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Sadock, Benjamin James; Sadock,Sadock, Benjamin James; Sadock,Virginia AlcottVirginia Alcott Title: Kaplan & Sadock's Synopsis Title: Kaplan & Sadock's Synopsisof Psychiatry: Behavioralof Psychiatry: BehavioralSciences/Clinical Psychiatry, 10thSciences/Clinical Psychiatry, 10thEditionEdition
Signs and Symptoms inSigns and Symptoms inPsychiatry EDIT dr hj LIZA 140Psychiatry EDIT dr hj LIZA 140366 660366 660
 
NeurosisNeurosis
A neurosis is a chronic or recurrent nonpsychoticA neurosis is a chronic or recurrent nonpsychoticdisorder characterized mainly by anxiety, which isdisorder characterized mainly by anxiety, which isexperienced or expressed directly or is alteredexperienced or expressed directly or is alteredthrough defense mechanisms; it appears as athrough defense mechanisms; it appears as asymptom, such as an obsession, a compulsion, asymptom, such as an obsession, a compulsion, aphobia, or a sexual dysfunction. In the third editionphobia, or a sexual dysfunction. In the third editionof DSM (DSM-III), a neurotic disorder was defined asof DSM (DSM-III), a neurotic disorder was defined asfollows:follows:
A mental disorder in which the predominantA mental disorder in which the predominantdisturbance is a symptom or group of symptoms thatdisturbance is a symptom or group of symptoms thatis distressing to the individual and is recognized byis distressing to the individual and is recognized byhim or her as unacceptable and alien (ego-dystonic);him or her as unacceptable and alien (ego-dystonic);reality testing is grossly intact. Behavior does notreality testing is grossly intact. Behavior does notactively violate gross social norms (though it may beactively violate gross social norms (though it may bequite disabling). The disturbance is relativelyquite disabling). The disturbance is relativelyenduring or recurrent without treatment, and is notenduring or recurrent without treatment, and is notlimited to a transitory reaction to stressors. There islimited to a transitory reaction to stressors. There isno demonstrable organic etiology or factor.no demonstrable organic etiology or factor.
 
PsychosisPsychosis
 The traditional meaning of the term psychotic The traditional meaning of the term psychoticemphasized loss of reality testing andemphasized loss of reality testing andimpairment of mental functioning manifestedimpairment of mental functioning manifestedby delusions, hallucinations, confusion, andby delusions, hallucinations, confusion, andimpaired memory.impaired memory.
In the most common psychiatric use of theIn the most common psychiatric use of theterm, psychotic became synonymous withterm, psychotic became synonymous withsevere impairment of social and personalsevere impairment of social and personalfunctioning characterized by social withdrawalfunctioning characterized by social withdrawaland an inability to perform the usual householdand an inability to perform the usual householdand occupational roles.and occupational roles.
Another use of the term based onAnother use of the term based onpsychoanalytic concept specifies the degree of psychoanalytic concept specifies the degree of ego regression as the criterion for psychoticego regression as the criterion for psychoticillness. As a consequence of those multipleillness. As a consequence of those multiple
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