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Revista de la Asociación Española de Neuropsiquiatría

On-line version ISSN 2340-2733Print version ISSN 0211-5735


RODRIGUEZ RODRIGUEZ-CARO, Carlos Jesús; VEGA DAVILA, Dulcinea; FLORIDO RODRIGUEZ, Mónica  and  ASCENSION GODOY, Cristina. From the answer to madness and madness as an answer. Rev. Asoc. Esp. Neuropsiq. [online]. 2013, vol.33, n.120, pp.763-768. ISSN 2340-2733.

A case involving a 40-years old woman attended by the Emergency Service (at the request of her daughter). The woman claimed she had had contact with her late brother-in-law and felt "as if he had been inside her". The patient also said that the deceased had expressed his desire to see his widow recover her intimate personal and family life. During the psychopathological observation, vocalizations of prejudicial ideas, among other data, were noted. The patient's daughter repeatedly specified an association between the intake of contraceptive treatment with hormonal intrauterine device (levonorgestrel) and premorbid symptoms (characterized by apathy, abulia and partial abandonment of her routine activities). A differential diagnosis was proposed among which, a psychotic disorder, a dissociative disorder, or a possible induction by the hormonal treatment, was presented. The clinical progress and the knowledge of the patient's vital situation will help determine the clinical picture.

Keywords : Life Change Events; Dissociative Disorders; Psychotic Disorders; Classification.

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