{Schizophrenia and Manic Depression (1) [continued (4)]}[15th June 1988]

[Redbook5:159][19880615:1642e]{Schizophrenia and Manic Depression (1) [continued (4)]}[15^th June 1988]

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There are variations of both manic-depression and schizophrenia – involutional melancholia, and involutional paranoid state (or paraphrenia) which occur during the 'involutional' period of life, i.e. 48-60 years of age[.]* I[nvolutional] M[elancholia] is three times as frequent in women as in men.

Paranoia may be a variety of schizophrenia – the difference being that the systems of delusions are logically supported on false premises (& co-incidences),** whereas schizophrenics apparently employ peculiar logic. Most likely in unmarried males, 40-50, bad relators, poor sex adjustment.

***It is interesting that not only communication (more recently) but transformation (historically) have played a great part in treatment of mental disease – without the patient's co-operation, and historically often involving unpleasantness, pain,**** shock, even as expiation or punishment: '– a history of almost 2,000 years of continuous violence in the treatment of the mentally disturbed.'#

*(i.e. 2^nd half of Outer Circle, or more like G~ sector.)

[Involution: (3) In psychiatry, mental decline associated with advanced age (Farlex Partner Medical Dictionary.]

**Hmm!

***E[ncyclopaedia ]B[ritannica] [(15^th Ed)].XV.969

****cf T.XII, at R~.

#[Presumably, from E[ncyclopaedia ]B[ritannica] [(15^th Ed)].XV.963ff]

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