In psychiatry, catastrophic schizophrenia or schizocaria is an obsolete[1] term for a rare[2][3] and acute form of schizophrenia leading directly to a severe and unremitting chronic psychosis[4] (the long term occurrence of psychosis) and deterioration of the personality.[2] Catastrophic schizophrenia was thought to be the most severe subtype of schizophrenia, as it had "an acute onset and rapid decline into a chronic state without remission".[5] Catastrophic schizophrenia was also referred to as schizocaria, which was defined by Gerhard Mauz as a psychosis that caused the absolute destruction of the core of one's being.[6]
The term "catastrophic schizophrenia" has fallen out of use due to a number of reasons, including advances in psychiatric treatment, which led to a significant decline in patients that fit the diagnosis as their symptoms did not reach the severity of catastrophic schizophrenia, along with modern refinement of the definition and subtypes of schizophrenia.[7] This term has not been included in any version of the DSM. In modern terms, catastrophic schizophrenia would likely be defined as 'acute-onset chronic schizophrenia with poor prognosis'.
^Corsini, Raymond J. (2002). Dictionary of Psychology. Psychology Press. p. 864. ISBN 978-1583913284.
^ abRobert Jean Campbell, Campbell's Psychiatric Dictionary, 2009, page 872
^Bleuler, M.; Huber, G.; Gross, Gisela; Schüttler, R. (August 1976). "The long-term course of schizophrenic psychoses: The combined results of two research studies". Der Nervenarzt. 47 (8): 477–481.
^Richard P. Bentall, Reconstructing schizophrenia, 1992, page 62
^Alan S. Bellack (1984). Schizophrenia: treatment, management, and rehabilitation. Boston: Pearson Allyn & Bacon. ISBN 978-0-15-869400-9.
^Strauss, E.B. (July 1931). "Some Principles Underlying Prognosis in Schizophrenia". Proceedings of the Royal Society of Medicine. 24 (9): 1217–1222. doi:10.1177/003591573102400941. PMC 2183090. PMID 19988249.
^Cite error: The named reference McGlashan and Johannessen was invoked but never defined (see the help page).
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