The Line between Psychosis and Schizotypy: a case report
Introduction Since Kraepelin and Bleuler, schizotypy was understood as a mild expression of psychosis, a latent form with the same trajectory but different severity. They pointed characteristics such as being eccentric, unreasonable, supersticious or hipersensitive, interpersonal aversiveness (ofte...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822011105/type/journal_article |
| _version_ | 1797616234800349184 |
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| author | L. Huerga García E. Hernández Padrón N. Casanova Gracia N. Torres Nieves P. Gómez Pérez F. Garcia Gómez-Pamo J.J. Dorta Gonzalez J.F. Dorta González |
| author_facet | L. Huerga García E. Hernández Padrón N. Casanova Gracia N. Torres Nieves P. Gómez Pérez F. Garcia Gómez-Pamo J.J. Dorta Gonzalez J.F. Dorta González |
| author_sort | L. Huerga García |
| collection | DOAJ |
| description |
Introduction
Since Kraepelin and Bleuler, schizotypy was understood as a mild expression of psychosis, a latent form with the same trajectory but different severity. They pointed characteristics such as being eccentric, unreasonable, supersticious or hipersensitive, interpersonal aversiveness (often related to suspiciousness and expectation of rejection), ambivalence, anhedonia,… and psychosis-like features that don’t usually lead to help-seeking.
Objectives
To do a case review
Methods
We report a case of a 17 years old boy with a childhood trauma history who started psychiatric consultations a year and a half ago because his “usual” (as his mother referred) strange behaviour got worse, which was perceived by his
ENT specialist. During the appointments, the patient showed suspiciousness, odd speech, inappropriate affect, tendency to social withdrawal, obsessive ruminations with sexual content and occasional perceptual experiences (such as depersonalization, derealization and auditory hallucinations).
Results
Psychosis and schizotypy are linked historically and phenomenologically, which is evidenced by their placement in non-affective psychosis in the ICD-10 and DSM-5, and it is known that the direct observation (by clinicians or family members) during the childhood and adolescence are key for a correct diagnosis. In fact, this construct reflects a phenotypic expression of vulnerability to schizophrenia, and during childhood or adolescence it may be understood as an early mental risk state.
Conclusions
In contrast to models of psychosis that mainly rely on positive features and assume a progression of them, the positive traits of schizotypy seem to be beneficial and related to a “benign or happy schizotypy” according to the articles we reviewed.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:38:29Z |
| format | Article |
| id | doaj.art-d05d719a8ec54cfea9065d327ed871b0 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:38:29Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-d05d719a8ec54cfea9065d327ed871b02023-11-17T05:09:13ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S437S43710.1192/j.eurpsy.2022.1110The Line between Psychosis and Schizotypy: a case reportL. Huerga García0E. Hernández Padrón1N. Casanova Gracia2N. Torres Nieves3P. Gómez Pérez4F. Garcia Gómez-Pamo5J.J. Dorta Gonzalez6J.F. Dorta González7Hospital Universitario Nuestra Señora de La Candelaria, Psiquiatría, Santa Cruz de Tenerife, SpainHospital Universitario Nuestra Señora de La Candelaria, Psiquiatría, Santa Cruz de Tenerife, SpainHospital Universitario Nuestra Señora de La Candelaria, Psiquiatría, Santa Cruz de Tenerife, SpainHospital Universitario Nuestra Señora de La Candelaria, Psiquiatría, Santa Cruz de Tenerife, SpainHospital Universitario Nuestra Señora de La Candelaria, Psiquiatría, Santa Cruz de Tenerife, SpainHospital Universitario Nuestra Señora de La Candelaria, Psiquiatría, Santa Cruz de Tenerife, SpainHospital Universitario Nuestra Señora de La Candelaria, Psiquiatría, Santa Cruz de Tenerife, SpainHospital Universitario Nuestra Señora de La Candelaria, Psiquiatría, Santa Cruz de Tenerife, Spain Introduction Since Kraepelin and Bleuler, schizotypy was understood as a mild expression of psychosis, a latent form with the same trajectory but different severity. They pointed characteristics such as being eccentric, unreasonable, supersticious or hipersensitive, interpersonal aversiveness (often related to suspiciousness and expectation of rejection), ambivalence, anhedonia,… and psychosis-like features that don’t usually lead to help-seeking. Objectives To do a case review Methods We report a case of a 17 years old boy with a childhood trauma history who started psychiatric consultations a year and a half ago because his “usual” (as his mother referred) strange behaviour got worse, which was perceived by his ENT specialist. During the appointments, the patient showed suspiciousness, odd speech, inappropriate affect, tendency to social withdrawal, obsessive ruminations with sexual content and occasional perceptual experiences (such as depersonalization, derealization and auditory hallucinations). Results Psychosis and schizotypy are linked historically and phenomenologically, which is evidenced by their placement in non-affective psychosis in the ICD-10 and DSM-5, and it is known that the direct observation (by clinicians or family members) during the childhood and adolescence are key for a correct diagnosis. In fact, this construct reflects a phenotypic expression of vulnerability to schizophrenia, and during childhood or adolescence it may be understood as an early mental risk state. Conclusions In contrast to models of psychosis that mainly rely on positive features and assume a progression of them, the positive traits of schizotypy seem to be beneficial and related to a “benign or happy schizotypy” according to the articles we reviewed. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822011105/type/journal_articleschizotypydisorder |
| spellingShingle | L. Huerga García E. Hernández Padrón N. Casanova Gracia N. Torres Nieves P. Gómez Pérez F. Garcia Gómez-Pamo J.J. Dorta Gonzalez J.F. Dorta González The Line between Psychosis and Schizotypy: a case report European Psychiatry schizotypydisorder |
| title | The Line between Psychosis and Schizotypy: a case report |
| title_full | The Line between Psychosis and Schizotypy: a case report |
| title_fullStr | The Line between Psychosis and Schizotypy: a case report |
| title_full_unstemmed | The Line between Psychosis and Schizotypy: a case report |
| title_short | The Line between Psychosis and Schizotypy: a case report |
| title_sort | line between psychosis and schizotypy a case report |
| topic | schizotypydisorder |
| url | https://www.cambridge.org/core/product/identifier/S0924933822011105/type/journal_article |
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