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In the present case report, Diogenes syndrome and severe domestic squalor are used interchangeably to describe the same psychopathological phenomenon. There has been a proposal for use of the term “severe domestic squalor” as a better descriptor of this syndrome ( 4). However, many authors have argued that there was not much discussion of why the eponym is appropriate and have argued that the term is a misnomer ( 4– 6). The syndrome was named after Diogenes, as the ancient Greek philosopher showed “lack of shame” and “contempt for social organization” ( 3). The term Diogenes syndrome was later coined by Clark et al. Macmillan and Shaw first described the syndrome in 1966 ( 2). A depiction of Diogenes, by French painter Jean-Leon Gerome ( 1), is shown in Figure 1. Psychiatric Bulletin, London, 1998, 22: 319-320.The onset of extreme self-neglect in elderly individuals where there is a temporal relationship to the news of a life-threatening illness has been reported in literature and referred to as Diogenes syndrome, named after the ancient Greek philosopher who lived in a barrel in the 4th-century BCE.
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Cybulska: Senile squalor: Plyushkin's not Diogenes' syndrome. Urban & Schwarzenberg, München-Wien-Baltimore, 1990. Syndrome, Sequenzen und Symptomenkomplexe.
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Krieger Publishing Company, Malabar, Florida, 1991. Stanley Jablonski: Jablonski’s Dictionary of Syndromes & Eponymic diseases.British Journal of Hospital Medicine, 1986, 36: 21-23. It is suggested that this syndrome may be a reaction late in life to stress in a certain type of personality. Personality characteristics showed them to tend to be aloff, suspicious, emotionally labile, aggressive, group-dependent, and reality-distorting individuals.
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Diogenes disorder professional#
Many had led successful professional and business lives, with good family backgrounds and upbringing. Half showed no evidence of psychiatric disorder and possessed higher than average intelligence. The mortality, especially for women, was high (46%) most of the survivors responded well and were discharged. Multiple deficiency states were found-including iron, folate, vitamin B12, vitamin C, calcium and vitamin D, serum proteins and albumin, water, and potassium. An acute presentation with falls or collapse was common, and several physical diagnoses could be made. All were known to the social-services departments and a third had persistently refused offers of help. All except two lived alone, but poverty and poor housing standards were not a serious problem. Hoarding of rubbish (syllogomania) was sometimes seen. All had dirty, untidy homes and a filthy personal appearance about which they showed no shame. Abstract: A study of elderly patients (fourteen men, sixteen women) who were admitted to hospital with acute illness and extreme self-neglect revealed common features which might be called Diogenes syndrome. A clinical study of gross neglect in old age. Shaw: Senile breakdown in standards of personal and environmental cleanliness. First serialised in All Year Round from Decemto August 1861.