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KMID : 0376719840080120412
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Seoul Journal of Psychiatry
1984 Volume.8 No. 12 p.412 ~ p.417
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Two Cases of ´Developmental Psychosis´ Manifested in Early Adolescence
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Abstract
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The author studied two 13-year-old boys who admitted because of the following out-standing symptom features.
I . They showed peculiar age-inappropriate attachment behaviors toward adult males, such as clinging, touching, even kissing and etc. Peer relationship was never satisfactory.
2. Emotionally they were very labile and unstable, and used to become suspicious or even paranoid when confronted with seperation from the attachment figures or with some unbearable stress situations. Their attitude toward parents or family members was an extremely ambivalent one.
3. They sometimes acted as if they were omnipotent and, if frustrated, showed temper tantrum. In developmental and past history extreme form of overprotection was prominent in both cases with accompanying marked deprivation of developmentally essential environmental stimuli.
4. Neither hallucination nor delusion was found but they were functionally at psychotic level.
Integrating above findings, the following conclusions were drawn:
The patients´ characteristics are supposed to be representing those of M. Mahler´s seperation-individuation process and the cases could be designated as `developmental psychosis´ (adopted from J.W. Kessler´s concept(1966) of developmental psychosis vs. regressive psychosis, applied to explaining childhood psychosis) probably caused by persistent extreme overprotection and environmental deprivation. Clinically it is differentiated from schizophrenia, schizophreniform disorder, childhood-onset pervasive developmental disorder, infantile autism or conduct disorder.
In terms of treatment, the diagnostic term, `developmental psychosis´ is much useful in understanding the nature of the disorder and establishing the therapeutic strategy.
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