TITLE

Diagnoses of Personality Disorders Between 1879 and 1929 in the Largest Croatian Psychiatric Hospital

AUTHOR(S)
Paštar, Zvonimir; Petrov, Božo; Križaj, Aida; Bagarić, Ante; Jukić, Vlado
PUB. DATE
October 2010
SOURCE
Croatian Medical Journal;Oct2010, Vol. 51 Issue 5, p461
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aim To study demographic characteristics, comorbidities, and diagnoses of patients admitted for personality disorders to Psychiatric Hospital Vrapče between 1879 and 1929. Methods Data were collected from the archives of Vrapce Psychiatric Hospital for a 50-year period from November 1879 to December 1929. The ratio between the number of patients with personality disorder and the number of all admitted patients was determined. We used 3 systems of definitions of personality disorder: for cases before 1923, we used Prichard's concept of moral insanity and unpublished definitions of one of the hospital managers at that time; for cases after 1923, we used Schneider's classification of psychopathic personalities and unpublished definitions of one of the hospital managers at that time. Results The total number of admissions during the study period was 18 960, 141 (0.74%) of which were for a personality disorder. Of the admitted patients, 85.8% were men and 59.7% were single. The average age was 29.7 ± 9.5 years. Most of them (61.7%) were sent to the hospital by courts or police, and the median length of stay was 92 days (interquartile range, 92.0 - 127.5 days). The first patient with a personality disorder was admitted in 1889 with a diagnosis of moral insanity. Until 1920, only 3 terms were used for personality disorder: moral insanity, psychopathic inferiority, and psychopathy. The term was subdivided only after that year. Of the 141 patients admitted for personality disorder, 34 (24.1%) were discharged with comorbid disorders, mainly substance abuse. The most common single comorbid diagnosis was Ganser syndrome (prison psychosis). Conclusion Archives of the Vrapče Psychiatric Hospital contain reliable data about the earliest nomenclature of personality disorders, the increase in the prevalence of personality disorders, and further subdivision of the term personality disorder. Nomenclature for these disorders used at the Vrapče Psychiatric Hospital was consistent with that used in clinical practice in other parts of the world at the time.
ACCESSION #
55435349

 

Related Articles

  • Absconding of patients on acute psychiatric wards. Zenner, Gisa; Munk, Ingrid // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Background Absconding of patients from acute psychiatric wards poses a significant problem to professional staff and can involve risks for patients and others. Despite research results in the English speaking countries, there is no research on this topic in Germany. Methods Naturalistic study of...

  • Review board outcomes for involuntary patients in provincial psychiatric hospitals. Komer, William J; O'Reilly, Richard L; Cernovsky, Zack; Dunbar[sup4], Sandra; Komer, W J; O'Reilly, R L; Cernovsky, Z; Dunbar, S // Canadian Journal of Psychiatry;Jun1999, Vol. 44 Issue 5, p495 

    Objective: To identify long-term trends and compare different psychiatric hospitals with regard to outcomes of involuntary certification.Method: Data on outcomes of involuntary certification were obtained from the London and St Thomas Psychiatric Hospitals for 1987 to...

  • Admission to a psychiatric unit and changes in tobacco smoking. Ker, Suzy; Owens, David // Clinical Practice & Epidemiology in Mental Health;2008, Vol. 4, Special section p1 

    Smoking and withdrawal from smoking complicates the assessment and treatment of mental illness. We aimed to establish whether psychiatric inpatients smoke different amounts after admission than beforehand and, if so, to find out why. Forty-three inpatients on a working age adult psychiatry ward...

  • The Prevalence and Diagnostic Significance of Schneiderian First-Rank Symptoms in a Random Sample of Acute Psychiatric In-patients. O'Grady, John C. // British Journal of Psychiatry;Apr90, Vol. 156, p496 

    Ninety-nine acute in-patients were interviewed within four days of admission to hospital. The interview included items concerning all 11 first-rank symptoms. Two definitions (wide and narrow) of each first-rank symptom were employed. Three definitions of schizophrenia and a research diagnosis of...

  • Patients' experiences of coercive treatment and coercive measures in psychiatric care. Wallsten, Tuula; Kjellin, Lars // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Background To study coercive treatment like forced medication and coercive measures like seclusion and mechanical restraint during inpatient psychiatric care among committed and voluntarily admitted patients and also to study patients attitudes to coercive treatment and measures. Methods A...

  • The development of a scale to measure staff attitude to coercion. Husum, Tonje Lossius; Ruud, Torleif // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Previous studies have shown that there is considerable variation in the degree to which coercion is used in mental health institutions. This variation between institutions and even between wards is seen in many countries. Many factors have been put foreword to explain this variation in the use...

  • The Syndrome of Schizophrenia: Relations Between Electrodermal Response, Lateral Asymmetrics and Clinical Ratings. Gruzelier, John; Manchanda, Rahul // British Journal of Psychiatry;Nov82, Vol. 141, p488 

    Forty-eight undrugged hospital admissions with a present state examination (PSE) diagnosis of schizophrenia were subdivided by the direction of lateral differences in electrodermal response amplitudes to tones. The 29 with larger right-hand responses and the 19 with larger left-hand responses...

  • An evaluation of the performing and recording of physical examinations by psychiatric trainees. Rigby, J.C.; Oswald, A.G. // British Journal of Psychiatry;Apr87, Vol. 150, p533 

    The physical examination on admission, as recorded in the psychiatric case notes, was assessed for 100 consecutive admissions under the age of 65. Assessment was made on the presence or absence of reference to 43 items of examination and the recording of the examinations was found to be...

  • No Fixed Abode-A Comparison of Men and Women Admitted to an East London Psychiatric Hospital. Herzberg, J. L. // British Journal of Psychiatry;May87, Vol. 150, p621 

    There is little information available on psychiatric disorder in homeless women. This study compares clinical casenote information of all homeless women admitted to an East London psychiatric hospital from 1971-1980 inclusive, with information on a cohort of homeless men admitted during the same...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics