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The patient's attitude is frequently hostile and aggressive, and his behavior tends to be consistent with his delusions. In general the disorder does not manifest the gross personality disorganization of the hebephrenic and catatonic types, perhaps because the patient uses the mechanism of projection, which ascribes to others characteristics he cannot accept in himself. Three subtypes of the disorder may sometimes be differentiated, depending on the predominant symptoms: hostile, grandiose, and hallucinatory.

Intracranial neoplasm, other. Other relatively rare neoplastic diseases leading to mental retardation should be included in this category and specified when possible. Encephalopathy associated with diffuse sclerosis of the brain. This category includes a number of similar conditions differing to some extent in their pathological and clinical features but characterized DEFINITIONS OF TERMS 19 by diffuse demyelination of the white matter with resulting diffuse glial sclerosis and accompanied by intellectual deterioration.

In that the depression is not due to some life experience. Opinion is divided as to whether this psychosis can be distinguished from the other affective disorders. It is, therefore, recommended that involutional patients not be given this diagnosis unless all other affective disorders have been ruled out. ") Manic-depressive illnesses (Manic-depressive psychoses) These disorders are marked by severe mood swings and a tendency to remission and recurrence. Patients may be given this diagnosis in the absence of a previous history of affective psychosis if there is no obvious precipitating event.

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