Comparison of symptoms of psychosis and psychospiritual crisis

Acute and transient psychotic disorders, see ICD 10; Brief Psychotic Disorder, see DSM IV

Schizophrenia

Psychospiritual crisis

Psychotic symptoms occur immediately after the effect of a recognizable psycho-social stressor. Psychotic symptoms occur either suddenly or (more often) after non-specific prodromal complaints, which can last from weeks to months. Even before the onset of difficulties, the level of social functioning can be reduced. Phenomena usually follow a recognizable psycho-social stressor; seamless operation before the episode. (Lukoff)
Emotional confusion and one of the following: 1. Incoherence or loosening of associations 2. Delusions 3. Hallucinations 4. Grossly disorganized or catatonic behavior. The symptoms of schizophrenia consist of positive and negative symptoms. Positive symptoms: hallucinations, delusions or catatonia Negative symptoms: blinding emotions, reducing the veracity of speech and thought, apathy and attenuation, social withdrawal. All of the following symptoms: 1. Ecstatic mood (Lukoff) 2. Feeling of newly acquired knowledge (Lukoff) 3. Changes in perception (Lukoff and Grof) 4. Delusions are thematically related to mythology (Lukoff and Grof) 5. Undisturbed conceptual thinking 6. Positive, explorative interest in ongoing experience and its importance (Lukoff and Grof) 7. Ability to create an adequate therapeutic relationship (Grof)
Symptoms last for more than a few hours but less than 4 weeks. Symptoms last for more than 4 weeks, they are mostly chronic diseases. The symptoms last from a few minutes to several months, the acute onset of symptoms within three months or less. (Lukoff)
The final return to the premorbid level of functioning. After treatment, it may return to the premorbid level of functioning but often the disease leaves a defect in terms of persistent negative symptoms. Functioning is improved after the most intense period. (Lukoff and Grof)
The effects of psycho-social stressors are not preceded by increased psychopathology. Psychosocial stressors are often preceded by increased psychopathology. The effects of psycho-social stressors are not preceded by increased psychopathology. (Lukoff and Grof)
The disorder is not due to another mental disorder or organic damage. In etiology, mild neurodevelopmental involvement, genetic burden, maternal infection or other pregnancy complications and other developmental abnormalities are expected. The disorder is not due to another mental disorder or organic damage. (Grof)