Shall we really say goodbye to first rank symptoms?

  title={Shall we really say goodbye to first rank symptoms?},
  author={Andreas Heinz and Martin Voss and Stephen M. Lawrie and Aaron L. Mishara and Michael Bauer and J{\"u}ergen Gallinat and Georg Juckel and Undine Emmi Lang and Michael A. Rapp and Peter G Falkai and Werner Strik and John H. Krystal and Anissa Abi-Dargham and Silvana Galderisi},
  journal={European Psychiatry},
  pages={8 - 13}
Schneider’s first-rank symptoms and treatment outcome
A systematic review shows that assessment of FRS in patients could indeed help clinicians to diagnose schizophrenia and could be useful in psychiatric diagnosis and as practical information to predict treatment outcomes of first psychotic episode.
The Two Faces of First-Rank Symptoms
When FRS are conceptualised as simple clinical indicators that require low levels of inference, the available estimates of their diagnostic accuracy are a fairly valid appraisal of their performance and usefulness, and suggest that FRS have some value in differential diagnosis.
Schneider's first-rank symptoms have neither diagnostic value for schizophrenia nor higher clinical validity than other delusions and hallucinations in psychotic disorders.
It is suggested that FRS do not have diagnostic value for diagnosing schizophrenia and that they do not meaningfully add to the external validity showed by other delusions and hallucinations.
A major flaw in the diagnosis of schizophrenia: what happened to the Schneider's first rank symptoms
The definition and assessment of the ‘experienced’ symptoms of schizophrenia, only directly observed and reported by the patients, represent a specific, crucial, irreplaceable domain of psychopathology, to be carefully distinguished from the domain of the "behavioral” symptoms observed by the clinician.
Schneider’s first-rank symptoms as predictors of remission in antipsychotic-naive first-episode psychosis
Specific FRS may predict remission after treatment in FEP patients, which could give new importance to Kurt Schneider’s classic work by contributing to future updates of diagnostic protocols and improving estimation of prognosis.
Title: Is there a symptomatic distinction between the affective psychoses and schizophrenia? A machine learning approach
Dubiety exists over whether clinical symptoms of schizophrenia can be distinguished from affective psychosis, the assumption being that absence of a “point of rarity” indicates lack of nosological
The Prehistory of Schneider's First-Rank Symptoms: Texts From 1810 to 1932.
The descriptions of these specific symptoms, with substantial continuity, over more than 2 centuries and many countries, suggest that an understanding of their etiology would teach us something foundational about the psychotic illness.


Diagnostic significance of Schneider's first-rank symptoms in schizophrenia
FRSs are not useful in differentiating schizophrenia from other psychotic disorders, and may arise from a tautological definition of the disorder.
The diagnostic status of first-rank symptoms.
Until the status of FRS is clarified in depth, it is suggested that the FRS, as these are currently defined, should be de-emphasized in the next revisions of the authors' diagnostic systems.
Are there pathognomonic symptoms in schizophrenia? An empiric investigation of Schneider's first-rank symptoms.
It was found that the first-rank symptoms (FRSs) occurred frequently enough in acute schizophrenia to have diagnostic applicability, but Schneider's system for identifying schizophrenia, while highly discriminating, leads to significant diagnostic errors if FRSs are regarded as pathognomonic.
Diagnosis and classification of schizophrenia.
Three different competing models are discussed: (1) A single etiopathological process leading to diverse manifestations, similar to multiple sclerosis; (2) multiple disease entities leading to schizophrenia by different etiopATHological processes,Similar to the syndrome of mental retardation; and (3) specific symptom clusters within schizophrenia reflecting different disease processes that come together in different ways in different patients.
First rank symptoms for schizophrenia.
The synthesis of old studies of limited quality in this review indicates that FRS correctly identifies people with schizophrenia 75% to 95% of the time.
Definition and description of schizophrenia in the DSM-5
First rank symptoms of schizophrenia: their nature and origin
It is argued that these psychopathological phenomena are indeed relatively sensitive and specific to the condition, that their nature can be formulated within a Schelerian model of what constitutes a human being, and that their origin fits anthropological and neuropsychological notions of the make-up of contemporary human beings.
Schizophrenic First-rank Symptoms in Organic Mental Disorders
  • A. Marneros
  • Psychology, Medicine
    British Journal of Psychiatry
  • 1988
In cases of some aetiologically defined groups of OMD, such as post-ictal epileptic psychoses or alcoholic hallucinosis, the frequency of FRS is similar to that in cases of schizophrenia.
A comparison of thought and perception disorders in borderline personality disorder and schizophrenia: psychotic experiences as a reaction to impaired social functioning
BPD patients reported less severe psychotic experiences with more frequent quasi-psychotic thought, less frequent true psychotic thought and more severe non-delusional paranoia than SC patients, which would validate the “stress-related paranoid ideation”, included in the ninth diagnostic criterion for DSM-IV and DSM-5 BPD.