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MADNESS OF PSYCHIATRY
BY SAXBY PRIDMORE
Special Publication of the German Journal of Psychiatry
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Madness of Psychiatry
:for the general reader
By
Saxby Pridmore
Special Publication
German Journal of Psychiatry
Göttingen, Germany, 2004
No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or
by any means, electronic, machanical, photocopying, microfilming, recording, or otherwise, without writ-
ten permission from the publisher.
The German Journal of Psychiatry · ISSN 1433-1055 · http:/www. gjpsy.uni-goettingen.de
Dept. of Psychiatry, The University of Göttingen, von-Siebold-Str. 5, D-37075 Germany; tel. ++49-551-396607; fax:
++49-551-392004; E-mail: gjpsy@gwdg.de
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Saxby Pridmore is a part-time Professor of Psychiatry at the University of Tasmania, Austra-
lia, and has a private practice in general and forensic psychiatry. He commenced his profes-
sional life as a physical therapist, but retrained in medicine. He has a research degree in neu-
rology, and has specialist qualifications in psychiatry, public health, addiction medicine and
pain medicine.
Saxby has performed pioneering research in Huntington’s disease and transcranial magnetic
stimulation, and has authored novels, medical textbooks, chapters and refereed papers. He is
married and has two children. His recreation is poetry, he has over two hundred poems in lit-
erary magazines and anthologies. He has been a keen supporter of the German Journal of Psy-
chiatry since inception.
Madness of Psychiatry is a book for the general reader, which will interest psychiatrists and
students. It is written by a psychiatrist with extensive academic, administrative, and clinical
experience. It is illustrated with case studies and photographs. It describes the symptoms and
syndromes of the severe mental disorders. It explains aspects of mental illness in court, and
compulsory admission to hospital. It salutes electroconvulsive therapy and tentatively wel-
comes transcranial magnetic therapy. It grapples with deinstitutionalization, genius and sui-
cide, and turns a critical eye on post trauma debriefing and recovered memory.
These are the views of the author. These are not necessarily the views of the German Journal
of Psychiatry.
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Contents
Contents.................................................................................................................................................................... i
CHAPTER 1............................................................................................................................................................ 1
WHAT ARE WE TALKING ABOUT?.............................................................................................................. 1
CHAPTER 2............................................................................................................................................................ 1
CLASSIFYING MENTAL DISORDERS .......................................................................................................... 1
MADNESS.......................................................................................................................................................... 1
PSYCHOTIC DISORDERS................................................................................................................................ 3
FURTHER CATEGORIES ................................................................................................................................. 6
NON-PSYCHOTIC DISORDERS...................................................................................................................... 6
PERSONALITY DISORDERS........................................................................................................................... 8
CLOSING COMMENT ...................................................................................................................................... 9
CHAPTER 3.......................................................................................................................................................... 11
DELUSIONS..................................................................................................................................................... 11
CASE DRAMATIZATION .............................................................................................................................. 13
CHAPTER 4.......................................................................................................................................................... 19
FORM OF THOUGHT ..................................................................................................................................... 19
TYPES OF ABNORMAL FORM OF THOUGHT .......................................................................................... 20
CASE DRAMATIZATION .............................................................................................................................. 22
CASE DRAMATIZATION .............................................................................................................................. 24
CASE DRAMATIZATION .............................................................................................................................. 26
CASE DRAMATIZATION .............................................................................................................................. 27
CHAPTER 5.......................................................................................................................................................... 29
HALLUCINATIONS ........................................................................................................................................ 29
HALLUCINATIONS IN MENTAL DISORDERS .......................................................................................... 30
CASE DRAMATIZATION .............................................................................................................................. 32
CASE DRAMATIZATION .............................................................................................................................. 33
CASE DRAMATIZATION .............................................................................................................................. 34
CHAPTER 6.......................................................................................................................................................... 38
SCHIZOPHRENIA ........................................................................................................................................... 38
CASE DRAMATIZATION .............................................................................................................................. 43
CASE REPORT ................................................................................................................................................ 44
Sane AUSTRALIA............................................................................................................................................ 45
CHAPTER 7.......................................................................................................................................................... 46
MOOD DISORDERS........................................................................................................................................ 46
DEPRESSION................................................................................................................................................... 46
CASE DRAMATIZATION .............................................................................................................................. 50
BIPOLAR DISORDER ..................................................................................................................................... 51
CASE DRAMATIZATION .............................................................................................................................. 55
CHAPTER 8.......................................................................................................................................................... 57
COMPULSORY ADMISSION AND TREATMENT ...................................................................................... 57
CASE DRAMATIZATION .............................................................................................................................. 61
THE REVIEW PROCESS ................................................................................................................................ 63
CASE DRAMATIZATIONS ............................................................................................................................ 68
CHAPTER 9.......................................................................................................................................................... 70
MADNESS IN COURT .................................................................................................................................... 70
FITNESS TO PLEAD ....................................................................................................................................... 70
CRIMINAL RESPONSIBILITY ...................................................................................................................... 72
THE INSANITY DEFENCE ............................................................................................................................ 73
GUILTY BUT MENTALLY ILL ..................................................................................................................... 74
DIMINISHED RESPONSIBILITY .................................................................................................................. 74
ALCOHOL AND DRUGS................................................................................................................................ 75
AUTOMATISM ................................................................................................................................................ 75
THE GERMAN SYSTEM ................................................................................................................................ 76

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