Tellenbach H
Z Klin Psychol Psychopathol Psychother. 1984;32(1):4-9.
The manic paranoid results of situations of pressure, which are resulting of the higher sensibility against a remaining behind the demands of himself (" remanence "). On the way of the psychotic transcending this pathogenic situation, there can be developed a tendency to an alternation of paranoid and manic syndrome . But also the paranoid phase can be "passed over" in favour of a direct development of a mania--often after some recidives. The proximity of a real nucleus of danger belongs to the phenomenal destination which on occasion can bring in protective elements in the paranoid themes. The prepsychotic personality distinguish itself by a strong sensibility for " remanence " The tendency to take a paranoid not as "conception" (" Begriff ") but as "idea" (" Idee ") in the sense of Goethe gives the legitimation to its manifold variety and permits to put it on a scientific fundament .