The polysemous concepts of psychomotricity and catatonia: A European multi-consensus perspective
Détails
ID Serval
serval:BIB_841A4D2EF296
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
The polysemous concepts of psychomotricity and catatonia: A European multi-consensus perspective
Périodique
European Neuropsychopharmacology
ISSN
0924-977X
Statut éditorial
Publié
Date de publication
03/2022
Volume
56
Pages
60-73
Langue
anglais
Résumé
Current classification systems use the terms “catatonia”and “psychomotor phenomena”as mere a-theoretical descriptors, forgetting about their theoretical embedment. This was the source of misunderstandings among clinicians and researchers of the European collaboration on movement and sensorimotor/psychomotor functioning in schizophrenia and other psychoses or ECSP. Here, we review the different perspectives, their historical roots and highlight discrep- ancies. In 1844, Wilhelm Griesinger coined the term “psychic-motor”to name the physiological process accounting for volition. While deriving from this idea, the term “psychomotor”actually refers to systems that receive miscellaneous intrapsychic inputs, convert them into coherent behav- ioral outputs send to the motor systems. More recently, the sensorimotor approach has drawn on neuroscience to redefine the motor signs and symptoms observed in psychoses. In 1874, Karl Kahlbaum conceived catatonia as a brain disease emphasizing its somatic - particu- larly motor - features. In conceptualizing dementia praecox Emil Kraepelin rephrased catatonic phenomena in purely mental terms, putting aside motor signs which could not be explained in this way. Conversely, the Wernicke-Kleist-Leonhard school pursued Kahlbaum’s neuropsychi- atric approach and described many new psychomotor signs, e.g. parakinesias, Gegenhalten . They distinguished 8 psychomotor phenotypes of which only 7 are catatonias. These barely overlap with consensus classifications, raising the risk of misunderstanding. Although coming from different traditions, the authors agreed that their differences could be a source of mutual enrichment, but that an important effort of conceptual clarification remained to be made. This narrative review is a first step in this direction.
Mots-clé
Pharmacology (medical), Biological Psychiatry, Psychiatry and Mental health, Neurology (clinical), Neurology, Pharmacology
Pubmed
Web of science
Open Access
Oui
Création de la notice
21/12/2021 8:32
Dernière modification de la notice
31/07/2023 7:50