...Initially, it meant impaired comprehension and confusion seen in acute mental disorders. Later, K. Bonhoeffer noticed that common mental symptoms were seen in physical illnesses, excluding brain diseases and toxic diseases, regardless of the underlying disease, and described these symptoms, including amentia, as the exogenous reaction type (1912). Since then, amentia has been considered a type of consciousness disorder characteristic of exogenous reaction type diseases, that is, symptomatic psychosis. ... From [Exogenous Psychosis]...In contrast, exogenous means organic causes such as organic changes in the brain (trauma, inflammation, vascular disorders, tumors, etc.), physical diseases other than the brain (infections, metabolic diseases, endocrine diseases, etc.), or toxic diseases. In exogenous psychosis, various mental symptoms can appear depending on the severity of the underlying physical disease, but in the acute phase, common symptoms appear against the background of impaired consciousness, which K. Bonhoeffer called the exogenous reaction type or exogenous predilection type (1910). The symptoms that Bonhoeffer listed as exogenous reaction type are delirium, stupor, amentia, hallucinations, irritable emotional prostration state, and Korsakoff's syndrome. ... From [Symptoms of Psychosis]...Amentia, delirium, and drowsiness are the core symptoms, and hallucinations, irritable emotional collapse, and Korsakoff's syndrome also appear. These symptoms are seen regardless of the type of physical illness, and were described in 1912 by Bonhoeffer K. as an exogenous reaction type. Currently, manic-depressive and schizophrenic states are also included. ... *Some of the terminology references "Bonhoeffer, K." are listed below. Source | Heibonsha World Encyclopedia 2nd Edition | Information |
…最初は,急性精神障害の際にみられる了解の障害と錯乱を意味した。その後,ボネファーK.Bonhoefferが脳疾患と中毒性疾患を除くからだの病気のときに,原因疾患にかかわらず共通の精神症状がみられることに注目し,アメンチアを含むこれらの症状を外因反応型として記載した(1912)。以来アメンチアは,外因反応型を呈する疾患,すなわち症状精神病の特徴的な意識障害の一型とされた。… 【外因性精神病】より…これに対して外因性とは,脳の器質的変化(外傷,炎症,血管障害,腫瘍など)や脳以外の身体疾患(感染症,代謝疾患,内分泌疾患など),あるいは中毒性疾患といった器質的な原因を意味している。外因性精神病では,基礎となる身体病の軽重によってあらゆる精神症状が出現しうるが,急性期には意識障害を背景に共通の症状がみられるのが特徴であり,これをボネファーK.Bonhoefferは外因反応型または外因好発型とよんだ(1910)。ボネファーが外因反応型にあげた病像は,譫妄(せんもう),朦朧(もうろう)状態,アメンチア,幻覚症,過敏性情動衰弱状態,コルサコフ症候群である。… 【症状精神病】より…アメンチア,譫妄(せんもう),朦朧(もうろう)状態が中核的な症状で,幻覚症,過敏性情動衰弱状態,コルサコフ症候群も出現する。これらの症状は身体疾患の種類に関係なくみられるもので,1912年ボネファーK.Bonhoefferによって外因反応型として記載された。現在では躁鬱(そううつ)状態や分裂病様状態も加えられる。… ※「Bonhoeffer,K.」について言及している用語解説の一部を掲載しています。 出典|株式会社平凡社世界大百科事典 第2版について | 情報 |
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