Mutism in non-catatonic schizophrenia: Psychotic symptom and adaptive behavioral strategy

Smith, Kyle P.; Penzner, Julie B.

doi:10.1016/j.schres.2015.06.010

Cited by 6 publications

(2 citation statements)

References 6 publications

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“…Mutism may emerge as a result of adaptive coping in the presence of a paranoid delusion. 12 A catatonic state may emerge as an attempt to self-heal by escaping from a threatening psychiatric experience. 2 A randomized study indicated that aripiprazole provided an advantage over a dopamine D 2 antagonist, paliperidone, for improving subscale scores on the Quality of Life Scale; this improvement was associated with therapeutic efficacy for negative symptoms or cognitive function.…”

Section: Discussionmentioning

confidence: 99%

Switching to aripiprazole for the treatment of residual mutism resulted in distinct clinical courses in two catatonic schizophrenia cases

Muneoka

Kanahara

Kimura³

2017

SAGE Open Medical Case Reports

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Objectives:The efficacy of a partial agonist for the dopamine D2 receptor, aripiprazole, for catatonia in schizophrenia has been reported.Methods:We report distinct clinical courses in challenging aripiprazole to treat residual mutism after severe catatonic symptoms improved.Results:In the first case, mutism was successfully treated when the patient was switched from olanzapine to aripiprazole. In contract, switching to aripiprazole from risperidone aggravated auditory hallucinations in the second case.Conclusions:We will discuss the benefits and risks of using aripiprazole for the treatment of catatonic schizophrenia and the possibility of dopamine supersensitivity psychosis.

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Section: Discussionmentioning

confidence: 99%

Switching to aripiprazole for the treatment of residual mutism resulted in distinct clinical courses in two catatonic schizophrenia cases

Muneoka

Kanahara

Kimura³

2017

SAGE Open Medical Case Reports

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“…Her mutism falls within the category 21 of 'catatonia' as defined by the DSM-5 (American Psychiatric Association, 2013: 88, 119-21). Mutism can arise as an involuntary coping strategy (Smith and Penzner, 2015;Hua and Major, 2016); we shall return to the issue of coping later.…”

Section: Mutism and Catatoniamentioning

confidence: 99%

Away with the fairies: the psychopathology of visionary encounters in early modern Scotland

Goodare

2019

Hist Psychiatry

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In early modern Scotland, several visionaries experienced vivid relationships with spirits. This paper analyses their experiences historically, with the aid of modern scholarship in medicine, psychology and social science. Most of the visionaries were women. Most of their spirit-guides were fairies or ghosts. There could be traumas in forming or maintaining the relationship, and visionaries often experienced spirit-guides as powerful, capricious and demanding. It is argued that some visionaries experienced psychotic conditions, including psychosomatic injuries, sleepwalking, mutism and catatonia. Further conditions related to visionary experience were not necessarily pathological, notably fantasy-proneness and hallucinations. Imaginary companions and parasocial relationships are discussed, as are normality, abnormality and coping strategies. There are concluding reflections on links between culture and biology.

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Treatment-resistant non-catatonic mutism in schizophrenia: A case report and review of literature

Grover

Naskar

Sharma

2022

Asian Journal of Psychiatry

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Mutism in non-catatonic schizophrenia: Psychotic symptom and adaptive behavioral strategy

Cited by 6 publications

References 6 publications

Switching to aripiprazole for the treatment of residual mutism resulted in distinct clinical courses in two catatonic schizophrenia cases

Switching to aripiprazole for the treatment of residual mutism resulted in distinct clinical courses in two catatonic schizophrenia cases

Away with the fairies: the psychopathology of visionary encounters in early modern Scotland

Treatment-resistant non-catatonic mutism in schizophrenia: A case report and review of literature

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