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Motor Disorder in Psychiatry: Towards a Neurological Approach

Author: Daniel M. Rogers
Published: January 1994
ISBN: 0471936162
Hardcover Book
Number of Pages: 172
 
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Motor Disorder in Psychiatry: Towards a Neurological Approach


Addresses the concept that psychiatric motor disorder can be understood in terms of cerebral dysfunction and that there is essentially no difference between motor disorder found in psychiatric and neurological afflictions. Covers the following disorders: extrapyramidal, catatonia, schizophrenia, obessive-compulsive, affective, hysteria and mental handicap. Considers disturbances of posture, voluntary motor performance, tone, activity, abnormal movements and speech production in psychiatric disorder. Includes four rating scales to assess motor disturbance in psychiatric illness.


Table of Contents:


Preface
Acknowledgements
1 Motor Disorder in Psychiatry and Neurology - the Necker Cube Phenomenon 1
A curious change 1
Organic and functional 4
One man's schizophrenia is another man's encephalitis 5
A conflict of paradigms 7
2 Catatonia and extrapyramidal disorder 11
Catatonia 11
Basal ganglia and psychiatric disorder 15
Dystonia 18
Catatonia - an extrapyramidal disorder 19
3 Schizophrenia 27
Kahlbaum 27
Kraepelin 29
Bleuler 31
Later authors 32
Friern study 36
4 Affective disorder 41
Catatonia and affective disorder 41
Psychomotor retardation in depression 43
Bradyphrenia in Parkinson's disease 49
5 Obsessive-compulsive disorder, hysteria and mental handicap 53
Obsessive-compulsive disorder 53
Hysteria 56
Mental handicap 61
6 Motor disorder and medication 65
Neuroleptic medication 65
Tatdive dyskinesia 68
Overlap of drug-induced motor disorder and psychiatric disorder 72
The 'conflict of paradigms' hypothesis 75
7 Posture, tone and motor performance 79
Posture and tone 79
Motor performance 83
Stupor and akinesia 88
8 Activity, abnormal movements and speech production 95
Activity 95
Abnormal movements 99
Abnormal eye movements and blinking 104
Speech production 109
Conclusion 113
Rating scales for motor disorder in psychiatry 115
Webster rating scale for parkinsonism 115
Abnormal involuntary movement scale (AIMS) 116
Depressive retardation rating scale 118
Catatonia - the modified Rogers scale 121
References 129
Plates 149
Index 157


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Motor Disorder in Psychiatry: Towards a Neurological Approach





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