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\Large A History Of Paraphrenia in the Context of Psychiatric Classification
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\begin{document} 
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\MYTITLE{A History Of Paraphrenia in the Context of Psychiatric Classification}

Alexander \"Olzant, Medical University of Vienna, 9301547\\
presented at \\
Department und Sammlungen f\"ur Geschichte der Medizin
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\begin{itemize} 
\item Introduction - Kraepelin, Paraphrenia
\item Development from 1920 to 1980
\item Current usage
\item Questions and Aims
\item Conclusions - Motivation
\end{itemize} 


\BS
\MYTITLE{Introduction - Kraepelin, Paraphrenia}

\begin{itemize} 
\item Psychiatrie - Ein Lehrbuch f\"ur Studierende und \"Arzte\\
 9 editions 1883 - 1927
\pause
\item wants to focus psychiatry on scientific method
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\item observation instead of communication
\end{itemize} 

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\MYTITLE{Introduction - Kraepelin, Paraphrenia}

\begin{itemize} 
\item Psychiatrie - Ein Lehrbuch f\"ur Studierende und \"Arzte\\
 9 editions 1883 - 1927
\item Endogenous - exogenous psychoses
\item Exogenous: dementia praecox, manic-depressive insanity
\item Endogenous: infections (Lues), organic brain syndrome (German OPS/HOPS)
\end{itemize} 

\BS
\MYTITLE{Introduction - Kraepelin, Paraphrenia}

\begin{itemize} 
\item Psychiatrie - Ein Lehrbuch f\"ur Studierende und \"Arzte\\
 9 editions 1883 - 1927
\item Classification according to his observations (Z\"ahlkarten)
\pause
\item Reclassification of the endogenous psychoses:
\item 7$^{th}$ ed. 1904 manic-depressive insanity and dementia praecox
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\item 8$^{th}$ ed. 1912 manic-depressive insanity, dementia praecox \\
{\color{Red}{and paraphrenia}}
\end{itemize} 

\BS
\MYTITLE{Kraepelin's Paraphrenias}
No decay of the personality
\begin{itemize} 
\item Paraphrenia systematica - progressive delusion of persecution
\item Paraphrenia expansiva - exalted mood
\item Paraphrenia confabulans - narrative of negative experiences
\item Paraphrenia phantastica - more so
\end{itemize} 

\BS

\MYTITLE{Development from 1920 to 1980}
\begin{itemize} 
\item Paraphrenia integrated with dementia praecox
\item Schizophrenia used in preference of dementia praecox
\item involutional paranoia $\rightarrow$ late paraphrenia
\end{itemize} 
M. Bleuler - late schizophrenias (1943)

\BS

\MYTITLE{Development from 1920 to 1980}
DSM-IIIr:
\begin{itemize} 
\item 295.3  Paranoid type schizophrenic disorder ({includes paraphrenic
schizophrenia})
\item 297.1  Paranoia
\item 297.2  Paraphrenia
\end{itemize} 
DSM-IV (no mention of paraphrenia):
\begin{itemize} 
\item 295.3  Paranoid type schizophrenic disorder 
\item 297.1  delusional disorder
\item 297.2  {\color{Red}{dropped}}, but 
\end{itemize} 

\BS
\MYTITLE{Development from 1920 to 1980}
ICD-9:
\begin{itemize} 
\item 295.3  Paranoid type schizophrenic disorder (includes {\it paraphrenic
schizophrenia})
\item 297.2  Paraphrenia
\end{itemize} 
ICD-10:
\begin{itemize} 
\item F20.0 		Paranoid schizophrenia (includes {\it Paraphrenic schizophrenia})
\item F22.0 		Delusional disorder (includes {\it Paraphrenia (late)})
\end{itemize} 

\BS
\MYTITLE{Current usage}

\begin{itemize} 
\item Still known, but rarely used in clinical practice 
\item Research on contemporary use of the term paraphrenia
\item What does the psychoanalytic community say?
\item What does Karl Jasper say?
\end{itemize} 


\BS

\MYTITLE{Questions and Aims}
\begin{itemize} 
\item Sex bias, gender aspects, SES
\item Research on contemporary use of the term paraphrenia
\item What does the psychoanalytic community say?
\item What does Karl Jasper say?
\end{itemize} 

\BS
\MYTITLE{Thank you for the attention.}



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