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The Motor Disorders of Severe Psychiatric Illness: A Conflict of Paradigms

Published online by Cambridge University Press:  29 January 2018

Daniel Rogers*
Affiliation:
Institute of Neurology, Queen Square, London WC1

Abstract

The motor disorder of 100 patients with severe psychiatric illness is described and the contribution of previous treatment, hospitalization and possible neurological disorder is considered. The conflict of paradigms between the concept that this motor disorder has two distinct aetiologies, psychiatric and neurological, and the concept that both motor and mental disorder are an expression of underlying cerebral disorder is discussed. An attempt is made to resolve this conflict by description of motor disorder without reference to neurological or psychiatric diagnosis.

Type
Papers
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

Arieti, S. (1972) Volition and value: a study based on catatonic schizophrenia In Moral Values and the Superego Concept in Psychoanalysis (ed. Post, S. C.). New York: International Universities Press.Google Scholar
Barton, R. (1976) Institutional Neurosis. 3rd edition. Bristol: John Wright.Google Scholar
Behrman, S. (1972) Mutism induced by phenothiazines. British Journal of Psychiatry, 121, 599604.CrossRefGoogle ScholarPubMed
Berry, R. V., Kamin, S. H. & Kline, A. (1958) An unusual complication following the use of trilafon in children. United States Armed Forces Medical Journal, 9, 745749.Google Scholar
Bleuler, E. (1950) Dementia Praecox or the Group of Schizophrenias. Translated by Zinkin, J. New York: International Universities Press.Google Scholar
Booth, G. (1948) Psychodynamics in parkinsonism. Psychosomatic Medicine, 10, 114.Google Scholar
Brandon, S., McClelland, H. A. & Protheroe, C. (1971) A study of facial dyskinesia in a mental hsopital population. British Journal of Psychiatry, 118, 171184.Google Scholar
Chapman, J. (1966) The early symptoms of schizophrenia. British Journal of Psychiatry, 122, 225251.Google Scholar
Cole, J. O. (1975) Tardive dyskinesia—legal and therapeutic aspects. Excerpta Medica—International Congress Series, 359, 365371.Google Scholar
Critchley, M. (1964) The neurology of psychotic speech. British Journal of Psychiatry, 110, 353364.CrossRefGoogle ScholarPubMed
Degwitz, R. (1969) Extrapyramidal motor disorders following long-term treatment with neuroleptic drugs In Psychotropic Drugs and Dysfunctions of the Basal Ganglia (eds. Crane, G. E. & Gardner, R. Jr.). Washington: US Public Health Service Publication No. 1938.Google Scholar
Demars, J. C. A. (1966) Neuromuscular effects of long-term phenothiazine medication, electroconvulsive therapy and leucotomy. Journal of Nervous and Mental Disease, 143, 7379.Google Scholar
Denham, J. & Carrick, D. J. (1961) Therapeutic value of thioproperazine and the importance of the associated neurological disturbances. Journal of Mental Science, 107, 326345.CrossRefGoogle ScholarPubMed
Deniker, P. (1954) Discussion. Annales Medico-Psychologiques, 112, 743.Google Scholar
Deniker, P. (1960) Experimental neurological syndromes and the new drug therapies in psychiatry. Comprehensive Psychiatry, 1, 92102.CrossRefGoogle ScholarPubMed
Dide, Guiraud & Lafage, (1921) Syndrome Parkinsonien dans la demence precoce. Revue Neurologique, 28, 692694.Google Scholar
Divry, P. (1928) La catatonic. Session du congres des medecins alienistes et neurologistes, Anvers, page 39. Quoted in Vermeylen (1938).Google Scholar
Dretler, J. (1935) Influence de I'encephalite epidemique sur la schizophrenie. Encephale, 30, 656670.Google Scholar
Economo, C. V. (1931) Encephalitis Lethargica, its sequelae and treatment. (Translated by Newman, K. O.). London: Oxford University Press.Google Scholar
Fahn, S. (1983) Treatment of tardive dyskinesia, use of dopamine depleting drugs. Clinical Neuropharmacology, 6, 151158.Google Scholar
Farran-Ridge, C. (1926) Some symptoms referable to the basal ganglia occurring in dementia praecox and epidemic encephalitis. Journal of Mental Science, 72, 513523.CrossRefGoogle Scholar
Gelenberg, A. J. & Mandel, M. R. (1977) Catatonic reactions to high-potency neuroleptic drugs. Archives of General Psychiatry, 34, 947950.Google Scholar
Goode, D. J., Manning, A. A., Middleton, J. F. & Williams, B. (1981) Fine motor performance before and after treatment in schizophrenia and schizo-affective patients. Psychiatry Research, 5, 247255.Google Scholar
Hall, R. A., Jackson, R. B. & Swain, J. M. (1956) Neurotoxic reactions resulting from chlorpromazine administration. Journal of the American Medical Association, 161, 214218.Google Scholar
Hendrick, I. (1928) Encephalitis lethargica and the interpretation of mental disease. American Journal of Psychiatry, 84, 9891014.CrossRefGoogle Scholar
Hertzig, M. E. & Birch, H. G. (1966) Neurologic organization in psychiatrically disturbed adolescent girls. Archives of General Psychiatry, 15, 590599.Google Scholar
Hunter, R., Earl, C. J. & Thornicroft, S. (1964) An apparently irreversible syndrome of abnormal movements following phenothiazine medication. Proceedings of the Royal Society of Medicine, 57, 758762.Google Scholar
Jelliffe, S. E. (1927) The mental pictures in schizophrenia and in epidemic encephalitis, their alliances, differences and a point of view. American Journal of Psychiatry, 6, 413465.CrossRefGoogle Scholar
Jelliffe, S. E. (1940) The parkinsonian body posture, some considerations of unconscious hostility. Psychoanalytic Review, 27, 467479.Google Scholar
Johnstone, E. C., Owens, D. G. C., Gold, A., Crow, T. J. & Macmillan, J. F. (1981) Institutionalization and the defects of schizophrenia. British Journal of Psychiatry, 139, 195203.Google Scholar
Jones, I. H. (1965) Observations in schizophrenic stereotypies. Comprehensive Pyschiatry, 6, 323335.Google Scholar
Jones, M. & Hunter, R. (1969) Abnormal movements in patients with chronic psychiatric illness In Psychotropic Drugs and Dysfunction of the Basal Ganglia (eds. Crane, G. E. & Gardner, R. Jr.). Washington: US Public Health Service Publication No. 1938.Google Scholar
Kahlbaum, K. L. (1973) Catalonia. (Translated by Levij, Y. & Priden, T.). Baltimore: Johns Hopkins University Press.Google Scholar
Klawans, H. L. (1983) Introduction, symposium on tardive dyskinesia. Clinical Neuropharmacology, 6, 75.CrossRefGoogle Scholar
Kleist, K. (1960) Schizophrenic symptoms and cerebral pathology. Journal of Mental Science, 106, 246255.CrossRefGoogle ScholarPubMed
Kraepelin, E. (1919) Dementia Praecox and Paraphrenia. (Translated by Barclay, R.). Edinburgh: Livingstone.Google Scholar
Kuhn, T. S. (1970) The Structure of Scientific Revolutions. 2nd ed. Chicago: University of Chicago Press.Google Scholar
Mahendra, B. (1981) Where have all the catatonics gone? Psychological Medicine, 11, 669671.CrossRefGoogle ScholarPubMed
Manschreck, T. C., Maher, B. A., Rucklos, M. E. & Vereen, D. R. (1982) Disturbed voluntary motor activity in schizophrenic disorder. Psychological Medicine, 12, 7384.Google Scholar
Marsden, C. D. (1982) Motor disorders in schizophrenia. Psychological Medicine, 12, 1315.Google Scholar
Marsden, C. D. Tarsy, D. & Baldessarini, R. J. (1975) Spontaneous and drug-induced movement disorders in psychotic patients In Psychiatric Aspects of Neurological Disease (eds. Benson, D. F. & Blumer, D.). New York: Grune & Stratum, pp. 219265.Google Scholar
Maudsley, H. (1873) Body and Mind: An Enquiry into their Connection and Mutual Influence, Specially in Reference to Mental Disorders. London: Macmillan.Google Scholar
May, R. H. (1959) Catatonic-like states following phenothiazine therapy. American Journal of Psychiatry, 115, 11191120.CrossRefGoogle ScholarPubMed
McCreadie, R. G., Barron, E. T. & Winslow, G. S. (1982) The Nithsdale schizophrenic survey: II. Abnormal movements. British Journal of Psychiatry, 140, 587590.Google Scholar
Meignant, P. & David, M. (1929) Syndrome catatonique encephalitique. Encephale, 24, 799801.Google Scholar
Meltzer, H. Y. (1973) Rigidity, hyperpyrexia and coma following fluphenazine enanthate. Psychopharmacologia (Berlin), 29, 337346.Google Scholar
Morrison, J. R. (1973) Catatonia: retarded and excited types. Archives of General Psychiatry, 28, 3941.Google Scholar
Nadel, C. (1978) Tardive dyskinesia or schizophrenic abnormal movements? British Journal of Psychiatry, 133, 287288.Google Scholar
Norman, H. J. (1928) Mental Disorders, a Handbook for Students and Practitioners. Edinburgh: Livingstone.Google Scholar
Owens, D. G. C., Johnstone, E. C. & Frith, C. D. (1982) Spontaneous involuntary disorders of movement, their prevalence, severity, and distribution in chronic schizophrenics with and without treatment with neuroleptics. Archives of General Psychiatry, 39, 452481.Google Scholar
Pichot, P. (1983) A Century of Psychiatry. Paris: Dacosta.Google Scholar
Pollin, W., Stabenau, J. R., Mosher, L. & Tupin, J. (1966) Life history differences in identical twins discordant for schizophrenia. American Journal of Orthopsychiatry, 36, 492509.Google Scholar
Reiter, P. J. (1926) Extrapyramidal motor disturbances in dementia praecox. Acta Psychiatrica et Neurologica, 1, 287309.Google Scholar
Rochford, L. M., Detre, T., Tucker, G. J. & Harrow, M. (1970) Neuropsychological impairment in functional psychiatric diseases. Archives of General Psychiatry, 22, 114119.Google Scholar
Sigwald, J., Bouttier, D. & Courvoisier, S. (1959) Les accidents neurologiques des medications neuroleptiques. Revue neurologique, 100, 553595.Google Scholar
Staehelin, J. E. (1954) Einige allgemeine Bemerkungen uber die Largactiltherapie in der psychiatrischen Universitatsklinik Basel. Archives Suisses de Neurologie et Psychiatrie, 73, 288291.Google Scholar
Steck, H. (1926, 1927) Les syndromes extrapyramidaux dans les maladies mentales. Archives Suisses de Neurologie et Psychiatrie, 19, 195233, 20, 92–136.Google Scholar
Steck, H. (1931) Les syndromes mentaux post encephalitiques. Archives Suisses de Neurologie et Psychiatrie, 27, 137173.Google Scholar
Steck, H. (1954) Le syndrome extrapyramidal et diencephalique au cours des traitements au largactil et au serpasil. Annales Medico-pscyhologique, 112, 737743.Google Scholar
Stevens, J. R. (1978) Disturbance of ocular movements and blinking in schizophrenia. Journal of Neurology, Neurosurgery and Psychiatry, 41, 10241030.Google Scholar
Tucker, G. J., Campion, E. W. & Silberfarb, P. M. (1975) Sensorimotor functions and cognitive disturbance in psychiatric patients. American Journal of Psychiatry, 132, 1721.Google Scholar
Vermeylen, G. (1938) Les rapports cliniques entre les encephalites et la demence precoce. Journal Belge de Neurologie et de Psychiatrie, 9, 647689.Google Scholar
Wilson, S. A. K. (1940) Neurology. Vol. I. London: Edward Arnold.Google Scholar
Yarden, P. E. & Discipio, W. J. (1971) Abnormal movements and prognosis in schizophrenia. American Journal of Psychiatry, 128, 317323.Google Scholar
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