DSM+II+1968

DEFINITIONS OF TERMS 37
When illusions, hallucinations, and delusions (usually of guilt or of
hypochondriacal or paranoid ideas) occur, they are attributable to
the dominant mood disorder. Because it is a primary mood disorder,
this psychosis differs from the Psychotic depressive reaction,
which is more easily attributable to precipitating stress. Cases incompletely
labelled as "psychotic depression" should be classified
here rather than under Psychotic depressive reaction.
296.3 Manic-depressive illness, circular type ((Manic-depressive
psychosis, circular type))
This disorder is distinguished by at least one attack of both a depressive
episode and a manic episode. This phenomenon makes
clear why manic and depressed types are combined into a single category.
(In DSM-I these cases were diagnosed under "Manic depressive
reaction, other.") The current episode should be specified and
coded as one of the following:
296.33* Manic-depressive illness, circular type, manic*
296.34* Manic-depressive illness, circular type, depressed*
296.8 Other major affective disorder ((Affective psychosis,
other))
Major affective disorders for which a more specific diagnosis has not
been made are included here. It is also for "mixed" manic-depressive
illness, in which manic and depressive symptoms appear almost
simultaneously. It does not include Psychotic depressive reaction
(q.v.) or Depressive neurosis (q.v.). (In DSM-I this category was
included under "Manic depressive reaction, other.")
[296.9 Unspecified major affective disorder]
[Affective disorder not otherwise specified]
[Manic-depressive illness not otherwise specified]
297 Paranoid states
These are psychotic disorders in which a delusion, generally persecutory
or grandiose, is the essential abnormality. Disturbances in mood,
behavior and thinking (including hallucinations) are derived from this
delusion. This distinguishes paranoid states from the affective psychoses
and schizophrenias, in which mood and thought disorders, respectively,
are the central abnormalities. Most authorities, however,
question whether disorders in this group are distinct clinical entities
and not merely variants of schizophrenia or paranoid personality.