• Simona Trifu University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
  • Daniela Elena Ion Hospital for Psychiatry “Alex. Obregia”, Bucharest, Romania
  • Iulia Ioana Enache Hospital for Psychiatry “Alex. Obregia”, Bucharest, Romania
  • Antonia Ioana Trifu Medical Military Institute, Bucharest, Romania



Cognitive Deficit, Schizophrenia, Theory of Mind, Ganser Syndrome

Abstract [English]

Introduction: Disorganized schizophrenia is a subtype of schizophrenia which is not recognized in the updated version of DSM. It is found in ICD-10 with the name of hebephrenic schizophrenia. The paper presents a 27-year-old patient with multiple admissions at psychiatry for schizophrenia with an unknown onset, initially considered to be paranoid; the current level of disorganization of the behavioral acts, of the language, of the thinking, having the intensity of hebephrenic schizophrenia. The paper presents a Ganser syndrome in association with alcohol consumption and prohibited substances use.

Methods: hospitalization, psychiatric evaluation under antipsychotic treatment with haloperidol and zuclopenthixol, counseling, social assistance.

Results: The patient fulfills all the criteria for the classification in hebephrenic schizophrenia, with a reserved prognosis and an involuntary accentuated potential considering the multiple admissions, the early onset, the lack of social and family support, the absence of the obvious triggering factor, the resistance to the treatment, the probable association with the substance use. Considering school dropout and the potential subcultural context, it can be considered the presence of a mild to moderate intellectual disability.

Conclusions: In the context of the profound dissociation of the behavior, affect and thinking, the patient associate traits from the Ganser syndrome with his vulnerable personality, which are grafted on the halls created by his absent family support and emotional neglect. The bizarre attitudes and positions along with the Ganser syndrome predict a potential catatonic episode.


Download data is not yet available.


Carlson, N.R., William, M., Neil, G. (2000). Psychology, the Science of Behaviour. London: Ed. Person Education Limited.

Carney, M.W., Chary, T.K., Robotis, P., Childs, A. (1987). Ganser syndrome and its management. The British Journal of Psychiatry: the journal of mental science 151: 697–700.

Drob, S., Meehan, K. (2000). The diagnosis of Ganser Syndrome in the practice of forensic psychology. American Journal of Forensic Psychology, 18(3), 37-62.

Lieberman, A.A. (1954). The Ganser Syndrome in Psychoses. Journal of Nervous and Mental Disease, 120(1-2), 10-16. DOI:

McGlashan, T.H., Fenton, W.S. (1993). Subtype progression and pathophysiologic deterioration in early schizophrenia". Schizophr Bull. 19 (1): 71–84. doi:10.1093/schbul/19.1.71. PMID 8451614. DOI:

Montreuil, M., Doron, J. (2009). Treatise of Clinical Psychology and Psychopathology (under the direction of Serban Ionescu and Alain Blanchet). Bucharest: Trei Publishing House.

The ICD-10 Classification of Mental and Behavioural Disorders – Clinical descriptions and diagnostic guidelines (PDF). Geneva: World Health Organization.

Di Fiorino, Mario. (2007). Factitious Disorders: the Münchausen and Ganserian patients. Revista Romana de Psihiatrie. Nr.2-3/2007.

Liddle, P.F. (1987). The symptoms of chronic schizophrenia. A re-examination of the positive-negative dichotomy. Br J Psychiatry. 151 (2): 145–51.

American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th edition). Washington, DC.

Cain, J. (1998). Psihanaliza si psihosomatica. Bucuresti: Ed. Trei.

Shaw, D.S., Hyde, L.W. & Brennan, L.M. (2012). Early predictors of boys's antisocial trajectories. Development and Psychopathology, 24, 871-888. doi:10.1017/S0954579412000429 DOI:

Black, D.W. (2015). The Natural History of Antisocial Personality Disorder. Can J Psychiatry. 2015 Jul;60(7):309-14. [PMC free article] [PubMed] DOI:

Werner, K.B., Few, L.R., Bucholz, K.K. (2015). Epidemiology, Comorbidity, and Behavioral Genetics of Antisocial Personality Disorder and Psychopathy. Psychiatr Ann. 2015 Apr;45(4):195-199. [PMC free article] [PubMed] DOI:




How to Cite

Trifu, S., Ion, D. E., Enache, I. I., & Trifu, A. I. (2019). GANSER SYNDROME AS A PARTICULARITY OF THE COGNITIVE DEFICIT IN SCHIZOPHRENIA. International Journal of Research -GRANTHAALAYAH, 7(11), 222–230.

Most read articles by the same author(s)