Pseudoneurotic schizophrenia

Specialty| Psychiatry

Pseudoneurotic schizophrenia is a postulated mental disorder categorized by the presence of two or more symptoms of mental illness such as anxiety, hysteria, and phobic or obsessive-compulsive neuroses. It is often acknowledged as a personality disorder.[1] Patients generally display salient anxiety symptoms that disguise an underlying psychotic disorder.[citation needed]

In the 1940s, psychiatrists Paul Hoch and Philip Polatin created the term pseudoneurotic schizophrenia. This mental illness, however, is no longer acknowledged as a clinical entity.[2] In 1972 it went on to be called borderline personality disorder, a term coined by Otto Friedmann Kernberg, which referred to an expansive range of issues.[3]

Pseudoneurotic schizophrenia is in the Russian adapted version of the ICD-10 (code F21.3).[4] It is also in ICD-10 listed as a schizotypal disorder.[5]

## Contents

* 1 Signs and symptoms
* 1.1 Thought disorder
* 1.2 Emotional dysregulation
* 1.3 Sensorimotor and autonomic functioning
* 1.4 Anxiety
* 2 See also
* 3 References
* 4 External links

## Signs and symptoms

The diagnosis of pseudoneurotic schizophrenia can be made with clinical observation and by various psychiatrical exams by a mental health professional and by the patient's explanation of his or her experiences. A patient must identify with at least two of these symptoms in order to be distinguished as a pseudoneurotic schizophrenic. The intensity of a symptom may vary with the individual patient's severity of the disorder. The symptoms are organized into disorders of thinking and association, disorders of emotional regulation, disorders of sensorimotor and autonomic functioning, pan-anxiety, pan-neurosis, and pansexuality. The two symptoms can fall under any of these categories.

### Thought disorder

* A continuous, purposive thought cannot be carried. Thoughts that are somewhat similar appear to be the same.[6]
* Ability to form and understand concepts is weak. New ideas cannot easily be merged with old concepts. Separate experiences are cultivated as separate concepts despite the fact that combining them would be more natural.
* Fantasy life and real life cannot be distinguished. Real occurrences seem to have been imagined and fantasy thoughts seem to have actually happened.[6]
* Cognizance and concentration is lacking.
* Common instances of urged thought occur.
* Thought blocking, which is the opposite of the previous symptom, has also been reported to be a symptom of pseudoneurotic schizophrenia.
* Disturbances of awareness, attention, anticipation and concentration occur. Unpleasant behavior is not recognized. The idea that one can have effects on others is perplexed.[6]
* Self-perception is altered.
* Anachronism

### Emotional dysregulation

* Anxiety is provoked with acute ease. An anxiety episode can be stimulated by any change in the patient's activity or location. Anything unfamiliar, an experience or a person, can cause anxiety.
* Several different emotions are expressed simultaneously or in speedy succession. Display of emotions is modulated and unpredictable.[6]
* Patient is apathetic towards commencing, maintaining, and stopping an emotional response.
* Anger is difficult to deal with. Feelings of fear, anger, and guilt are expressed inappropriately and responses are either very volatile or inert.
* Needs are strongly craved, but are bitterly rejected when offered. Provocation is sought and avoided at the same time.
* Anhedonia
* Patient pays either very little or excessive attention to friendly interactions from others.
* In attempt to feel emotion, patient will make a farce of regular demeanor. In doing so, patient may take advantage of others socially, sexually, and intellectually.
* Rejection of emotional feelings takes place because feelings are seen as proof of weakness.
* Patient craves instant satisfaction of all desires and expects immediate fulfillment.

### Sensorimotor and autonomic functioning

* Sensory perception is flawed, distorting the way the patient sees himself/herself.
* Patient has extreme difficulty choosing and keeping up with consistent and appropriate reactions in social situations. Emotional reactions appear to be either overdramatic or played down.
* Irregular amount of energy is shown. Patient lacks or has too much energy at inappropriate times.[6]

### Anxiety

Diffuse anxiety is stimulated by a minor catalyst and may persist long after the catalyst disappears.

Pan-Neurosis is the existence of multiple neurotic symptoms such as:

* obsessions
* compulsions
* phobias
* hysteria
* depression
* hypochondriasis
* depersonalization

## See also

* Anhedonia

## References

1. ↑ "pseudoneurotic schizophrenia". http://medical-dictionary.thefreedictionary.com/pseudoneurotic+schizophrenia.
2. ↑ Connor, Karen O.; Nelson, Barnaby; Walterfang, Mark; Velakoulis, Dennis; Thompson, Andrew (1 September 2009). "Pseudoneurotic Schizophrenia Revisited". Australian & New Zealand Journal of Psychiatry 43 (9): 873–876. doi:10.1080/00048670903107658. PMID 19670061.
3. ↑ "Pseudo-neurotic Schizophrenia | Psycho-Babble". http://www.dr-bob.org/babble/psycho/20070822/msgs/779140.html.
4. ↑ "ICD-10. Schizophrenia, schizotypal and delusional disorders (F20—F29)" (in ru). http://ncpz.ru/lib/1/book/14/chapter/4.
5. ↑ "ICD-10 Version:2016". https://icd.who.int/browse10/2016/en#/F21.
6. ↑ 6.0 6.1 6.2 6.3 6.4 Hoch, Paul H.; Cattell, James P. (1 March 1959). "The diagnosis of pseudoneurotic schizophrenia". Psychiatric Quarterly 33 (1): 17–43. doi:10.1007/BF01659427. PMID 14402173.

## External links

Classification|

* ICD-10: F21
* ICD-9-CM: 301.22
* MeSH: D012569

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External resources|

* MedlinePlus: 001525

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* t
* e

Mental and behavioral disorders (F00–F99 & 290–319)

Adult personality and behavior

| Gender dysphoria|

* Ego-dystonic sexual orientation
* Paraphilia
* Fetishism
* Voyeurism
* Sexual maturation disorder
* Sexual relationship disorder

|

Other|

* Factitious disorder
* Munchausen syndrome
* Impulse control disorder
* Dermatillomania
* Kleptomania
* Pyromania
* Trichotillomania
* Personality disorder

Childhood and learning

| Emotional and behavioral|

* ADHD
* Conduct disorder
* ODD
* Emotional and behavioral disorders
* Separation anxiety disorder
* Movement disorders
* Stereotypic
* Social functioning
* DAD
* RAD
* Selective mutism
* Speech
* Stuttering
* Cluttering
* Tic disorder
* Tourette syndrome

|

Intellectual disability|

* X-linked intellectual disability
* Lujan–Fryns syndrome

Psychological development
(developmental disabilities)|

* Pervasive
* Specific

Mood (affective)

* Bipolar
* Bipolar I
* Bipolar II
* Bipolar NOS
* Cyclothymia
* Depression
* Atypical depression
* Dysthymia
* Major depressive disorder
* Melancholic depression
* Seasonal affective disorder
* Mania

Neurological and symptomatic

| Autism spectrum|

* Autism
* Asperger syndrome
* High-functioning autism
* PDD-NOS
* Savant syndrome

|

Dementia|

* AIDS dementia complex
* Alzheimer's disease
* Creutzfeldt–Jakob disease
* Frontotemporal dementia
* Huntington's disease
* Mild cognitive impairment
* Parkinson's disease
* Pick's disease
* Sundowning
* Vascular dementia
* Wandering

Other|

* Delirium
* Organic brain syndrome
* Post-concussion syndrome

Neurotic, stress-related and somatoform

| Adjustment|

* Adjustment disorder with depressed mood

|

Anxiety|

| Phobia|

* Agoraphobia
* Social anxiety
* Social phobia
* Anthropophobia
* Specific social phobia
* Specific phobia
* Claustrophobia

|

Other|

* Generalized anxiety disorder
* OCD
* Panic attack
* Panic disorder
* Stress
* Acute stress reaction
* PTSD

Dissociative|

* Depersonalization disorder
* Dissociative identity disorder
* Fugue state
* Psychogenic amnesia

Somatic symptom|

* Body dysmorphic disorder
* Conversion disorder
* Ganser syndrome
* Globus pharyngis
* Da Costa's syndrome
* Hypochondriasis
* Mass psychogenic illness
* Neurasthenia
* Nosophobia
* Psychalgia
* Somatization disorder

Physiological and physical behavior

| Eating|

* Anorexia nervosa
* Bulimia nervosa
* Rumination syndrome
* Other specified feeding or eating disorder

|

Nonorganic
sleep|

* Hypersomnia
* Insomnia
* Parasomnia
* Night terror
* Nightmare
* REM sleep behavior disorder

Postnatal|

* Postpartum depression
* Postpartum psychosis

Sexual dysfunction|

| Arousal|

* Erectile dysfunction
* Female sexual arousal disorder

|

Desire|

* Hypersexuality
* Hypoactive sexual desire disorder

Orgasm|

* Anorgasmia
* Delayed ejaculation
* Premature ejaculation
* Sexual anhedonia

Pain|

* Nonorganic dyspareunia
* Nonorganic vaginismus

Psychoactive substances, substance abuse and substance-related

* Drug overdose
* Intoxication
* Physical dependence
* Rebound effect
* Stimulant psychosis
* Substance dependence
* Withdrawal

Schizophrenia, schizotypal and delusional

| Delusional|

* Delusional disorder
* Folie à deux

|

Psychosis and
schizophrenia-like|

* Brief reactive psychosis
* Schizoaffective disorder
* Schizophreniform disorder

Schizophrenia|

* Childhood schizophrenia
* Disorganized (hebephrenic) schizophrenia
* Paranoid schizophrenia
* Pseudoneurotic schizophrenia
* Simple-type schizophrenia

Symptoms and uncategorized

* Catatonia
* False pregnancy
* Intermittent explosive disorder
* Klüver–Bucy syndrome
* Psychogenic non-epileptic seizures
* Psychomotor agitation
* Stereotypy

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