{"id":46081,"date":"2014-05-08T16:15:53","date_gmt":"2014-05-08T20:15:53","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=46081"},"modified":"2014-05-08T17:54:32","modified_gmt":"2014-05-08T21:54:32","slug":"back-in-the-fold","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2014\/05\/08\/back-in-the-fold\/","title":{"rendered":"back in the fold …"},"content":{"rendered":"

<\/object><\/p>\n

Following Emil Kraepelin’s description of Dementia Praecox as a progressive deteriorating disease, Swiss psychiatrist Eugen Bleuler reported on his experience with these patients at the Burghölzli Sanatorium in his book, Dementia Praecox, or the Group of Schizophrenias<\/em><\/span>, published in 1911. He described a variable not so pessimistic course of illness and posited a particular personality type, the Schizoid Personality, that antedated the outbreak of illness. While this premorbid personality is frequently apparent in retrospect, prediction going the other way [who will develop psychosis?<\/em>] hasn’t been easily achieved. Back during the DSM-5 Task Force deliberations, there was much ado about the Attenuated Psychosis Syndrome [nee Psychosis Risk Syndrome] – new names for a century old concept.<\/p>\n

There were two questions on the table:<\/div>\n
    <\/p>\n
  1. \n
    Could the patients who were going to become psychotic be identified with any accuracy?<\/font><\/div>\n<\/li>\n
  2. \n
    If they could, what would we do about it?<\/font><\/div>\n<\/li>\n

    <\/span> <\/ol>\n

    Patrick McGorry and his associates in Australia had been researching this for some time, and had convinced the Australian government to fund a massive intervention program. I summarized his research and the details at some length in the series of posts below:<\/div>\n