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[Diogenes syndrome].
Fortschritte Der Neurologie-Psychiatrie
|November 1, 1985
Summary
Diogenes syndrome is characterized by extreme self-neglect and social withdrawal, even without psychosis. Treatment often involves behavior therapy techniques for personality-based emotional reactions.
Area of Science:
- Geriatric Medicine
- Psychiatry
- Social Psychology
Background:
- Traditionally, extreme self-neglect and social retreat were attributed to endogenous or physically conditioned psychoses.
- Recent research identified similar behaviors in individuals without psychotic disturbances, leading to the Diogenes syndrome concept.
Observation:
- Diogenes syndrome presents as severe self-neglect, social withdrawal, and hoarding, with rejection of assistance.
- It is reportedly more common in women over 60 with a history of self-isolation.
Findings:
- The syndrome is viewed as a personality-based abnormal emotional reaction, not solely a psychotic disorder.
- Pre-existing seclusion tendencies and organic brain diseases are significant contributing factors.
Implications:
- Understanding Diogenes syndrome requires considering personality and life history, not just psychosis.
- Behavioral therapy offers a promising avenue for managing this complex condition.