Hostname: page-component-7b7567c8c-wxvwp Total loading time: 0 Render date: 2026-11-15T14:52:48.020Z Has data issue: false hasContentIssue false

Asthma and Psychosis

Published online by Cambridge University Press:  08 February 2018

Denis Leigh
Affiliation:
Maudsley Hospital, London
John W. Lovett Doust
Affiliation:
University of Toronto
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the 'Save PDF' action button.

Scattered throughout the literature on the psychiatric aspects of asthma are reports of cases where the psychiatric disturbance was severe enough to be described as “psychotic” (Reichmann, 1922; Hansen, 1929; St. Saxl, 1933; Oberndorf, 1935). The term “psychotic” was used in the sense that the psychiatric diagnosis was either that of manic-depressive psychosis, schizophrenia, or paranoid psychosis. It has been postulated, moreover, that the co-existence of a psychosis and attacks of asthma was no chance relationship, and that there was an intimate link between the psychosis and the somatic disturbance. This relationship, it has been said, is of considerable theoretical significance. Appel and Rosen (1950), for example, consider that “there is a reciprocal relationship between the so-called physical manifestations of psychosomatic illness and the psychological manifestations of psychiatric illness.” This concept is also held to apply in disorders other than asthma—in ulcerative colitis, rheumatoid arthritis, and in certain skin disorders. The treatment of such disorders psycho-therapeutically is said to result at times in an alleviation of the physical disorder, but the concomitant development of a psychotic reaction (Appel and Rosen, 1950; Lindemann, 1950). During the past three years an investigation of patients suffering from asthmatic attacks has been in progress, and the opportunity has arisen to examine these points on a fairly large case material. The present paper reports an attempt to investigate scientifically some aspects of the relationship between asthma and psychosis.

Information

Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1953 
Submit a response

eLetters

No eLetters have been published for this article.