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Changes in the Symptomatology of Psychotic Patterns.

Arnold Goldberg, MD
Arch Gen Psychiatry. 1967;16(6):772. doi:10.1001/archpsyc.1967.01730240128024.
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From Budapest comes this book of psychiatric phenomenology, which in truth is more of a monograph than a book and deals with a particular study of psychotic symptom patterns as they occurred in Hungary in 1910 compared to those of 1960. The author states a similar study comparing diagnoses over a 100-year period is less meaningful than this endeavor of symptom analysis. The conclusions are mainly negative (eg, no difference in intellect, sex, etc) except for the following: a rise in depression and paranoid schizophrenic cases, a shift of simple schizophrenia from women to men, a relatively older patient, and disappearance of general paresis. The author feels that the present day psychosis is not as "classical" a picture as that of 1910, and that this change in terms of a vaguer symptomatological set is not merely an epiphenomenum (ie, a product of the times). Unfortunately this point


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