Skip to main content

Catatonic Behavior

  • Living reference work entry
  • First Online:
Encyclopedia of Clinical Neuropsychology

Synonyms

Catatonia

Short Description

Catatonic behavior is characterized by marked disturbances in psychomotor movements that occur within the context of a psychiatric or medical condition. According to the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5), catatonic features are identified, and the catatonic specifier or residual category is appropriate, when there are at least three of the following:

  • Stupor (no psychomotor activity, not relating to environment)

  • Catalepsy (passive induction of a posture held against gravity)

  • Waxy flexibility (resistance to positioning by examiner)

  • Mutism (no, or very little, verbal response)

  • Negativism (opposition or no response to instructions or external stimuli)

  • Posturing (spontaneous and active maintenance of a posture against gravity)

  • Mannerism (peculiar, circumstantial caricature of normal actions)

  • Stereotypy (repetitive, abnormally frequent, non-goal-directed movements)

  • Agitation, not influenced by external stimuli

    ...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References and Readings

  • Abrams, R., & Taylor, M. A. (1976). Catatonia: A prospective clinical study. Archives of General Psychiatry, 33(5), 579–581.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Bush, G., Fink, M., Petrides, G., Dowling, F., & Francis, A. (1996). Catatonia. I. Rating scale and standardized examination. Acta Psychiatrica Scandanavica, 93, 129–136.

    Article  Google Scholar 

  • Caroff, S. N., & Ungvari, G. S. (2007). Expanding horizons in catatonia research. Psychiatric Annals, 37(1), 7–9.

    Google Scholar 

  • Consoli, A., Raffin, M., Laurent, C., Bodeau, N., Campion, D., Amoura, Z., Sedel, F., An-Gourfinkel, I., Bonnot, O., & Cohen, D. (2012). Medical and developmental risk factors of catatonia in children and adolescents: A prospective case-control study. Schizophrenia Research, 137(1–3), 151–158.

    Article  PubMed  Google Scholar 

  • Dhossche, D. M., Stoppelbein, L., & Rout, U. K. (2010). Etiopathogenesis of catatonia. The Journal of ECT, 26, 253–258.

    Article  PubMed  Google Scholar 

  • Fink, M. (2013). Rediscovering catatonia: The biography of a treatable syndrome. Acta Psychiatrica Scandanavica, 127(Suppl 441), 1–47.

    Article  Google Scholar 

  • Fink, M., & Taylor, M. A. (2003). Catatonia: A clinician’s guide to diagnosis and treatment. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Fink, M., & Taylor, M. A. (2006). Catatonia: Subtype or syndrome in DSM? American Journal of Psychiatry, 163, 1875–1876.

    Article  PubMed  Google Scholar 

  • Francis, A., Fink, M., Appiani, F., Bertelsen, A., Bolwig, T. G., Bräunig, P., …, & Wachtel, L. (2010). Catatonia in diagnostic and statistical manual of mental disorders, fifth edition. Journal of ECT, 26(4), 246–247.

    Google Scholar 

  • Gelenberg, A. J. (1976). The catatonic syndrome. Lancet, 1(7973), 1339–1341.

    Article  PubMed  Google Scholar 

  • Lohr, J., & Wisniewski, A. A. (1987). Catatonia. In J. Lohr & A. A. Wisniewski (Eds.), Movement disorders: A neuropsychiatric approach. New York: Guilford Press.

    Google Scholar 

  • Northoff, G., Nagel, D., Danos, P., Leschinger, A., Lerche, J., & Bogerts, B. (1999). Impairment in visual-spatial function in catatonia: A neuropsychological investigation. Schizophrenia Research, 37, 133–147.

    Article  PubMed  Google Scholar 

  • Penland, H. R., Weder, N., & Tampi, R. R. (2006). The catatonic dilemma expanded. Annals of General Psychiatry, 5(14), 1–9.

    Google Scholar 

  • Rosebush, P. I., Hildebrand, A. M., Furlong, B. G., & Mazurek, M. F. (1990). Catatonic syndrome in a general psychiatric inpatient population: Frequency, clinical presentation, and response to lorazepam. Journal of Clinical Psychiatry, 51, 357–362.

    PubMed  Google Scholar 

  • Tandon, R., Heckers, S., Bustillo, J., Barch, D. M., Gaebel, W., Gur, R. E., Malaspina, D., Owen, M. J., Schultz, S., Tsuang, M., van Os, J., & Carpenter, W. (2013). Catatonia in DSM-5. Schizophrenia Research, 150(1), 26–30.

    Article  PubMed  Google Scholar 

  • Taylor, M. A., & Fink, M. (2003). Catatonia in psychiatric classification: A home of its own. American Journal of Psychiatry, 160, 1233–1241.

    Article  PubMed  Google Scholar 

  • Weder, N. D., Muralee, S., Penland, H., & Tampi, R. R. (2008). Catatonia: A review. Annals of Clinical Psychiatry, 20(2), 97–107.

    Article  PubMed  Google Scholar 

  • Wing, L., & Shah, A. (2006). A systematic examination of catatonia-like clinical pictures in autism spectrum disorders. International Review of Neurobiology, 72, 21–39.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Farzin Irani .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this entry

Cite this entry

Irani, F., Kalkstein, S. (2017). Catatonic Behavior. In: Kreutzer, J., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-56782-2_1276-2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-56782-2_1276-2

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56782-2

  • Online ISBN: 978-3-319-56782-2

  • eBook Packages: Springer Reference Behavioral Science and PsychologyReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences

Publish with us

Policies and ethics