Evolution of the Affective Catatonia Concept in XIX–XXI Centuries
https://doi.org/10.30629/2618-6667-2022-20-2-97-108
Abstract
Background: the connection of catatonic disorders with affective pathology is noted in publications related to the prenosological stage of research in psychiatry. Numerous publications of the last and the current centuries are devoted to clinical studies of the relationship between affective and catatonic symptoms. At the present stage of scientic development, catatonia is considered as a transnological formation, manifesting in the framework of various nosological units, including affective diseases. Aim: analysis of the affective catatonia construct’s development in the period of the XIX–XXI centuries and development of affective-catatonic states, forming in the clinical space of schizophrenia and schizophrenic spectrum disorder, conceptual model. Conclusion: affective-catatonic disorders represent a continuum of psychopathologically differentiated phase-owing state. At one of the continuum pole there are catatonic disorders manifesting in the structure of affective pathology, which is realized at the level of recurrent depressions; at the other pole — affective-catatonic states of more severe psychopathological register, acting in the clinical space of bipolar affective disorder and schizoaffective psychoses. The role of movement disorders in affective-catatonic attacks and phases, as well as the modus of interaction of catatonic disorders with affective ones, also varies widely. In some cases, motor symptoms replace the affective symptoms, on the basis of which they were formed, and completely determine the clinical picture of the state; in others — they only modify the manifestations of affective disorders without altering their syndromic structure.
About the Authors
A. B. Smulevich
FSBSI “Mental Health Research Centre”; I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Anatoly B. Smulevich, Аcademician of RAS, Professor, Dr. of Sci. (Med.), Head of Department; Head of Psychiatry and Psychosomatics Department
Moscow
V. M. Lobanova
FSBSI “Mental Health Research Centre”
Russian Federation
Russian Federation
Veronika M. Lobanova, Cand. of Sci. (Med.)
Moscow
M. V. Piskarev
FSBSI “Mental Health Research Centre”
Russian Federation
Russian Federation
Mikhail V. Piskarev
Moscow
N. A. Ilyina
FSBSI “Mental Health Research Centre”
Russian Federation
Russian Federation
Natalia A. Ilyina, Dr. of Sci. (Med.)
Moscow
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For citations:
Smulevich A.B., Lobanova V.M., Piskarev M.V., Ilyina N.A. Evolution of the Affective Catatonia Concept in XIX–XXI Centuries. Psychiatry (Moscow) (Psikhiatriya). 2022;20(2):97-108. (In Russ.) https://doi.org/10.30629/2618-6667-2022-20-2-97-108
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