Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Am J Psychiatry 1958;114:744-746.
text A A A
PDF of the full text article.

The data obtained by systematic investigation have proven the clinical observation of perceptual distortion of temporal orientation in regressed schizophrenics. The fact that the mean stated age was approximately equal to the mean age on admission plus 7 months suggests that it took, on the average, a relatively short time after admission for the temporal orientation to become arrested. It also suggests that apparently hospitalization took place rather late in the course of the disease despite the relative youth of the patients. With increasing age the distortion becomes more conspicuous. These observations dramatically illustrate the known clinical fact of the importance of early treatment before permanent distortion sets in. Since we have not found this phenomenon in other than clinically dull, apathetic, and regressed schizophrenics we are led to interpret its presence as indicative of poor prognosis, and of differential diagnostic value. This preliminary investigation lends credence to Mettler's contention(2).There is reason to believe that prognosis based on the presence or absence of perceptual disorder would be more reliable and indicate results earlier than prognosis that relies mainly on evidence of presence or absence of affect. The psychiatric patient, like any other, is to be studied as a whole personality possessed of structure and organic function as well as psychodynamic mechanisms.It is noteworthy, that even in those chronic regressed schizophrenics, whose behavior and hospital adjustment improved following ECT and/or Thorazine medication, the perceptual distortion of temporal orientation remained unaffected.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Web of Science® Times Cited: 10

Related Content
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 15.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 39.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 39.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 39.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 14.  >
Topic Collections
Psychiatric News
PubMed Articles