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Diagnosis and chronic mental illness

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Abstract

This paper describes the occurrence of chronicity in varying psychiatric illnesses. There is not an unequivocal definition of chronicity, but with the exception of the illnesses that will be described below and that lead directly or indirectly to death from CNS complications of the illness, chronicity will require a duration of a minimum of five years without a significant remission. Ghronicity is further differentiated into four different kinds of chronicity: chronic—death, chronic—self-limited, chronic—remission, and chronic—recurrent. The illnesses that may be considered as possibly fulfilling the criteria for chronic will be noted and a method for deciding whether an illness qualifies will be outlined.

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References

  1. Stanbury JB, Wyngaarden JB, Fredrickson DS (eds):The Metabolic Basis of Inherited Disease 3rd ed. New York, McGraw-Hill, Inc., 1972, pp 3–28.

    Google Scholar 

  2. Reed EW, Reed SC:Mental Retardation: A Family Study. Philadelphia and London: W. B. Saunders Company, 1965.

    Google Scholar 

  3. Feighner JP, Robins E, Guze SB, Woodruff RA, Winokur G, Munoz R: Diagnostic criteria for use in psychiatric research.Arch Gen Psychiatry 56: 57–63, 1972.

    Google Scholar 

  4. Robins E, Gentry KA, Munoz RA, Marten S: Study and 18-month follow-up of 314 psychiatric emergency room patients: A contrast of the three more common illnesses with the ten less common: III. Findings at follow-up.Arch Gen Psychiatry 34: 285–291, 1977.

    Google Scholar 

  5. Hudgens RW, Robins E, Lum JT, Merideth CH: The communication of suicidal intent in psychiatric illness: A follow-up. In Roff M, Robins LN, Pollack M (eds):Life History Research in Psychopathology. Minneapolis, University of Minnesota Press, 1972, pp 211–227.

    Google Scholar 

  6. Sparling PF: Diagnosis and treatment of syphilis.N Engl J Med 284: 642–653, 1971.

    Google Scholar 

  7. Marks IM:Fears and Phobias. New York, Academic Press, 1969.

    Google Scholar 

  8. Kringlen E: The natural history of obsessional neurosis.Sem Psychiatry 2: 403–419, 1970.

    Google Scholar 

  9. Goodwin DW, Guze SB, Robins E: Follow-up studies in obsessional neurosis.Arch Gen Psychiatry 20: 182–187, 1969.

    Google Scholar 

  10. Wheeler EO, White PD, Reed EW, Cohen ME: Neurocirculatory asthenia (anxiety neurosis, effort syndrome, neurasthenia): A twenty year follow-up study of one hundred and seventy-three patients.JAMA 142: 878–888, 1950.

    Google Scholar 

  11. Perley MJ, Guze SB: Hysteria—The stability and usefulness of clinical criteria: A quantitative study based on a follow-up period of six to eight years in 39 patients.N Engl J Med 266: 421–426, 1962.

    Google Scholar 

  12. Woodruff RAW Jr, Goodwin DW, Guze SB:Psychiatric Diagnosis. New York, Oxford University Press, 1974.

    Google Scholar 

  13. Winokur G, Clayton PJ, Reich T:Manic Depressive Illness. St. Louis, Missouri, The C. V. Mosby Company, 1969.

    Google Scholar 

  14. Bratfos O, Haug J: Puerperal mental disorders in manic depressive females.Acta Psychiat Scand 42: 285–294, 1966.

    Google Scholar 

  15. Victor M, Hope JM: The phenomenon of auditory hallucinations in chronic hallucinations in chronic alcoholism: A critical evaluation of the status of alcoholic hallucinosis.J Nerv Ment Dis 126: 451–481, 1958.

    Google Scholar 

  16. Victor M, Adams RD: The effect of alcohol on the nervous system, Chapter XXVIII. InProceedings of the Association for Research in Nervous and Mental Disease, Vol XXXII. Baltimore, Williams & Wilkins Co., 1953, pp. 526–573.

    Google Scholar 

  17. Slater E, Beard AW, Glithero E: The schizophrenia-like psychoses of epilepsy: i. Psychiatric aspects ii. Physical aspects iii. Genetical aspects.Br J Psychiatry 109: 95–150, 1963.

    Google Scholar 

  18. Kramer JF, Cameron DC (eds):A Manual on Drug Dependence. Geneva, WHO, 1975.

    Google Scholar 

  19. Hamilton M (ed):Fish's Clinical Psychopathology: Signs and Symptoms in Psychiatry Revised Reprint. Bristol, U.K., John Wright & Sons Ltd., 1974.

    Google Scholar 

  20. Robins E, Guze SB: Classification of affective disorders: The primary-secondary, the endogenous-reactive, and the neurotic-psychotic concepts. In Williams TA, Katz MM, Shield JA, Jr (eds):Recent Advances in the Psychobiology of the Depressive Illnesses. Washington, U.S. Government Printing Office, 1971, pp. 283–293.

    Google Scholar 

  21. Cassidy WL, Flanagan NB, Spellman M, Cohen ME: Clinical observations in manicdepressive disease. A quantitative study of one hundred manic-depressive patients and fifty medically sick controls.JAMA 164: 1535–1546, 1957.

    Google Scholar 

  22. Robins LN:Deviant Children Grown Up. A sociological and psychiatric study of sociopathic personality. Baltimore, The Williams & Wilkins Company, 1966.

    Google Scholar 

  23. Gruenberg E, Jenkins RL, Kalinowsky LB, Klein H, Pasamanick B, Slenger WR, Kramer M, Spitzer RL, Kolb LC, Stainbrook E: Committee on Nomenclature and Statistics, 1967. In Wilson PT, Robinson RL (eds):DSM-II Diagnostic and Statistical Manual of Mental Disorders 2nd ed. Washington, American Psychiatric Association, 1968.

    Google Scholar 

  24. Spitzer RL, Endicott J, Robins E: Clinical criteria for psychiatric diagnoses and DSM-III.Am J Psychiatry 132: 1187–1192, 1975.

    Google Scholar 

  25. Helgason T: Epidemiology of mental disorders in Iceland. A psychiatric and demographic investigation of 5395 Icelanders.Acta Psychiatr Scand (Suppl 173, 40: 1964.

    Google Scholar 

  26. Robins E, Guze SB: Establishment of diagnostic validity in psychiatric illness: Its application to schizophrenia.Am J Psychiatry 126: 983–988, 1970.

    Google Scholar 

  27. Roth M: The natural history of mental disorder in old age.J Ment Sci 101: 281–301, 1955.

    Google Scholar 

Download references

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This study was supported in part by USPHS Grants MH13002 and MH 14677.

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Robins, E. Diagnosis and chronic mental illness. Psych Quart 50, 166–177 (1978). https://doi.org/10.1007/BF01064707

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