This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

CRAIG MCKENNA, MD
Department of Veterans Affairs West Side Medical Center 820 S Damen Chicago, IL 60612

Arch Gen Psychiatry. 1992;49(12):997-998.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In their recent article, Cornelius and colleagues¹ have advanced the description of the phenomena and associated clinical findings in the organic delusional syndrome. Given the syndrome's clinical complexities in terms of etiologic heterogeneity and unknown pathophysiologic findings, research is begging for basic, precise, and accurate clinical description to give organization, coherence, and consistency to our observations in this syndrome. Indeed, the entire area of those organic brain syndromes without significant cognitive impairment is fraught with semantic and nosologic difficulties even prior to the accurate and consistent clinical phenomenologic description. These issues confront the DSM-IV work group on Organic Mental Disorders.²

A problem in the article has to do with a lack of nosologic discrimination and preciseness. All the clinical descriptors of "acquired intellectual impairment," "poor concentration," and "impaired sensorium" indicate cognitive impairment. As used in the study, DSM-III³ and DSM-III-R⁴ criteria emphasize that . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?