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Published online by Cambridge University Press: 31 July 2009
Whatever the practical merits of emphasizing differences rather than the similarities between neurological and psychiatric motor disorders, this has had the effect of holding back a much needed neurological approach to the motor disorder of psychiatric illness. By far, the best way forward is accepting catatonic motor disorder, whether forming part of neurological or psychiatric disorder, as an extrapyramidal motor disorder.
Rogers, 1992: 25Almost all the neuropathological studies so far performed have been prone to errors of subjectivity. The brain is easily duped when it studies itself.
Lohr and Wisniewski, 1987: 218The pathophysiology of catatonia has yet to be defined. Kahlbaum, Kraepelin, and Bleuler thought that catatonia was an expression of a deficit in will because that interpretation suited their views in defining behavioral syndromes. The accepted notion was that the mind was comprised of three parts: will or volition; emotion or feelings; and thinking. Kraepelin's ideas about psychological disease were rooted in the tripartite mind concept and his cross-sectional criteria for dementia praecox included deficits in all three spheres. He described manic-depressive illness as a disturbance in feeling, sparing the other two spheres. He delineated two disorders by their course: dementia praecox beginning in the decade after puberty and deteriorating into dementia; and manic-depressive insanity beginning after age 25 years, marked by episodes and good remissions.
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