Abstract

VISPE ASTOLA, Amaia; HERNANDEZ GONZALEZ, Miguel; RUIZ-FLORES BISTUER, Miguel  and  GARCIA-VALDECASAS CAMPELO, José. From acute psychosis to first psychotic episode: towards chronicity. Rev. Asoc. Esp. Neuropsiq. [online]. 2015, vol.35, n.128, pp.731-748. ISSN 2340-2733.  https://dx.doi.org/10.4321/S0211-57352015000400003.

Our work seeks to vindicate the diagnosis of acute psychosis versus first psychotic episode, which is increasing its frequency of diagnosis, based on the differences in prognosis that both concepts presented. We conduct an historical and nosographic review about ths acute psychosis concept, showing how different authors and from different perspectives described clinical picture with psychotic symptoms and full recovery. Then, we review the performative construction of concepts such as first psychotic episodes and criticize a series of unproven but influential topics in our discipline, not only in medical staff but also in patients and public opinion, for example, in relation to the development of psychotic disorders. Finally, we discuss the management of people with these disorders and the necessary attitude to carry it out in the most useful way, always focused on full recovery of those people.

Keywords : acute psychosis; first psychotic episode; stigma; recovery.

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