaide.Google Scholar
Fenichel, O. (1946). The Psychoanalytic Theory of Neurosis. Routledge and Kegan Paul.Google Scholar
Fish, F. (1964). “A guide to the Leonhard classification of chronic schizophrenia.” Psychiat. Quart., 38, 438450.Google Scholar
Franz, S. I. (1906). “The times of some mental processes in the retardation and excitement of insanity.” Amer. J. Psychol., 17.Google Scholar
Goodman, J., Downing, R. W., and Rickels, K. (1964). “Temporal change in handwriting expansiveness in depressed and schizophrenic inpatients.” J. nerv. ment. Dis., 139, 5361.Google Scholar
Hall, K. R. L., and Stride, E. (1954). “Some factors affecting reaction times to auditory stimuli in mental patients.” J. ment. Sci., 462.CrossRefGoogle Scholar
Hartigan, G. P. (1963). “The use of lithium salts in affective disorder.” Brit. J. Psychiat., 109, 463, 810–814.CrossRefGoogle Scholar
Henderson, D., and Batchelor, I. R. C. (1962). Textbook of Psychiatry:” (Ninth ed.) Oxford U.P. Google Scholar
Jenner, F. A., Gjessing, L. R., Cox, J. R., Davies-Jones, A., Hulun, R. P., and Hanna, S. M. (1967). “A manic-depressive psychotic with a persistent forty-eight hour cycle.” Brit. J. Psychiat., 113, 895910.Google Scholar
King, H. E. (1954)- Psychomotor Aspects of Mental Disease. Harvard U.P. CrossRefGoogle Scholar
Klein, R., and Nunn, R. F. (1945). “Clinical and biochemical analysis of a case of manic-depressive psychosis showing regular weekly cycles.” J. ment. Sci., 91, 7988.Google Scholar
Kraepelin, E. (1921). Manic Depressive Insanity and Paranoia.” Edinburgh: E. and S. Livingstone.Google Scholar
Lundholm, H. (1922-23). “Reaction time as an indicator of emotional disturbances in manic-depressive psychosis.” J. abnorm. soc. Psychol., 17, 293.Google Scholar
Pavlov, I. P. (1928). Lectures on Conditional Reflexes: the Higher Nervous Activity of Animals. Vol. I (trs. Gantt, Horsley). Lawrence and Wishart: London.Google Scholar
Rice, D. (1956). “The use of lithium salts in the treatment of manic states.” J. ment. Sci., 102, 64.Google Scholar
Schou, M. (1963). “Normothymotics, ‘moodnormalizers’.” Brit. J. Psychiat., 109, 803809.Google Scholar
Seashore, R. H. (1951). “Work and motor performance”, in Stevens' Handbook of Experimental Psychology. Google Scholar
Wharton, R. N., and Fieve, R. R. (1966). “The use of lithium in the affective psychoses.” Amer. J. Psychiat., 123, 6, 706712.Google Scholar
Wulfeck, W. H. (1941). “Motor function in the mentally disordered: I. A comparative investigation of motor function in psychotics, psycho-neurotics and normals.” Psych. Rec., 4, 271323.Google Scholar
Zahn, T. P., Rosenthal, D., and Shakow, D. (1963). “Effects of irregular preparatory intervals on reaction time in schizophrenia.” J. abn. soc. Psychol., 67, 1, 4452.Google Scholar
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