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The Psychoses of Epilepsy and the Functional Psychoses: A Clinical and Phenomenological Comparison

Published online by Cambridge University Press:  29 January 2018

Brian K. Toone ,
Elena Garralda  and
Maria Ron
Brian K. Toone
Affiliation:
Department of Psychological Medicine, King's College Hospital, Denmark Hill, London SE5
Elena Garralda
Affiliation:
University of Manchester and Booth Hall Hospital, Charlestown Road, Blackley, Manchester, M9 2AA
Maria Ron
Affiliation:
Maudsley Hospital, Denmark Hill, London SE5
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Summary

Sixty-nine patients, each with a combined diagnosis of epilepsy and psychosis, were compared with 53 patients with a diagnosis of functional psychosis. The epileptic affective patients often lacked convincing psychotic features; ECT and lithium were rarely prescribed; only three showed evidence of bipolarity. The epileptic schizophrenic patients were judged to have the better premorbid personality, experienced more paranoid delusions and delusions of reference, and showed less catatonic features than the functional schizophrenic patients. The course of the epileptics' illness was more variable.

The concept that the schizophrenia-like psychosis associated with epilepsy is a distinct nosological entity is supported, but not the suggestion of a relationship between affective psychosis and epilepsy.

Information

Type
Research Article
Information
The British Journal of Psychiatry , Volume 141 , Issue 3 , September 1982 , pp. 256 - 261
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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