Psychotic symptom patterns and the diagnosis of schizophrenia.

Abstract:

:In comparing 101 psychotic patients subtyped by DSM-III criteria into paranoia, schizophrenia, schizoaffective, and affective disorders, we failed to distinguish them on the basis of delusional and hallucinatory experiences. These 'productive', 'positive' or 'irritative' symptoms--which the literature tends to link with temporolimbic dysfunction--did not appear specifically linked to schizophrenia. By contrast, 'negative' or 'deficit' symptoms--which the literature tends to relate to frontal lobe dysfunction--appeared more specific--especially for the disorganized subtype of schizophrenia. Although these data tend to support Bleulerian over Schneiderian conceptualization of schizophrenia, the heterogeneity of neuropsychological deficits implied in the negative symptom complexes limits the nosologic utility of the rubric of schizophrenia so defined.

journal_name

Psychopathology

journal_title

Psychopathology

authors

Mauri M,Borri C,Giannotti D,Zambotto S,Cassano GB,Akiskal HS

doi

10.1159/000284747

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

5-10

issue

1

eissn

0254-4962

issn

1423-033X

journal_volume

25

pub_type

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