Abstract
In this chapter, we will first present a concise overview of the history of psychopathological concepts of OCS comorbidity. Around 1900, OCS and psychosis were conceptualized as antagonistic disorders, in which OCS was considered as partially preventive and indicative of a favorable prognosis. Later on this view changed dramatically. Phenomenologists stressed the importance of evaluating “obsession in the strict sense” to differentiate between obsessions and delusions in schizophrenia. The recently published DSM-5 emphasized, however, that delusional beliefs may be compatible with a diagnosis of OCD or related disorder, rather than with a schizophrenia spectrum disorder.
Thereafter we will focus on the differential diagnosis between OCS and psychosis. The following aspects may be helpful in the correct classification of OCS or psychotic phenomena: attribution and insight, uncertainty, content, association with schizophrenia symptoms, timing of onset, and remission.
Finally, we will give a short description concerning the clinical presentation of OCS in patients with psychotic disorders: time of occurrence, symptom structure, course of comorbid OCS, and association with schizophrenia symptoms.
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Abbreviations
- OCD:
-
Obsessive-compulsive disorder
- OCS:
-
Obsessive-compulsive symptoms
- Y-BOCS:
-
Yale-Brown Obsessive-Compulsive Scale
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de Haan, L., Zink, M. (2015). Clinical Presentation of Obsessive-Compulsive Symptoms in Patients with Psychotic Disorders Psychopathological Concepts, Differential Diagnosis, and Symptom Presentation. In: De Haan, L., Schirmbeck, F., Zink, M. (eds) Obsessive-Compulsive Symptoms in Schizophrenia. Springer, Cham. https://doi.org/10.1007/978-3-319-12952-5_3
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