The Two Faces of First-Rank Symptoms

@article{Picardi2019TheTF,
  title={The Two Faces of First-Rank Symptoms},
  author={A. Picardi},
  journal={Psychopathology},
  year={2019},
  volume={52},
  pages={221 - 231}
}
  • A. Picardi
  • Published 2019
  • Psychology, Medicine
  • Psychopathology
Recently, there has been renewed interest in Schneider’s first-rank symptoms (FRS) of schizophrenia, thanks in part to a meta-analysis of their diagnostic accuracy, which deserves much credit for its methodological rigor. Conceptualising FRS as a diagnostic test whose performance can be measured in terms of sensitivity and specificity involves some issues that require reflection. First, the full adequacy of sensitivity as a measure of diagnostic accuracy for FRS might be questioned. However, it… Expand
6 Citations
Schneider's first-rank symptoms have neither diagnostic value for schizophrenia nor higher clinical validity than other delusions and hallucinations in psychotic disorders.
TLDR
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. Expand
A major flaw in the diagnosis of schizophrenia: what happened to the Schneider's first rank symptoms
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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. Expand
S0033291720001816jrv 1409..1417
Kurt Schneider introduced in the definition of the first-rank symptoms (FRS) the criterion that, where unequivocally present, the FRS are always psychological primaries and irreducible. ThisExpand
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Front & Back Matter

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