SCHIZOAFFECTIVE DISORDER BEFORE AND NOW
Abnormal Psychology, Tiffany Thomas, DMACC
A short paper on Schizoaffective Disorder. From early landmark in 1919, the coining of “Schizoaffective Disorder” in 1933, brief differences of DSM-4 and DSM-5, to controversies around the disorder, and treatments.
Before Schizoaffective Disorder
Early Landmark work of Krapelin in 1919 divided Psychotic and mood disorder into distinct not so logical entity even then it was acknowledged that it wasn’t so easy to split major mental illnesses. Then in 1933 Dr. Jacob Kasanin coined the term “Schizoaffective Psychosis” based on a case series of nine patients. Distinguished by an acute on set of illness prominent manic and/or depressive symptomatology, active social and pre-morbid personalities and relatively brief periods of psychosis lasting a week to a few months and good recoveries. (Schizoaffective Disorder)
DSM-4 and DSM-5
Fundamental features of schizoaffective disorder is a continuous period of illness during which criteria for a major mood disorder concede with the essential features of Schizophrenia. Although mood symptoms play a prominent role it must consist of at least 2 weeks without prominent mood disorder to be part of the illness episode. (DSM-4)
DSM-4 states for three different criteria brackets.
Critera A; Some point in there illness they must meet the criteria for a mood disorder specifically a major mood disorder.(major deppressive or manic disorder) Co-existing with symptoms that meet criteria A for Schizophrenia. (Dellusions or Hallucinasions)
Criteria B; States that during the same episaode that met “A” dellusions or hallucinations preasisted for atleast 2 weeks without prominent mood symptoms.
Criteria C; mood symptoms must be present for a substantial portion of total duration of illness.
A. An uninterrupted period of illness during...