Incomprehensibility: The role of the concept in DSM-IV definition of schizophrenic delusions

  title={Incomprehensibility: The role of the concept in DSM-IV definition of schizophrenic delusions},
  author={M. Heinimaa},
  journal={Medicine, Health Care and Philosophy},
  • M. Heinimaa
  • Published 2002
  • Psychology, Medicine
  • Medicine, Health Care and Philosophy
In this paper the role of incomprehensibility in the conceptualization of the DSM-IV definition of delusion is discussed. According to the analysis, the conceptual dependence of DSM-IV definition of delusion on “incomprehensibility” is manifested in several ways and infested with ambiguity. Definition of “bizarre” delusions is contradictory and gives room for two incompatible readings. Also the definition of delusion manifests internal inconsistencies and its tendency to account for delusions… Expand
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  • M. Spitzer
  • Psychology, Medicine
  • Comprehensive psychiatry
  • 1990
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  • M. Maj
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  • The British journal of psychiatry : the journal of mental science
  • 1998
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  • D. Watt
  • Medicine, Psychology
  • The British journal of psychiatry : the journal of mental science
  • 1998