Skip to main content Skip to Search Box

Definition: PSYCHOSIS from Dictionary of Psychopathology

Essentially a disorder of failed reality testing, including hallucinations, delusions, and / or mood pathology, and manifested in the schizophrenias, the affective pathologies, as well as in organic brain syndromes.

Summary Article: psychosis
From The Columbia Encyclopedia

(sīkō'sĭs), in psychiatry, a broad category of mental disorder encompassing the most serious emotional disturbances, often rendering the individual incapable of staying in contact with reality. Until recently, the term was used in contrast with neurosis, which denoted the “mild” mental disorders which did not interfere significantly with the ability to function normally, or severely impair the individual's conception of reality. In 1980, the American Psychiatric Association made sweeping changes in its classificatory system for psychological disorders, and the opposition between neurosis and psychosis became obsolete. The former classification included functional psychoses including schizophrenia, paranoia, bipolar disorder, and involutional psychotic reactions, where no brain change was detectable with available tools. Today, there are separate categories for schizophrenic disorders, mood disorders (which include bipolar disorder and major depression), and other serious mental disturbances such as delusional disorder. Symptoms of these disorders may include hallucinations and delusions; severe deviations of mood (depression and mania); lack of, or inappropriateness of, emotional response; and severe impairment of judgment. Another type of psychosis involves brief episodes, characterized by an acute onset lasting no longer than a month, usually resulting from situational circumstances such as an earthquake or flood. Nonspecified psychotic disorders include psychotic symptoms, e.g., delusions, hallucinations, or disorganized behavior, that cannot be classified in any other disorder. Drug therapy and electroconvulsive therapy have been successful in the treatment of many patients with serious psychological disorders. Organic psychoses, so called because of the structural deterioration of the brain, include senile dementia and Alzheimer's disease. Occurring in middle to old age, these disorders involve progressive, nonreversible brain damage. Organic brain damage may also result from toxic reactions to such substances as alcohol, PCP, amphetamines, and crack cocaine. In criminal law, the term insanity can be applied to most forms of psychoses, although defenses based on insanity have been relatively rare.

The Columbia Encyclopedia, © Columbia University Press 2018

Related Articles

Full text Article PSYCHOSIS
Encyclopedia of Disability

The term psychosis refers to an array of symptoms that relate to disturbances in how the brain processes perceptions and thoughts. A narrow...

Full text Article PSYCHOSIS
The Edinburgh International Encyclopaedia of Psychoanalysis

Freud compares the mechanisms of neurosis and psychosis in the following terms: in both there is a withdrawal of investment, or object-...

Full text Article Psychosis
Gale Encyclopedia of Nursing and Allied Health

Definition Psychosis is a symptom or feature of mental illness typically characterized by radical changes in personality, impaired functioning, a

See more from Credo