Autistic Spectrum Disorder or Infantile Schizoprhenia: Presentation of a clinical case
Downloads
Published
How to Cite
Issue
Section
Keywords:
Autistic spectrum disorder, schizophrenia, theory of mind, social interaction, schizophrenia disorganizedAbstract
Objetive: Differential diagnosis between Autistic Spectrum Disorder and Schizophrenia. Methods: The case of a sixteen-year old boy who presents psychiatric antecedents since he was 5 years old is presented. His clinical evolution and the different diagnoses are revised. Results: A patient with difficulties in social interaction was diagnosed of Attention-Deficit Hyperactivity Disorder and Pervasive Developmental Disorders Not specified some years ago. Later the subsequent clinical evolution with presence of psychotic symptoms, disorganized behavior and cognitive deterioration made it possible to carry out the diagnosis of Schizophrenia Disorganized in his adolescence. Conclusion: The differential diagnosis between Autistic Spectrum. Disorders and Schizophrenia is complicated in the first years of life. Only the later evolution, with the presence of psychotic symptoms in strict sense, will make it possible to define a diagnosis of certainty. The symptoms of different types of schizophrenia have been compared in the literature with Autistic Spectrum Disorder, and it has been observed that they are very similar, specially, with the schizophrenia, disorganized subtype.
Downloads
References
2. Volkmar, F. R., & Cohen, D. J. Comorbid association of autism and schizophrenia. American Journal of Psychiatry 1991; 148: 1705-1707.
3. Baron- Cohen, S. (1995). Mindblindness: An Essay on Autism and Theroy of Mind Bradford/MIT Press, Cambridge, MA.
4. Skokauskas N, Gallagner L. Psychosis, Affective Disorder and Anxiety in Autistic Spectrum Disorder: Prevalence and Nosological Considerations. Psychopathology 2010; 43 :8-16.
5. Konstantareas MM, Hewitt T: Autistic disorder and Schizophrenia: diagnostic overlap. J Autism Dev Disord 2001; 31: 19-28.
6. Brüne M. Theroy of mind and the role of IQ in chronic disorganized schizophrenia. Schizophrenia Reseach 2003; 60: 57-64.
7. Kaplan, R. & Tanguay, P. (2002). Development of psychotic thingking. In M. Lewis (Ed.), Child and adolescent psychiatriy. Philadelphia, PA: Lippincott Williams & Wilkins.