0
Article |

The Phenomenology of Mania:  A New Look at Some Old Patients

Michael Alan Taylor, MD; Richard Abrams, MD
Arch Gen Psychiatry. 1973;29(4):520-522. doi:10.1001/archpsyc.1973.04200040066011.
Text Size: A A A
Published online

The phenomenology and response to treatment of 52 patients with an admission diagnosis of schizophrenia (N = 48) or other nonaffective illness (N = 4) satisfied research criteria for a diagnosis of mania.

All patients manifested classical phenomena of mania and many demonstrated phenomena usually associated with schizophrenia. Prevalence of affective illness and alcoholism in first-degree relatives, alcoholism in probands, the demographic characteristics of the sample, and the treatment response (particularly to lithium carbonate), were consistent with a diagnosis of affective disorder.

We suggest the prior overdiagnosis of schizophrenia resulted from failure to adequately weight cardinal phenomena of mania when they occurred in the presence of phenomena thought to be specific for the diagnosis of schizophrenia. We suggest more intensive phenomenologic investigations of schizophrenic subtypes (eg, paranoid schizophrenia) will yield a high proportion of individuals with affective illness.

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();