Highlights From The Comments On Geography Of Madness

Plus: A case for culture-bound mental disorder skepticism

https://astralcodexten.substack.com/p/highlights-from-the-comments-on-geography

[Original post: The Geography Of Madness]

Thomas Reilly (author of Rational Psychiatry) writes:

I don’t think Bouffée délirante is a culture bound syndrome - it’s just the French equivalent of brief psychotic disorder (DSM), acute and transient psychotic disorder (ICD), or Brief Limited Intermittent Psychotic symptoms (CAARMS). [See] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8581951/

I responded “Have you ever seen BPS? I almost never have, and was told it was mostly used as a code for new-onset schizophrenia that didn't satisfy the time criterion yet,” and Dr. Reilly wrote:

Yes, in the context of an At Risk Mental State service, where it makes up roughly 20% of referrals https://www.sciencedirect.com/science/article/pii/S0924977X20302510 .