Psychotic and borderline psychotic adolescents: frequency of psychiatric illness and treatment in childhood in 100 consecutive cases.

Acta Psychiatrica Scandinavica (Impact Factor: 5.61). 08/1975; 52(1):58-68. DOI: 10.1111/j.1600-0447.1975.tb00023.x
Source: PubMed


The first results covering the assessment period phase of a systematic study of 50 borderline psychotic and 50 psychotic adolescents are described. These 100 adolescents comprised one-third of the total number of admissions to an adolescent department during the years from 1968 to 1975.
There were 58 boys and 42 girls; 53 of the 100 cases had been psychiatrically ill in childhood with evident symptoms. In 22 cases, there was positive information supporting the fact that the patients had been healthy in childhood. The rest (25 cases) were classified under “unclarified picture”, showing non specific symptoms. It is concluded that in this material more than half of the adolescents had shown some instability before puberty.
The illnessas described in childhood are categorised as infantile borderline psychosis, borderline psychosis probable, and other psychiatric illnesses. A shift in diagnosis is often seen in the individual case, but the symptoms in childhood and in adolescence have many similarities.
The necessary treatment in childhood has not been given in one-third of the cases. The possible reasons for this are discussed. In spite of much effort in some cases and because of resistance to therapy or the proposal of inadequate therapy in others, the therapeutic possibilities in childhood have not been fully realised. It is recommended that more emphasis be placed on the emotional development in the evaluation of the children. In the treatment, development of interpersonal relationships through individual, family and/or milieu therapy should be stressed.
A follow-up of children with symptoms in childhood left untreated and a teamwork between child psychiatrist and adult psychiatrist with longitudinal studies is suggested.

1 Read
  • [Show abstract] [Hide abstract]
    ABSTRACT: Begreppet “borderline” börinte användas om incipient psykos, hävdar Tove Aarkrog, overlæge ved Ungdomspsykiatrisk Afd., Bispebjerg Hospital. Detta är emellertid svårt att alltid undvika, då prognosen i tidigt skede är svårbedömd.
    Nordic Journal of Psychiatry 01/1976; 30(4):256-266. DOI:10.3109/08039487609097382 · 1.34 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Of 100 borderline and psychotic adolescents, 21 had suffered from borderline psychoses in childhood. This study investigated the symptoms of these adolescents and therapeutic possibilities from a developmental point of view. It concluded that therapeutic possibilities exist. Some childhood symptoms can be used directly in treating adolescents. Other symptoms disappear with general improvement. The therapeutic possibilities are not dependent upon the age of the symptom. Psychopharmacological treatment does not preclude psychodynamically oriented therapy.
    Journal of Youth and Adolescence 06/1977; 6(2):187-97. DOI:10.1007/BF02139084 · 2.72 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this paper is to draw attention to schizophrenias starting in early adolescence, before age 15. Diagnosis may be difficult because such early manifestations may differ from the classical schizophrenias and from the traditional subgroups. The authors caution against a too liberal interpretation of normal problems in adolescence. In comment on the literature, particular weight is placed on descriptions of schizophrenias in adolescence. Some typical early manifestations of schizophrenia are described including, among other traits, depressive states and sociopathic behaviour. Key symptoms such as thought disturbances or flattening of affect may be lacking. Five long-term cases were chosen. None was classified in childhood as infantile borderline. A diagnosis of schizophrenia was made in adolescence. In the cases where Schneider's criteria are not fulfilled, other hard evidence of schizophrenia is given. Emphasis is placed on the importance of early diagnosis.
    Acta Psychiatrica Scandinavica 12/1985; 72(5):422-9. · 5.61 Impact Factor
Show more