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Usefulness of Anthropological Diagnosis: On a case of atypical psycllosis Satoshi Nakajima 1 1Department of Psychiatry, Kanto-Chuo Hospital Keyword: Atypical psychosis , Epilepsia sine ictu , Epilcptic EEG , Anthro-pology , Intra-festum structure pp.389-398
Published Date 1985/4/15
DOI https://doi.org/10.11477/mf.1405203921
  • Abstract
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 A case of psychosis in a 24-year female was reported. Her clinical picture resembled paranoid type schizophrenia. Though she had no episode of epileptic symptoms her EEG showed epileptic abnomality. As opposed to typical schizophrenia she was emotionally responsive and quite sociable. Moreover, it was noticeable that she was impulsive, capricious, and childish for her age. The psychopathology of her delusion was characterized by its worldliness, lack of anonymity in characters appearing in it, and lack of signs of doubt in her conviction. Through these characteristics the case was distinguished from schizophrenia, and none of the other common diagnoses could sufficiently explain them. In an attempt to reach a diagnosis which may fulfill these characteristics we resorted to "anthropology," that is, a holistic approach to a human being which seeks a structure underlying all aspects of human behaviors. Among others we chose Kimura's anthropology. On the basis of his theory the various characteristics of our case could be interpreted as manifestations of "intra-festum structure,"which means a way of existence that gives advantage to the present as opposed to the future or the past. Moreover, our case could be positively classified as belonging to a particular type of atypical psychosis, which represents pathology of pure "intra-festum structure." Her electroencephalographical abnormality also seemed to be explained as a manifestation of this anthropological structure in the physiological aspect. Such an anthropological viewpoint as was taken here seemed to have an advantage in uniting various aspects to reach a systematic understanding of a case. It also looked hopeful to attain a more satisfactory diagnostic concept through this approach, especially where nosological classification remains equivocal.


Copyright © 1985, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

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