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Am J Psychiatry 90:97-126, July 1933
doi: 10.1176/appi.ajp.90.1.97
© 1933 American Psychiatric Association
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THE ACUTE SCHIZOAFFECTIVE PSYCHOSES

J. Kasanin M. D.1

1 State Hospital for Mental Diseases, Howard, R. I.

1. A group of 9 cases is presented in which there is a blending of schizophrenic and affective symptoms.

2. The psychosis is characterized by a very sudden onset in a setting of marked emotional turmoil with a distortion of the outside world and presence of false sensory impressions in some cases. The psychosis lasts a few weeks to a few months and is followed by a recovery.

3. Our patients are young people, in the twenties or thirties, in excellent physical health, in whom there is usually a history of a previous attack in late adolescence.

4. The prepsychotic personalities of our patients show the usual variation found in any group of people.

5. A good social and industrial adjustment, the presence of a definite and specific environmental stress, the interest in life and its opportunities, and the absence of any passivity or withdrawal are some of the factors favoring recovery.




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