2002 suplement 1

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Volume 11, suplement 1

Problemy terapeutyczne

Karol (1978-2000) – why couldn’t we help him? Case report

RADOSŁAW TWORUS1, JOANNA WOJEWÓDZKA2
1. Poradni Zdrowia Psychicznego Centralnego Szpitala Klinicznego Wojskowej Akademii Medycznej w Warszawie
2. Oddziału Psychiatryczno-Psychosomatycznego Szpitala Wolskiego w Warszawie
Postępy Psychiatrii i Neurologii, 2002, 11, suplement 1 (14), 65-70
Keywords: diagnostic difficulties, schizotypia, suicide, case report
Abstract

The case of a 22-year-old suicide may show how important is moderation and consequence in diagnosing patients suffering from disorders that present an ambiguous clinical picture. Five different disorders were diagnosed in this patient in the course of his two-year treatment. Since the diagnoses and treatments applied were so changeable, the patient has lost faith in their usefulness, and by the same token – in possibility of his recovery. A psychological-psychiatric autopsy suggests that the picture of his condition fulfilled the schizotypic disorder criteria. However, the most accurate diagnosis seems to be that of somatopsychic schizophrenia – a nosological entity described by Bornsztejn, but withdrawn from classifications currently in force.

Address for correspondence:
Dr Radosław Tworus,
Poradnia Zdrowia Psychicznego Centralnego Szpitala Klinicznego Wojskowej Akademii Medycznej,
ul. Szaserów 128,
00-909 Warszawa 62