A Dementia Syndrome of Dependency? | The British Journal of Psychiatry | Cambridge Core (original) (raw)

Abstract

The diagnostic process in a case of dementia associated with physical and emotional dependence is described. The utility of sodium amylobarbitone abreaction is considered. The role of both psychodynamic and organic factors are emphasised in the aetiological work-up. The organic factors discussed include alcohol, sedative tranquillisers, solvents, and metals. The term ‘pseudodementia’ is not favoured, and the phrase ‘dementia syndrome of dependency’ is proposed.

Type

Case Conference

References

Errebo-Knudsen, E. O. & Olsen, F. (1986) Organic solvents and presenile dementia (the painters' syndrome): a critical review of the Danish literature. Science of the Total Environment, 48, 45–67.Google Scholar

Folstein, M. F. & McHugh, P. R. (1978) Dementia syndrome of depression. In Alzheimer's Disease: Senile Dementia and Related Disorders (eds Katzman, R., Terry, R. D. & Bick, K. L.). New York: Raven Press.Google Scholar

Freed, D. M. & Kandel, E. (1988) Long-term occupational exposure and the diagnosis of dementia. Neurotoxicology, 9, 391–400.Google Scholar PubMed

Golombok, S., Moodley, P. & Lader, M. (1988) Cognitive impairment in long-term benzodiazepine users. Psychological Medicine, 18, 365–374.CrossRef Google Scholar PubMed

Hanninen, H. (1971) Psychological picture of manifest and latent carbon disulphide poisoning. British Journal of Industrial Medicine, 28, 374–381.Google Scholar

Hartman, D. E. (1988) Neuropsychological Toxicology: Identification and Assessment of Human Neurotoxic Syndromes. New York: Pergamon Press.Google Scholar

Kendrick, D. C., Gibson, A. J. & Moves, I. C. A. (1979) The revised Kendrick Battery clinical studies. British Journal of Social and Clinical Psychology, 18, 329–340.Google Scholar

Lishman, W. A. (1981) Cerebral disorders in alcoholism: syndromes of impairment. Brain, 104, 1–20.Google Scholar

Lishman, W. A. (1987) Organic Psychiatry: The Psychological Consequences of Cerebral Disorder (2nd edn). Oxford: Blackwell Scientific Publications.Google Scholar

Mahendra, B. (1983) ‘Pseudodementia’: an illogical and misleading concept. British Journal of Psychiatry, 143, 202.CrossRef Google Scholar

O'Flynn, R. R. (1988) Do organic solvents ‘cause’ dementia? International Journal of Geriatric Psychiatry, 3, 5–15.Google Scholar

Sim, M., Turner, E. & Smith, W. T. (1966) Cerebral biopsy in the investigation of presenile dementia. British Journal of Psychiatry, 112, 119–125.Google Scholar

Ward, N. G., Rowlett, D. B. & Burke, P. (1978) Sodium amylobarbitone in the differential diagnosis of confusion. American Journal of Psychiatry, 135, 75–78.Google Scholar

Weinstein, E. A., Kahn, R. A., Sugarman, L. A. & Linn, L. (1953) The diagnostic use of amylobarbital sodium (“amytal sodium”) in brain disease. American Journal of Psychiatry, 109, 889–894.CrossRef Google Scholar