The Pseudodementia Dilemma - 1st World Congress on Healthy ...
The Pseudodementia Dilemma - 1st World Congress on Healthy ... The Pseudodementia Dilemma - 1st World Congress on Healthy ...
Ganser’s syndrome • Can occur during the course of a depressive illness, head injury, early dementia, alcoholism and other toxic states and purely as a response to emotional trauma • Organic and psychogenic factors operate together here • Concept of gain led to the term ‘prison psychosis’ and although malingering can be suspected, noteworthy to mention that patients do not provide spontaneous absurd remarks; merely answers to questions they were asked
Ganser’s syndrome • In modern psychiatry, difficulty in interpreting much of this literature is the nebulous criteria used to define the syndrome • Enoch & Trethowan (1979) proposed a set of 4 criteria – approximate answers, clouding of consciousness, visual and auditory hallucinations and somatic conversion symptoms • DSM-3 preserved the ‘repression’ of the syndrome’s ‘hysteric’ character, enlisting it among factitious disorders together with Munchausen syndrome but the ‘hysteric/dissociative’ character was later recognized by the newer diagnostic systems • Change in consciousness, as well as conversion symptoms, proof that this is a hysterical syndrome and not simple malingering • Thus, grouped under dissociative disorders in the DSM-4 (and -TR) and under other dissociative (conversion) disorders in ICD-10
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- Page 3 and 4: Content • Pseudodementia<
- Page 5 and 6: Depressive pseudodementia (DPD) •
- Page 7 and 8: DPD (con’t) • Jacoby and Levy o
- Page 9 and 10: DPD (con’t) • However, consider
- Page 11 and 12: D/D Dementia and DPD (Small et al,
- Page 13 and 14: Ganser’s syndrome • 1 st descri
- Page 15: Ganser’s syndrome • The
- Page 19 and 20: Hysterical pseudodementia • Core
- Page 21 and 22: Simulated dementia • Memory loss
- Page 23 and 24: D/D from Functional disorders • S
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Ganser’s syndrome<br />
• Can occur during the course of a depressive<br />
illness, head injury, early dementia, alcoholism<br />
and other toxic states and purely as a resp<strong>on</strong>se to<br />
emoti<strong>on</strong>al trauma<br />
• Organic and psychogenic factors operate together<br />
here<br />
• C<strong>on</strong>cept of gain led to the term ‘pris<strong>on</strong> psychosis’<br />
and although malingering can be suspected,<br />
noteworthy to menti<strong>on</strong> that patients do not<br />
provide sp<strong>on</strong>taneous absurd remarks; merely<br />
answers to questi<strong>on</strong>s they were asked
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