568224 other2015
APY0010.1177/1039856214568224Australasian PsychiatryCorrespondence
Australasian
Psychiatry
Correspondence
Australasian Psychiatry 2015, Vol 23(2) 190–191 © The Royal Australian and New Zealand College of Psychiatrists 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav apy.sagepub.com
Madness at movies: psychopathology in 1968 Pasolini’s Theorem Dear Sir, We read with great pleasure the article in your journal, by Nick Wilson and colleagues1 and therefore would like to congratulate the author and the editor for their interest in this subject. Actually much of our interest in psychiatry started while watching cinema, years ago. And even today we believe that movies have a very important educative role among the general public, but especially in pre
and post-graduated psychiatry teaching. Thus we strongly recommend the reader to go through the list of 500 movies gathered by the authors.2 Although we recognize that it is hard to cite all available resources on this issue, we would kindly ask permission to just add two American references, namely a book by Glen Gabbard3 and a website by Birgit Wolz.4 Besides that we would also like to make two comments. Firstly we think that documentary films deserve a distinct “top ten”. This because they are a different type of movies, that may
have more impact and educational value due to realism, while fiction movies may have more impact because of an intensification of various themes and character portrayals. Secondly we felt that the 503 movies list2 is incomplete without the Italian 1968 Theorem5 masterpiece by Pier Paolo Pasolini (7.6 in Rotten Tomatoes; 7.2 in International Movie Data Base). Here in just one film the reader may find five characters with five completely different diagnoses (Table 1). Here we have left our small contribution for future and needed studies
Table 1. Psychopathology in 1968 Pasolini’s film Theorem Character
Psychopathological syndrome
DSM-5 diagnosis
Emilia “The Servant”
Guilt feelings Hypereligiosity Depressed mood Suicidal ideation Mystical delusion
Melancholia
Major depressive disorder with psychotic F32.3 features
Lucia “The Mother”
Frigidity Anhedonia Desinhibition Hypersexuality
Nymphomania
Borderline personality disorder
F60.3
Odetta “The Daughter”
Mutism Paralysis Clynophilia
Stupor
Unspecified Catatonia
F06.1
Pietro “The Son”
Insomnia Psychosis Bizarre behaviour Pseudo-creativity Delusion of grandiosity Laughing without reason
Schizophrenia
F20.0
Paolo “The Father”
Self-neglect Hypochondria Depressed mood Delusion of ruin Dromomania
Bipolar disorder, current episode depressed with mixed features
F31.6
Mixed state
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ICD-10 code
Correspondence
on the relationship between psychiatry and cinema. References 1. Wilson N, Heath D, Heath T, et al. Madness at the movies: Prioritised movies for self-directed learning by medical students. Australas Psychiatry 2014; 22: 450-453.
2. Background Report: Full list of 503 movies considered for the study on “Madness at the Movies: Prioritised Movies for Self-Directed Learning by Medical Students”. Available at: http://www.otago.ac.nz/wellington/otago072475.pdf (accessed 26 September 2014). 3. Gabbard GO and Gabbard K. Psychiatry and the Cinema. Second Edition. Arlington, Virginia: American Publishing, 1999.
4. Welcome to cinematherapy.com. Available at: http://www. cinematherapy.com/ (accessed 26 September 2014). 5. Teorema (film). Available at: http://en.wikipedia.org/ wiki/Teorema_(film) (accessed 26 September 2014).
João Gama Marques, Francisco Adão, Maria João Branco Lisboa, Portugal DOI: 10.1177/1039856214568224
Answers to self-assessment (from p. 181): 1. I) D) II. A) III. B) IV. C) 2. I) E) 3. C)
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