Ungvári Gábor
Section of Psychiatry, University Notre Dame Australia, Fremantle, WA, Australia, E-mail:
Psychiatr Hung. 2021;36(3):285-288.
Following Wernicke and Kleist's footsteps, Karl Leonhard developed a detailed nosology of psychomotor disturbances occurring in endogenous/functional psychoses. In Leonhard's classification the good prognosis cycloid motility psychosis is distinguished from the group of systemic and non-systemic catatonic schizophrenias. The diag - no sis of both types of catatonic schizophrenias is based on the recognition of a specific catatonic sign/symptom coupled with less specific, yet relatively stable other psychiatric symptoms forming unique Gestalts of psychiatric syndromes, or disease entities. These catatonic subtypes can be easily identified with practice and guidance by an experienced clinician. Apart from periodic catatonia, the other Leonhardian catatonia subtypes have never been subjected to syste - matic validation studies. The late Bertalan Petho refined the clinical description of catatonia in Leonhard's nosology and contributed to their clinical validation by conducting long-term follow-up studies.
沿着韦尼克（Wernicke）和克莱斯特（Kleist）的足迹，卡尔·莱昂哈德（Karl Leonhard）制定了一份关于内源性/功能性精神病中发生的精神运动障碍的详细疾病分类学。在莱昂哈德的分类中，预后良好的循环型运动性精神病与系统性和非系统性紧张型精神分裂症区分开来。两种类型的紧张型精神分裂症的诊断基于对特定的紧张症体征/症状的识别，以及不太特异但相对稳定的其他精神症状，这些症状形成了独特的精神综合征或疾病实体的整体形态。这些紧张型亚型在经验丰富的临床医生的实践和指导下可以很容易地识别出来。除了周期性紧张症外，莱昂哈德的其他紧张症亚型从未接受过系统的验证研究。已故的贝塔兰·佩托（Bertalan Petho）完善了莱昂哈德疾病分类学中紧张症的临床描述，并通过长期随访研究为其临床验证做出了贡献。
