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Reaction and development of manic and melancholic-depressive patients 

Reaction and development of manic and melancholic-depressive patients
Chapter:
Reaction and development of manic and melancholic-depressive patients
Author(s):

Alfred Kraus

DOI:
10.1093/med/9780199609253.003.0018
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date: 27 February 2020

The significance of Jaspers’ differentiation of the notions of reaction and development in his General Psychopathology is shown by clinical examples of manic and melancholic as well as bipolar disturbances. Supplemented by his concepts of “situation” and “comprehensibility” the relevance of all these concepts for diagnostic classification, development and symptomatology of these states is demonstrated and discussed. These issues are compared with extended modern empirical and psychopathological research, in particular that on the personality structure of these patients. The results are brought in connection with Jaspers’ important concepts of the antinomic structure of human being, borderline situation and sc. “Gehäuse” in order to deepen our understanding of the clinical states of melancholia and mania on the background of the identity structure of these patients.

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