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07-SEPTEMBER-2008 03:17:44 - Disorganized schizophrenia December 2007 Disorganized schizophrenia Classification and external resources ICD-10 F20.1 ICD-9 295.1 Disorganized schizophrenia is a subtype of schizophrenia as defined in the Diagnostic and Statistical Manual of Mental Disorders. This type is characterized by prominent disorganized behavior and speech see formal thought disorder including word salad, and flat or inappropriate emotion and affect. The criteria for the catatonic subtype of schizophrenia must not have been met as well. This type of schizophrenia is also known as hebephrenia, and is named after the Greek goddess of youth, Hebe, in reference to the typical age of onset in puberty.citation needed Unlike the paranoid subtype of schizophrenia, delusions and hallucinations are not the most prominent feature12, although fragmentary delusions and hallucinations may be present. The emotional responses of people diagnosed with this subtype can often seem strange or inappropriate to the situation. Inappropriate facial responses may be common and behavior is sometimes described as 'silly', such as inappropriate laughter. Complete lack of expressed emotion is sometimes seen, as is an apparent indifference, anhedonia the lack of pleasure, and avolition a lack of motivation. Some of these features are also present in other types of schizophrenia, but they are most prominent in Disorganized Schizophrenia. This form of schizophrenia is typically associated with early onset often between the ages of 15 and 25 years and is thought to have a poor prognosis because of the rapid development of 'negative' symptoms and decline in social functioning.3 Disorganized schizophrenia is thought to be an extreme expression of the 'disorganization syndrome' that has been hypothesised to be one aspect of a three-factor model of symptoms in schizophrenia4 The other factors being 'reality distortion' involving delusions and hallucinations and 'psychomotor poverty' poverty of speech, lack of spontaneous movement and various aspects of blunting of emotion. References ^ How Schizophrenia is diagnosed ^ Hebephrenic Schizophrenia Diagnostic Criteria ^ McGlashan TH, Fenton WS 1993 Subtype progression and pathophysiologic deterioration in early schizophrenia. Schizophrenia Bulletin, 19 1, 71-84. ^ Liddle PF. 1987 The symptoms of chronic schizophrenia. A re-examination of the positive-negative dichotomy. British Journal of Psychiatry, 151, 145-51. v d e WHO ICD-10 mental and behavioral disorders F · 290-319 Neurological/symptomatic Dementia Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia, Elopement, Sundowning, Wandering · Delirium · Post-concussion syndrome · Organic brain syndrome Psychoactive substance alcohol drunkenness, alcohol dependence, alcoholic hallucinosis, Alcohol withdrawal, delirium tremens, Korsakoff's syndrome, alcohol abuse · opioids opioid dependency · sedative/hypnotic benzodiazepine withdrawal · cocaine cocaine dependence · general Intoxication, Drug abuse, Physical dependence, Withdrawal Psychotic disorder Schizophrenia disorganized schizophrenia · Schizophreniform disorder · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder Mood affective Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia Neurotic, stress-related and somatoform Anxiety disorder Agoraphobia, Panic disorder, Panic attack, Generalized anxiety disorder, Social anxiety, Social phobia · OCD · Acute stress reaction · PTSD · Adjustment disorder · Conversion disorder Ganser syndrome · Somatoform disorder Somatization disorder, Body dysmorphic disorder, Hypochondriasis, Nosophobia, Da Costa's syndrome, Psychalgia · Neurasthenia Physiological/physical behavioral Eating disorder: Anorexia nervosa · Bulimia nervosa Sleep disorder: Dyssomnia Hypersomnia, Insomnia · Parasomnia REM behavior disorder, Night terror · Nightmare Sexual dysfunction: Erectile dysfunction · Premature ejaculation · Vaginismus · Dyspareunia · Hypersexuality · Female sexual arousal disorder Postpartum depression · Postnatal psychosis Adult personality and behavior Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation · Fetishism Mental retardation Mental retardation Psychological development developmental disorder Specific: speech and language expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp · Scholastic skills dyslexia, dysgraphia, Gerstmann syndrome · Motor function developmental dyspraxia Pervasive: Autism · Rett syndrome · Asperger syndrome Behavioral and emotional, childhood and adolescence onset ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech stuttering · cluttering Retrieved from http://en..org/wiki/Disorganized_schizophrenia Categories: Schizophrenia | DisabilityHidden categories: Articles needing additional references from December 2007 | All articles with statements | Articles with statements since December 2007 Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Bosanski Deutsch Nederlands O'zbek Polski РуÑ?Ñ?кий Suomi УкраїнÑ?ька This page was last modified on 25 May 2008, at 11:08
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