2005 suplement 1

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Volume 14, suplement 1

Case report

A complex diagnostic-therapeutic process: schizotypal or neurotic disorders?

KAMILLA BARGIEL-MATUSIEWICZ1, KRZYSZTOF KIELAN2
1. Zakładu Psychologii Śląskiej Akademii Medycznej w Katowicach
2. Katedra i Klinika Psychiatrii i Psychoterapii Śląskiej Akademii Medycznej w Katowicach
Postępy Psychiatrii i Neurologii 2005; 14 (supl. 1/20): 39-106
Keywords: schizotypal disorder, neurotic disorders, diagnosis, computer expert system

Abstract

Objective. A case is presented requiring either exclusion or confirmation of the presence of schizotypal disorders - a new diagnostic category introduced in the ICD-10 classification.

Case. A 22-year-old male patient, never treated psychiatrically, with a positive family history, admitted due to altered behaviour and an evidently decreased life activity (suicidal thoughts, a breakdown of his career and personal life). He produced extraordinary opinions, and his reasoning had the features of magical thinking. CT of the head and EEG were carried out, as well as psychological assessment of personality and organic deficits. Moreover, a computerised expert system SABA to support the process of diagnosing and treating schizophrenic disorders was used.

Commentary. The problem of differentiation between schizotypal and neurotic disorders in young patients admitted for the first time was outlined. The usefulness of the expert SABA system in the diagnostic process was confirmed.

Address for correspondence:
Dr Kamilla Bargiel-Matusiewicz, Zakład Psychologii Śląskiej Akademii Medycznej, ul. Medyków 12, 40-752 Katowice, e-mail: kamillamatusiewicz@poczta.onet.pl