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[Postoperative psychical disturbances (author's transl)].

H Zettler, I Flemming

    Zentralblatt Fur Chirurgie
    |January 1, 1978
    PubMed
    Summary
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    Postoperative psychosis, a form of abnormal psychical disturbance, can arise from cerebral dysfunction following surgery, not solely from the illness experience. This condition, including somatic psychotic states and "Durchgangssyndrom," is not a distinct nosological entity.

    Area of Science:

    • Neuroscience
    • Psychiatry
    • Medical Psychology

    Context:

    • Postoperative psychosis presents as abnormal psychical disturbances following surgical procedures.
    • These disturbances can stem from the psychological impact of illness or direct cerebral dysfunction.
    • Cerebral dysfunction can lead to somatic psychotic states and "Durchgangssyndrom" (transient psychotic episodes).

    Purpose:

    • To explore the origins and nature of abnormal psychical disturbances after surgery.
    • To differentiate between illness-related and cerebral dysfunction-related psychological changes.
    • To clarify the classification of postoperative psychosis.

    Summary:

    • Abnormal psychical disturbances post-surgery are linked to either the experience of illness or cerebral dysfunction.

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  • Cerebral dysfunction directly or indirectly involves the brain in the disease process, leading to specific psychiatric states.
  • Postoperative psychosis is not recognized as a distinct nosological entity in psychiatry.
  • Impact:

    • Provides a clearer understanding of the etiology of postoperative psychiatric conditions.
    • Highlights the role of cerebral dysfunction in postoperative psychosis.
    • Challenges the classification of postoperative psychosis as a standalone diagnosis.