Psychotic symptoms for non-psychotic disorders: errors of diagnosis or a new reality?

Abstract

The article is devoted to the analysis of current trends in the field of clinical psychiatry. Using the example of borderline personality disorder, in which verbal hallucinations are observed, the problem of qualifying psychotic symptoms in non-psychotic disorders is discussed. The question is raised that such phenomena can be considered either as diagnostic errors or as a “new psychiatric reality”.

Keywords

borderline personality disorder / psychotic and non-psychotic levels of mental disorders / psychogenesis / verbal hallucinations / psychiatric diagnostics

References

[1] Mendelevich VD, Solov’eva SL. Nevrozologiya i psihosomaticheskaya medicina. M.: Gorodec; 2016. 596 р. (In Russ.)

[2] Менделевич В.Д., Соловьева С.Л. Неврозология и психосоматическая медицина. М.: Городец; 2016. 596 с.

[3] Gannushkin PB. Klinika psihopatij, ih statika, dinamika, sistematika. M.: Sever; 1933. 128 р. (In Russ.)

[4] Ганнушкин П.Б. Клиника психопатий, их статика, динамика, систематика. М.: Север; 1933. 128 с.

[5] Mezhdunarodnaya klassifikaciya psihicheskih i povedencheskih rasstrojstv (MKB-10). https://mkb-10.com/index.php?pid=4001 (access date: 07.04.2022). (In Russ.)

[6] Международная классификация психических и поведенческих расстройств (МКБ-10). https://mkb-10.com/index.php?pid=4001 (дата обращения: 07.04.2022).

[7] Slotema CW, Blom JD, Niemantsverdriet MBA, Sommer IEC. Auditory verbal hallucinations in Borderline personality disorder and the efficacy of antipsychotics: A systematic review. Front Psychiatry. 2018;9:347. DOI: 10.3389/fpsyt.2018.00347.

[8] Slotema C.W., Blom J.D., Niemantsverdriet M.B.A., Sommer I.E.C. Auditory verbal hallucinations in Borderline personality disorder and the efficacy of antipsychotics: A systematic review // Front. Psychiatry. 2018. Vol. 9. Р. 347. DOI: 10.3389/fpsyt.2018.00347.

[9] Slotema CW, Bayrak H, Linszen MMJ et al. Hallucinations in patients with borderline personality disorder: characteristics, severity, and relationship with schizotypy and loneliness. Acta Psychiatrica Scandinavica. 2019;139(5):434:442. DOI: 10.1111/acps.13012.

[10] Slotema C.W., Bayrak H., Linszen M.M.J. et al. Hallucinations in patients with borderline personality disorder: characte-ristics, severity, and relationship with schizotypy and loneliness // Acta Psychiatrica Scandinavica. 2019. Vol. 139. N. 5. Р. 434–442. DOI: 10.1111/acps.13012.

[11] Niemantsverdriet MBA, Slotema CW, Blom JD et al. Hallucinations in borderline personality disorder: Prevalence, characte-ristics and associations with comorbid symptoms and disorders. Scientific reports. 2017;7:13920. DOI: 10.1038/s41598-017-13108-6.

[12] Niemantsverdriet M.B.A., Slotema C.W., Blom J.D. et al. Hallucinations in borderline personality disorder: Prevalence, characteristics and associations with comorbid symptoms and disorders // Scientific reports. 2017. Vol. 7. Р. 13920. DOI: 10.1038/s41598-017-13108-6.

[13] Slotema CW, Daalman K, Blom JD et al. Auditory verbal hallucinations in patients with borderline personality disorder are similar to those in schizophrenia. Psychological Medicine. 2012;42:1873–1878. DOI: 10.1017/S0033291712000165.

[14] Slotema C.W., Daalman K., Blom J.D. et al. Auditory verbal hallucinations in patients with borderline personality disorder are similar to those in schizophrenia // Psychological Medicine. 2012. Vol. 42. Р. 1873–1878. DOI: 10.1017/S0033291712000165.

[15] Beatson JA. Borderline personality disorder and auditory verbal hallucinations. Australasian Psychiatry. 2019;1:1–4. DOI: 10.1177/1039856219859290.

[16] Beatson J.A. Borderline personality disorder and auditory verbal hallucinations // Australasian Psychiatry. 2019. Vol. 1. Р. 1–4. DOI: 10.1177/1039856219859290.

[17] Savero N, Aji AP, Alim AH et al. Hallucination in patients with Borderline personality disorder. Journal of Psychiatry Psychology and Behavioral Research. 2022;3(1):40–42. DOI: 10.21776/ub.jppbr.2022.003.01.10.

[18] Savero N., Aji A.P., Alim A.H. et al. Hallucination in patients with Borderline personality disorder // Journal of Psychiatry Psychology and Behavioral Research. 2022. Vol. 3. N. 1. Р. 40–42. DOI: 10.21776/ub.jppbr.2022.003.01.10.

[19] Hayward M, Jones A-M, Strawson WH et al. A cross-sectional study of auditory verbal hallucinations experienced by people with a diagnosis of borderline personality disorder. Clini-cal Psychology & Psychotherapy. 2022;29(2):631–641. DOI: 10.1002/cpp. 2655.

[20] Hayward M., Jones A.-M., Strawson W.H. et al. A cross-sectional study of auditory verbal hallucinations experienced by people with a diagnosis of borderline personality disorder // Clinical Psychology & Psychotherapy. 2022. Vol. 29. N. 2. Р. 631–641. DOI: 10.1002/cpp. 2655.

[21] Cavelti M, Thompson K, Chanen AM, Kaess M. Psychotic symptoms in borderline personality disorder: developmental aspects. Current Opinion in Psychology. 2021;37:26–31. DOI: 10.1016/j.copsyc.2020.07.003.03.

[22] Cavelti M., Thompson K., Chanen A.M., Kaess M. Psychotic symptoms in borderline personality disorder: developmental aspects // Current Opinion in Psychology. 2021. Vol. 37. Р. 26–31. DOI: 10.1016/j.copsyc.2020.07.003.03.

[23] Rybal’skij MI. Illyuzii i gallyucinacii. Baku: Maarif; 1983. 304 р. (In Russ.)

[24] Рыбальский М.И. Иллюзии и галлюцинации. Баку: Маариф; 1983. 304 с.

[25] Krylov VI. Psihopatologicheskaya kvalifikaciya i diagnosticheskoe znachenie narushenij chuvstvennogo poznaniya (gallyucinacii, psevdogallyucinacii, gallyucinoidy). Psihiatriya i psihofarmakoterapiya. 2017;19(6):4–9. (In Russ.)

[26] Крылов В.И. Психопатологическая квалификация и диагностическое значение нарушений чувственного познания (галлюцинации, псевдогаллюцинации, галлюциноиды) // Психиатрия и психофармакотерапия. 2017. Т. 19. №6. С. 4–9.

[27] Bekhterev VM. O slyshanii sobstvennyh myslej. Antologiya izbrannyh testov otechestvennyh psihiatrov. Pod red. P.V. Morozova. M.: Gorodec; 2016. 368 р. (In Russ.)

[28] Бехтерев В.М. О слышании собственных мыслей. Антология избранных тестов отечественных психиатров. Под ред. П.В. Морозова. М.: Городец; 2016. 368 с.

[29] Shishkovskaya TI. Vnutrennyaya rech’: razmytaya gran’ mezhdu patologiej i normoj. PsyAndNeuro. Psihiatriya & Nejronauki. 2020. http://psyandneuro.ru/stati/private-speech/ (access date: 07.04.2022). (In Russ.)

[30] Шишковская Т.И. Внутренняя речь: размытая грань между патологией и нормой // PsyAndNeuro. Психиатрия & Нейронауки. 2020. http://psyandneuro.ru/stati/private-speech/ (дата обращения: 07.04.2022).

[31] Alderson-Day B, Fernyhough C. Inner speech: development, cognitive functions, phenomenology, and neurobiology. Psychological bulletin. 2015;141(5):931–965. DOI: 10.1037/bul0000021.

[32] Alderson-Day B., Fernyhough C. Inner speech: development, cognitive functions, phenomenology, and neurobiology // Psychological bulletin. 2015. Vol. 141 . N. 5. Р. 931–965. DOI: 10.1037/bul0000021.

[33] Price CJ. A review and synthesis of the first 20 years of PET and fMRI studies of heard speech, spoken language and reading. Neuroimage. 2012;62(2):816–847. DOI: 10.1016/j.neuroimage.2012.04.062.

[34] Price C.J. A review and synthesis of the first 20 years of PET and fMRI studies of heard speech, spoken language and reading Neuroimage. 2012. Vol. 62. N. 2. Р. 816–847. DOI: 10.1016/j.neuroimage.2012.04.062.

[35] Mendelevich DM. Verbal’nyj gallyucinoz. Kazan’: KFU; 1980. 246 р. (In Russ.)

[36] Менделевич Д.М. Вербальный галлюциноз. Казань: КФУ; 1980. 246 с.

[37] Rudnev V. Ekstraekciya i psihoz metapsihologiya gallyucinacij. Moskovskij psihoterapevticheskij zhurnal. 2001;2:18–43. (In Russ.)

[38] Руднев В. Экстраекция и психоз, метапсихология галлюцинаций // Московский психотерапевтический журнал. 2001. Т. 2. С. 18–43.

[39] Rössler W, Riecher-Rössler A, Angst J. et al. Gross Psychotic experiences in the general population: a twenty-year prospective community study. Schizophr Res. 2007;92(1–3):1–14. DOI: 10.1016/j.schres.2007.01.002.

[40] Rössler W., Riecher-Rössler A., Angst J. Gross Psychotic experiences in the general population: A twenty-year prospective community study // Schizophr. Res. 2007. Vol. 92. N. 1–3. Р. 1–14. DOI: 10.1016/j.schres.2007.01.002.

[41] McGrath JJ, Saha S, Al-Hamzawi A et al. Psychotic experiences in the general population: a cross-national analysis based on 31,261 respondents from 18 countries. JAMA Psychiatry. 2015;72(7):697–705. DOI: 10.1001/jamapsychiatry.2015.0575.

[42] McGrath J.J., Saha S., Al-Hamzawi A. et al. Psychotic experiences in the general population: a cross-national analysis based on 31,261 respondents from 18 countries // JAMA Psychiatry. 2015. Vol. 72. N. 7. Р. 697–705. DOI: 10.1001/jamapsychiatry.2015.0575.

[43] Mendelevich VD. Psihiatricheskaya propedevtika. M.: Medicina; 1997. 496 р. [In Russ.]

[44] Менделевич В.Д. Психиатрическая пропедевтика. М.: Медицина; 1997. 496 с.

[45] Brand DL, Lanius RA. Chronic complex dissociative disorders and borderline personality disorder: disorders of emotion dysregulation? Borderline Personality Disorder and Emotion Dysregulation 2014;1:13. DOI:10.1186/2051-6673-1-13.

[46] Brand D.L., Lanius R.A. Chronic complex dissociative disorders and borderline personality disorder: disorders of emotion dysregulation? // Borderline Personality Disorder and Emotion Dysregulation. 2014. Vol. 1. Р. 13. DOI: 10.1186/2051-6673- 1-13.

[47] Al-Shamali HF, Winkler O, Talarico F et al. A systematic scoping review of dissociation in borderline personality disorder and implications for research and clinical practice: Exploring the fog. Australian & New Zealand Journal of Psychiatry. 2022;2: 1–9. DOI: 10.1177/00048674221077029.

[48] Al-Shamali H.F., Winkler O., Talarico F. et al. A systematic scoping review of dissociation in borderline personality disorder and implications for research and clinical practice: Exploring the fog // Australian & New Zealand Journal of Psychiatry. 2022. Vol. 2. Р. 1–9. DOI: 10.1177/00048674221077029.

[49] Fung HW, Chan C, Ross CA. Clinical correlates of hearing voices among people seeking interventions for dissociation: a cross-cultural investigation. Psychosis. 2020;12(4):328–338. DOI: 10.1080/17522439.2020.1773910.

[50] Fung H.W., Chan C., Ross C.A. Clinical correlates of hearing voices among people seeking interventions for dissociation: a cross-cultural investigation // Psychosis. 2020. Vol. 12. N. 4. P. 328–338. DOI: 10.1080/17522439.2020.1773910.

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Mendelevich V.D., Gatin F.F., Khamitov R.R., Konovalova V.N., Koroleva P.V.