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Kurt Schneider

Kurt Schneider. Schneider: The Psychotic Experience. Interested in pathognomonic symptoms “First Rank Symptoms” (FRS) E.g., voices commenting Voices arguing Thought insertion Involve a loss of the sense of autonomy of self, or “ego boundaries”. Importance of Schneiderian Ideas.

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Kurt Schneider

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  1. Kurt Schneider

  2. Schneider: The Psychotic Experience • Interested in pathognomonic symptoms • “First Rank Symptoms” (FRS) E.g., voices commenting Voices arguing Thought insertion • Involve a loss of the sense of autonomy of self, or “ego boundaries”

  3. Importance of Schneiderian Ideas • Discrete phenomena—clearly pathological or “bizarre” • Discontinuous from normality • Potentially for good reliability • Ideal for objective criterion-based systems

  4. Schneiderian Influences on Diagnostic Systems • Incorporated into Present State Examination (PSE) • Used in International Pilot Study of Schizophrenia (IPSS) • Influenced the International Classification of Disease (ICD) • Influenced the US Diagnostic and Statistical Manual (DSM)

  5. Fundamental Questions about Schizophrenia • What are the characteristic symptoms? • What are the boundaries of the concept? • Is the disorder a single illness or multiple disorders? • If multiple, what are the subtypes?

  6. Characteristic Symptoms • Schneider: specific types of delusions and hallucinations • Bleuler: fragmented thinking, inability to relate to external world • Kraepelin: emotional dullness, avolition, loss of inner unity

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