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2012, Number 2

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Salud Mental 2012; 35 (2)

La psicosis única revisitada. De la nosotaxia a la nosología

Rojas-Malpica C, Portilla-Geada N, Mobilli-Rojas A, Martínez-Araujo D

Language: Spanish
References: 108
Page: 109-122
PDF size: 162.04 Kb.


ABSTRACT

The concept of psychosis as known today comes from the late nineteenth century, and was developed from ancient notions, such as insanity, alienation and dementia. Four dichotomies can be registered in the evolution of the concept: Psychosis vs. Neurosis, Unitary vs. Multiple, Functional vs. Organic, and Endogenous vs Exogenous. The purpose of this research is to rethink the issue of unitary psychosis from a new scientific and epistemological reading. Toward this objetive, the terms of nosotaxis, nosography and nosology are discussed, as well as the role of major classification systems of contemporary psychiatry. It also imposes a historical review of the concept from Aretaeus of Cappadocia to the present. Through a rigorous hermeneutic exercise, we discuss the problem of the positivist Kraepelinian conception of psychoses and its epistemological resolution through complex thinking theory, and chaos theory, with empirical reference to hallucinations and delusion as well as the biological basis of schizophrenia and bipolar disorder, but emphasizing their common components. Essential to perform this exercise are theoretical developments from Bartolome Llopis and Henri Ey, enriched by the latest findings of neuroscience. It seems clear that mental illness is a loss of complexity, leaving little of the fresh and unexpected chaotic health behavior. While asserting the existence of a unitary psychosis is controversial with current available data, it is equally true that the assertion of a schizophrenia/bipolar disorder dichotomy is also difficult to sustain. However, the axial syndrome common to all psychoses, Bartolomé Llopis´s brainchild, remains a fertile idea, as well as the concept of Henri Ey, to understand mental illness as a condition of loss of freedom.


REFERENCES

  1. Berríos G. Historical aspects of psychoses: 19th Century issues. Br Med Toro 1987;43(3):484-488.

  2. Berríos G. Unitary psychosis in English speaking psychiatry: A conceptual history. En: Fur und wider die einhetspsychose. Mund C, Saβ H (eds). Gerog theme Verlag. New York: Stuttgart; 1992.

  3. Berríos G. The notion of unitary psychosis: a conceptual history. History Psychiatry 1994;5(17):13-36.

  4. Hueso-Holgado H. Riesgo del síndrome de síntomas psicóticos atenuados en DSM-V. Norte Salud Mental 2011;IX(39):19-26.

  5. Santo-Domingo J. La psicosis única en la actualidad: de H. Ey y B. Llopis a la ICD-10 y la DSM-IV. Arch Neurobiol 1998;61(3):175-186.

  6. Real Academia Española. Diccionario de la Lengua Española (DRAE). Madrid: Espasa Calpe; 2001.

  7. Mezzich J, Berganza C, Ruiperez M. Culture in DSM-IV, ICD-10, and Evolving Diagnostic System. Psychiatric Clinics North America 2001;24(3):407-419.

  8. Laín E. La medicina hipocrática. Madrid: Ediciones de la Revista de Occidente; 1984.

  9. Moya J. Psicosis única y trastornos del lenguaje. Rev Asoc Esp Neuropsiq 1998;XVIII(66):219-234.

  10. Morin E. El pensamiento complejo. Barcelona: Editorial Gedisa, SA; 2003.

  11. Letelier J. Los derroteros científicos De Francisco Varela. Biol Res 2001;34(2):7-13.

  12. Tutte J. ¿Es posible una psiquiatría dinámica? Aportes desde el psicoanálisis. Rev Psiquiatr Urug 2010;74(2):139-158.

  13. Comte AU. Discurso sobre el espíritu positivo. Editorial Aguilar: Buenos Aires; 1975.

  14. Romanelli L. Teoría del caos en los sistemas biológicos. Rev Argent Cardiol 2006;74:478-482.

  15. Morin E. La epistemología de la complejidad. CNRS, París, Fuente: Gazeta de Antropología Nº 20, 2004 Texto 20-02 http://www.ugr.es/~pwlac/G20_02Edgar_Morin.html disponible en: www.pensamientocomplejo.com.ar

  16. Llopis B. La psicosis única, escritos escogidos. Fundación Archivos de Neurobiología. Madrid: Editorial Triacastella; 2003.

  17. De la Portilla Geada N. Psicosis única en la actualidad. Salud Mental 2010;33(2):107-109.

  18. Huertas R. Nosografía y antinosografía en la psiquiatría del siglo XIX: En torno a la psicosis única. Rev Asoc Esp Neuropsiquiatr 1999;XIX(69):63-76.

  19. Benitez I. La evolución del concepto de hebefrenia (primera parte). Alcmeon. 1992;2(2):182–205. Disponible en: http://www.scielo.org.mx/scieloOrg/php/reflinks.php

  20. Zilboorg GG. Historia de la psicología médica. Buenos Aires: Librería Hachette SA; 1945.

  21. Villagrán J. Psicosis: Análisis histórico y conceptual. Revista Gallega Psiquiatría Neurociencias 1997;1:9-25.

  22. De la Portilla N. Reseña histórica de las traducciones en psiquiatría. Valencia, Venezuela: Ediciones de la Universidad de Carabobo; 2003.

  23. Lanteri-Laura G. Ensayo sobre los paradigmas de la psiquiatría moderna. Madrid: Editorial Triacastela; 2000.

  24. Kraepelin E. Die erscheinungs formen des irresseins. Z Gesamte Neurol 1920;62:1-29.

  25. Angst J. Psychiatric diagnosis: the weak component of modern research. World Psychiatry 2007;6(2):94-95.

  26. Arenas A, Rogelis A. Revisión de la historia del trastorno esquizo-afectivo y su relación con los rasgos de personalidad. Universitas Médica 2006;47(2):47-56.

  27. Kretschmer E. Gedankenüber die fortentwicklung der psychiatrischen systematik bemerkungen zu vorrstehender abhandlung. Z Gesamte Neurol Psychiatr 1919;48:317-371.

  28. Alarcón R. When the paradigms languish. World Psychiatry 2007;6(2):97-98.

  29. Trimble MR. The psychoses of epilepsy. New York: Raven Press; 1991.

  30. Baca B. Lo psicótico. Historia conceptual de las psicosis. En: Trastornos psicóticos (ed). Barcelona, España: Ars Médica; 2007.

  31. Meninger K, Ellenberger H, Pruyser P, Mayman M. The unitary concept of mental illness. Bull Menninger Clin 1958;22:4-12.

  32. Lavretsky H. The Russian concept of schizophrenia. A review of the literature. Schizophr Bull 1998;24(4):537-557.

  33. Hueso Holgado H. Psicosis histéricas o trastorno disociativo psicótico. El problema de la nosología psiquiátrica. Academia Biomedicina Digital. 2008:34(1-8). Consulta en línea: http://dialnet.unirioja.es/servlet/articulo?codigo=2877424. 13/8/2011.

  34. Peralta V, Basterra V, Zandio M, Cuesta M. Psicosis cicloide; etiopatogenia, características clínicas y nosología. Ediciones 1: Aula Médica Psiquiatría; Mexico: Grupo Aula Medica; 2008.

  35. Crow TJ. A continuun of Psychosis, one human gen, and not much elsethe case for homogeneity. Schizoprh Res 1995;(2):135-145.

  36. Murray R, Dutta R. The right answer for the wrong rehaznos. World Psychiatry 2007;6(2):93-94.

  37. Craddock N, Owen M. Rethinking Psicosis: the disadvantages of a dicotomus classification now outweigh the advantages. World Psychiatry 2007;6(2):84-91.

  38. Claridge G. Lecture of the Annual Conference in Cardiff. Psychologists 2006;19(11):656-658.

  39. Berríos G, Hawser R. The early development of Kraepelin’s ideas in classification: a conceptual history. Psychological Medicine 1998;18:813-821.

  40. Rojas-Malpica C. Las alucinaciones y el delirio como representaciones anancásticas. Salud Mental 2010;33:379-387.

  41. Trimble MI. The soul in the brain; the cerebral basis of language, art, and belief. Baltimore: The Johns Hopkins University Press; 2007.

  42. Rojas-Malpica C. El enfermo mental ante la muerte; Estudios clínicos de antropología psiquiátrica. Valencia, Venezuela: Ediciones del Rectorado; Universidad de Carabobo; 2002.

  43. Marina JA. Anatomía del miedo. Barcelona, España; Editorial Anagrama SA; 2007.

  44. Ferrater-Mora J. Diccionario de filosofía. Barcelona, España: Ariel; 2004.

  45. Aristegui-Urkia I. La intencionalidad en la representación mental: Esbozo de dos modelos. Citado 2008 feb. 08. http://www.sc.ehu.es/yfwtahum/web/N.4/8.%20Aristegi.pdf.

  46. Ricoeur P. La memoria, la historia, el olvido. Buenos Aires: Fondo de Cultura Económica; 2000.

  47. Foucault M. La hermenéutica del sujeto. Madrid: Akal SA; 2005.

  48. Crick F, Koch C. A framework for consciousness. Nature Neuroscience 2003:6(2):119-126.

  49. Changeux JP. El hombre de verdad. México DF: Fondo de Cultura Económica; 2005.

  50. Libet B. Mind time; The temporal factor in consciousness. Harvard: Harvard University Press; 2004.

  51. Kandel E. A new intellectual framework for psychiatry. Am J Psychiatry 1998;155:457-469.

  52. Kandel E. Biology and the future of psychoanalysis: A new intellectual framework revisited. Am J Psychiatry 1999;156:505-524.

  53. Soto-Sedek JM. Consideraciones en torno al delirio y otras psicosis. Caracas: Fundación Editorial el Perro y la Rana; 2007.

  54. Sarró R. Análisis temático de los delirios endógenos. Rev Psiquiatr Psicol Med Eur Am Lat 1987;18(2):65-79.

  55. Téllez-Carrasco P. Las timofanías, arquetipos de la vitalidad. Revista Psiquiatría Psicología Médica Europa América Latina 1979;14(3):197.

  56. Alonso-Fernández F. La objetivación alucinatoria: una alternativa entre la vulnerabilidad psicopatológica y la estética comunicativa. Psicopatología 2006;26(3-4):69-103.

  57. López A, Paíno M, Martínez P, Inda M et al. Alucinaciones en población normal. Influencia de la imaginación y la personalidad. Psicothema 1996;8(2):269-278.

  58. Lanteri-Laura. Las alucinaciones. México DF: Fondo de Cultura Económica; 1994.

  59. Amaral M. Alucinações: a origem e o fim de um falso paradoxo. J Bras Psiquiatr 2007;56(4):296-300. Serial on the Internet. Citedo el 1 de abril de 2010. Available from: http://www.scielo.br/scielo.php

  60. Berríos G, Fuentenebro de Diego F. Delirio; Historia. Clínica. Metateoría. Madrid: Trotta SA; 1996.

  61. Dörr O. Psiquiatría antropológica. Santiago de Chile: Universitaria; 1997.

  62. De Clérambault GG. Automatismo mental. Buenos Aires: Polemos; 2004.

  63. Amaral M. Alucinações: a origem e o fim de um falso paradoxo. J Bras Psiquiatr 2007;56(4):296-300.

  64. Castilla del Pino C. El delirio, un error necesario. Oviedo: Nobel, SA; 1998.

  65. Conrad K. La esquizofrenia incipiente. Madrid: Fundación Archivos de Neurobiología; 1997.

  66. Díaz J. Persona, mente y memoria. Salud Mental 2009;32(6):513-526.

  67. González Valenzuela J. Genoma humano y dignidad humana. Barcelona: Anthropos; 2005.

  68. Rojas Malpica C, Gómez-Jarabo G, Villaseñor S. La enfermedad mental como anánkẽ. Inv Salud 2004;6(3):159-164.

  69. Ey H, Brisset B. Tratado de psiquiatría. Barcelona: Toray-Masson; 1969.

  70. Andrews G et al. Consistency of diagnostic thresholds in DSM-V. Aust N Z J Psychiatry 2010;44(4):309-313.

  71. Van Praag HM. Two-tier diagnosis in psychiatry. Psychiatry Res 1990;34(1):1-11.

  72. Andrews G. 164th Annual meeting. Honolulu, Hi: American Psychiatric Association; 2011.

  73. Shelton RC, Williamson DJ, Corya SA, Sanger TM et al. Olanzapine/ fluoxetine combination for treatment-resistant depression: a controlled study of SSRI and nortriptyline resistance. J Clin Psychiatry 2005;66(10):1289-1297.

  74. Bauer M, El-Khalili N, Datto C, Szamosi J et al. A pooled analysis of two randomised, placebo-controlled studies of extended release quetiapine fumarate adjunctive to antidepressant therapy in patients with major depressive disorder. J Affect Disord 2010;127(1-3):19-30.

  75. American Psychiatric Association. Practice guideline for the treatment of patients with bipolar disorder (revision). Am J Psychiatry 2002;159(4 supl.):1-50.

  76. Smith LA, Cornelius V, Warnock A, Bell A et al. Effectiveness of mood stabilizers and antipsychotics in the maintenance phase of bipolar disorder: a systematic review of randomized controlled trials. Bipolar Disord 2007;9(4):394-412.

  77. Hong LE, Mitchell BD, Avila MT, Adami H et al. Familial aggregation of eye-tracking endophenotypes in families of schizophrenic patients. Arch Gen Psychiatry 2006;63(3):259-264.

  78. Sánchez-Morla E, García-Jiménez M, Barabash A, Martínez-Vizcaíno V et al. P50 sensory gating deficit is a common marker of vulnerability to bipolar disorder and schizophrenia. Acta Psychiatr Scand 2008;117(4):313-318.

  79. Swerdlow NR, Light GA, Cadenhead KS, Sprock J et al. Startle gating deficits in a large cohort of patients with schizophrenia: relationship to medications, symptoms, neurocognition, and level of function. Arch Gen Psychiatry 2006;63(12):1325-1335.

  80. Bramon E, McDonald C, Croft R, Landau S et al. Is the P300 wave an endophenotype for schizophrenia? A meta-analysis and a family study. Neuroimage 20051;27(4):960-968.

  81. Del-Ben C, Rufino C, Teixeira B, Azevedo-Marques J et al. Diagnóstico diferencial de primeiro episódio psicótico: importância da abordagem otimizada nas emergências psiquiátricas. Rev Bras Psiquiatr [periódico na Internet]. Citado el 8 de abril de 2011. Disponible en: http://www.scielo.br/scielo.php

  82. Kunz M, Ceresér K, Goi P, Fries G et al. Serum levels of IL-6, IL-10 and TNF-α in patients with bipolar disorder and schizophrenia: differences in pro- and anti-inflammatory balance. Rev Bras Psiquiatr (periódico na Internet]. Citado el 8 de abril de 2011. Disponible en: http://www.scielo.br/scielo.php

  83. Schloesser R, Huang J, Klein P, Manji H. Cellular plasticity cascades in the pathophysiology and treatment of bipolar disorder. Neuropsychopharmacology 2008;33(1):110-133.

  84. Schultz S, O’Leary D, Boles Ponto L, Arndt S et al. Age and regional cerebral blood flow in schizophrenia: age effects in anteriorcingulate, frontal and parietal cortex. J Neuropsychiatry Clin Neurosci 2002;14(1):19-24.

  85. Eisenberg D, Berman K. Executive function, neural circuitry, and genetic mechanisms in schizophrenia. Neuropsychopharmacology 2010;35(1): 258-277.

  86. Thompson P, Vidal C, Giedd J, Gochman P et al. Mapping adolescent brain change reveals dynamic wave of accelerated gray matter loss in very early- onset schizophrenia. Proc Natl Acad Sci USA 2001;98(20):11650-11655.

  87. Drevets W, Price J, Simpson J, Todd R et al. Subgenual prefrontal cortex abnormalities in mood disorders. Nature 1997;386(6627):824-827.

  88. Altshuler L, Bookheimer S, Proenza M, Townsend J et al. Increased amygdala activation during mania: a functional magnetic resonance imaging study. Am J Psychiatry 2005;162:1211-1213.

  89. Weinberger D, McClure R. Neurotoxicity, neuroplasticity, and magnetic resonance imaging morphometry: what is happening in the schizophrenic brain? Arch Gen Psychiatry 2002;59(6):553-558.

  90. Connor C, Guo Y, Akbarian S. Cingulate white matter neurons in schizophrenia and bipolar disorder. Biol Psychiatry 2009;66(5):486-93.

  91. Drevets W, Savaz J. The subgenual anterior cingulate cortex in mood disorders. CNS Spectr 2006:13:8.

  92. McDonald C, Bullmore E, Sham P, Chitnis X et al. Regional volume deviations of brain structure in schizophrenia and psychotic bipolar disorder: computational morphometry study. Br J Psychiatry 2005;186:369-377.

  93. Arnone D et al. Magnetic resonance imaging studies in bipolar disorder and schizophrenia: meta-analysis. Br J Psychiatry 2009;195:194-201.

  94. Ellison-Wright I, Bullmore E. Anatomy of bipolar disorder and schizophrenia: a meta-analysis. Schizophr Res 2010;117(1):1-12.

  95. Maier W, Zobel A, Wagner M. Schizophrenia and bipolar disorder: differences and overlaps. Curr Opin Psychiatry 2006;19(2):165-170.

  96. Gottesman I. Complications to the complex inheritance of schizophrenia. Clin Genet 1994;46(1):116-123.

  97. Tsuang M, Lyons M, Faraone S. Heterogeneity of schizophrenia. Conceptual models and analytic strategies. Br J Psychiatry 1990;156:17-26.

  98. Goes F, Sanders L, Potash J. Putative psychosis genes in the prefrontal cortex: combined analysis of gene expression microarrays. Curr Psychiatry Rep 2008;10(2):178-189.

  99. Craddock N, O’Donovan M, Owen M. The genetics of schizophrenia and bipolar disorder: dissecting psychosis. J Med Genet 2005;42:193-204.

  100. Voineskos A, Lerch J, Felsky D, Tiwari A et al. The ZNF804A gene: Characterization of a novel neural risk mechanism for the major psychoses. Neuropsychopharmacology 2011 (en prensa).

  101. Lichtenstein P, Yip B, Björk C, Pawitan Y et al. Common genetic determinants of schizophrenia and bipolar disorder in Swedish families: a population-based study. Lancet 2009;373:234-239.

  102. Purcell S, Wray N, Stone J, Visscher P et al. Common polygenic variation contributes to risk of schizophrenia and bipolar disorder. Nature 2009;460:748-752.

  103. Craddock N, O’Donovan M, Owen M. Psychosis genetics: modeling the relationship between schizophrenia, bipolar disorder, and mixed (or “schizoaffective”) psychoses. Schizophr Bull 2009;35(3):482-490.

  104. Prasad K, Keshavan M. Structural cerebral variations as useful endophenotypes in schizophrenia: do they help construct “extended endophenotypes”? Schizophr Bull 2008;34(4):774-790.

  105. McHugh PR, Slavney PR. Methods of reasoning in psychopathology: conflict and resolution Compr Psychiatry 1982;23(3):197-215.

  106. Keshavan S, Nasrallah H, Tandon R. Schizophrenia, “Just the Facts” 6. Moving ahead with the schizophrenia concept: from the elephant to the mouse. Schiz Research 2011;127:3-13.

  107. Owen M, O’Donovan M, Thapar A, Craddock N. Neurodevelopmental hypothesis of schizophrenia. Br J Psychiatry 2011;198:173-175.

  108. Bartra R. Antropología del cerebro: Determinismo y libre albedrío. Salud Mental 2011;34(1):1-9.




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