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The predelusional state: a conceptual history.

F Fuentenebro, G E Berrios

Comprehensive Psychiatry 1995 DOI: 10.1016/s0010-440x(95)90069-1 (opens in new tab)

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AI-extracted from the abstract
Characteristics Review Peer reviewed
Key findings Argues that the predelusional state consists of fleeting, hard-to-describe experiences that patients may report differently depending on culture, personal codes, and the interviewer's conceptual framework, and that since the 19th century it has been regarded as a disorder of cognition, emotions, volition, and consciousness.

Abstract

The predelusional state (PDS) is defined as the set of psychopathologic events preceding the crystallization of delusions, and includes strange cognitions, moods, conations, and motor acts that may be fleeting and defy description. This review exclusively deals with the historic aspects of PDS. It is noted that during PDS the patient is expected to report experiences for which, on account of their novelty, he may not even have a name. Thus, it is quite likely that according to culture and personal codes and to the conceptual brief of the interviewer, similar experiences might be reported as depersonalization, bodily sensations, dysphoria, changes in perception of reality or time, dissolution of "ego boundaries," etc. It is therefore not surprising that since the 19th century, PDS has been considered a disorder of cognition, emotions, volition, and consciousness.

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