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DSM-II

In DSM-II, this disorder is called Other alcoholic hallucinosis

Hallucinosis caused by alcohol which cannot be diagnosed as delirium tremens, Korsakov's psychosis, or alcohol deterioration fall in this category. A common variety manifests accusatory or threatening auditory hallucinations in a state of relatively clear consciousness. This condition must be distinguished from schizophrenia in combination with alcohol intoxication, which would require two diagnoses.

DSM-III

For more information, see Organic Hallucinosis

Diagnostic Criteria

A. Organic Hallucinosis with vivid auditory hallucinations developing shortly (usually within 48 hours) after cessation of or reduction in heavy ingestion of alcohol in an individual who apparently has Alcohol Dependence.

B. Response to the hallucinations appropriate to their content, e.g., anxiety in response to hallucinatory threats.

C. No clouding of consciousness, as in Delirium.

D. Not due to any other physical or mental disorder.

Differential Diagnosis

Schizophrenia

In Schizophrenia there is no temporal relation of psychotic symptoms to the cessation of alcohol use and there is a chronic course. Moreover, the age at onset of Alcohol Hallucinosis is later than in Schizophrenia, and both the family background and pre-illness personalities are not typical of those for Schizophrenia.

DSM-IV

See Substance-Induced Psychotic Disorder

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