Academic journal article American Journal of Psychotherapy

From Psychopathology to Neurobiology

Academic journal article American Journal of Psychotherapy

From Psychopathology to Neurobiology

Article excerpt

STANLEY N. CAROFF, M.D., STEPHEN C. MANN, M.D., ANDREW FRANCIS, M.D., PH.D., AND GREGORY FRICCHIONE, M.D., EDS: CATATONIA: From Psychopathology to Neurobiology. Arlington, VA, American Psychiatric Publishing, Inc., 2004, 229 pp., $48.00, ISBN 1-58562-085-8.

Catalonia is a neuropsychiatric syndrome with a unique combination of mental, motor, vegetative, and behavioral signs. The potential causes of the condition have been explored, elaborated upon, and visually enhanced by epidemiological, genetic, and neuroscientific studies using PET and SPECT scans. By a multimodal approach, a correlation between the observation of the characteristics of the presentation and the underlying neurophysiology unfolds.

This well-researched, authoritatively written, and amazingly compact volume is published by the American Psychiatric Publishing Inc. and includes contributions from the United States, Europe, and China. The format is chronological. Conceived as a single disease entity by Kahlbaum in 1874, catatonia appears in the 2000 DSM-IV-TR as a subtype of schizophrenia, a modifier of depression or mania, and as secondary to a medical condition. The controversy as to whether it is a separate entity or a modifier of another disorder continues. Although there are several rating scales available for assessment and the classic signs of catatonia are well described, there are no clinically distinguishable measures to clearly define catatonia as a disease entity and to clinically identify it. …

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