People with catatonia suffer from rigid stupors and/or lashing
about excitedly. When the DSM-III (APA, 1987) was published,
catatonia was included only as a subtype of schizophrenia. However,
clinicians noticed that catatonic symptoms appeared in people who
were not schizophrenic. When the DSM-IV (APA, 1994) was published,
allowance was made for catatonia to be diagnosed as a result of a
mood disorder or medical condition. Despite these changes, the
precedent of diagnosing schizophrenia whenever catatonic symptoms
are exhibited remains prevalent. Some speculate that mental health
professionals are unaware that catatonia can exist apart from
schizophrenia, and such ignorance may lead to inappropriate
treatment. Catatonia has additionally been observed in people who
do not meet criteria for schizophrenia, a mood disorder, or a
general medical condition, suggesting that catatonia is a unique
syndrome. Despite this evidence, catatonia was not recognized as a
syndrome in the DSM-IV. Taylor & Fink (2003) argue for the
inclusion of catatonia as a distinct and separate syndrome. This
study attempted to assess the beliefs of mental health
professionals on the issue.
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