Making up schizoaffective disorder: Cosmetic changes to a sad creation?

@article{Malhi2013MakingUS,
  title={Making up schizoaffective disorder: Cosmetic changes to a sad creation?},
  author={Gin S. Malhi},
  journal={Australian \& New Zealand Journal of Psychiatry},
  year={2013},
  volume={47},
  pages={891 - 894}
}
  • G. Malhi
  • Published 2013
  • Medicine
  • Australian & New Zealand Journal of Psychiatry
Australian & New Zealand Journal of Psychiatry, 47(10) The diagnosis of schizoaffective disorder survives in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) (American Psychiatric Association, 2013), despite persuasive exhortations for its removal (Maier, 2006; Malhi et al., 2008). However, its classification has been modified and the DSM-5 authors assert that they have implemented changes to improve both the reliability and the stability of this diagnosis. This… Expand

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References

SHOWING 1-10 OF 17 REFERENCES
Schizoaffective disorder: diagnostic issues and future recommendations.
TLDR
Schizoaffective disorder is a prototypic boundary condition that epitomizes the pitfalls of the current categorical classification system and should be omitted in future revisions of DSM, allowing the development of meaningful nomenclature that rests upon further rigorous investigation of differences and similarities between disorders. Expand
Schizoaffective disorder – the reliability of its clinical diagnostic use
TLDR
Patients with psychoses often suffer from affective symptoms and the reliability of the clinical use of the schizoaffective disorder diagnosis in university settings is examined. Expand
Do schizoaffective disorders exist at all?
  • W. Maier
  • Medicine, Psychology
  • Acta psychiatrica Scandinavica
  • 2006
TLDR
The most recent outcome study saw a less poor outcome in schizoaffective disorders compared with schizophrenia, but it was difficult to distinguish schizoAffective and mood disorders with psychotic symptoms; a progressively worsening intermediate course was reported for both diagnostic groups. Expand
THE ACUTE SCHIZOAFFECTIVE PSYCHOSES
1. A group of 9 cases is presented in which there is a blending of schizophrenic and affective symptoms. 2. The psychosis is characterized by a very sudden onset in a setting of marked emotionalExpand
The nosology of schizophrenia: toward DSM-5 and ICD-11.
  • R. Tandon
  • Medicine, Psychology
  • The Psychiatric clinics of North America
  • 2012
TLDR
Revisions of the Diagnostic and Statistical Manual of Mental Disorders and the International Classification of Diseases seek to incorporate new information about schizophrenia and include elimination of subtypes, addition of psychopathological dimensions, elimination of special treatment of Schneiderian "first-rank" symptoms, better delineation of schizoaffective disorder, and addition of a new category of "attenuated psychosis syndrome. Expand
Schizoaffective Disorder in the DSM-5
TLDR
In the DSM-5, the diagnosis of Schizoaffective Disorder can be made only if full Mood Disorder episodes have been present for the majority of the total active and residual course of illness, from the onset of psychotic symptoms up until the current diagnosis. Expand
The Kraepelinian dichotomy – going, going... but still not gone
TLDR
Findings challenge the distinction between schizophrenia and bipolar disorder, and suggest that more attention should be given to the relationship between the functional psychoses and neurodevelopmental disorders such as autism. Expand
Congruence of diagnoses 2 years after a first-admission diagnosis of psychosis.
TLDR
The findings support the need for a longitudinally based diagnostic process in incidence samples and changes in diagnosis, particularly to schizophrenia, are mostly attributable to the evolution of the illness. Expand
Manic-depressive insanity and paranoia
The German psychiatrist Emil Kraepelin (1856-1926) is justly called "the father of modern psychiatry". He was the first to identify schizophrenia and manic-depression, and he pioneered the use ofExpand
DSM-5: Ordering disorder?
  • G. Malhi
  • Psychology, Medicine
  • The Australian and New Zealand journal of psychiatry
  • 2013
TLDR
Assessment of psychiatric symptoms finds that psychiatric phenomenology is incredibly diverse, but because few signs and symptoms are characteristic and none are pathognomonic, constellations of clinical features are needed to ‘define’ psychiatric disorders. Expand
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