TL;DR: There are considerable differences in frequency of individual symptoms as well as total number of such symptoms across centers, but the use of precisely agreed on definitions of first-rank symptoms may lead to better agreement.
Abstract: • First-rank symptoms of schizophrenia, such as thought insertion, thought broadcasting, "made" volition, and delusional perception, were introduced for purposes of diagnosis into a German university clinic. Such "Schneiderian" criteria were evaluated in 210 case records. Ratings employed formal definitions. Of 210 records examined, 69 (33%) of the schizophrenic patients had first-rank symptoms. The frequency of finding such symptoms in a group of schizophrenics is compared to other reports. There are considerable differences in frequency of individual symptoms as well as total number of such symptoms across centers, but the use of precisely agreed on definitions of first-rank symptoms may lead to better agreement.
TL;DR: The difficulties involved in arriving at a research definition of schizophrenia are discussed, while the unreliability of the psychiatric diagnosis of schizophrenics has been documented thoroughly.
TL;DR: The first series of Turkish inpatients with late-onset psychosis is reported, and the 9-year experience at the only inpatient geriatric psychiatry department in Turkey is described, with results and antipsychotic dosages similar to those in previous reports from other cultures.
Abstract: In this article we report the first series of Turkish inpatients with late-onset psychosis, and describe our 9-year experience at the only inpatient geriatric psychiatry department in Turkey. Among 420 patients hospitalized between 1993 and 2002, 27 were psychotic. In this group, eight patients were diagnosed as having late-onset schizophrenia (LOS) and six very-late-onset schizophrenia-like psychosis (VLOSLP). Five patients had early-onset schizophrenia and eight had delusional disorder. Females were more frequently seen in the group with LOS and the group with VLOSLP. Except for one patient with LOS, all patients with VLOSLP and LOS had paranoid psychosis. Nihilistic delusions, delusions of poverty or guilt, thought withdrawal, thought insertion, and thought broadcasting were not seen in any of the patients. Additionally, none of the LOS or VLOSLP patients showed erotomanic delusions. Grandiose and mystic delusions were not seen in those with VLOSLP. Treatment results and antipsychotic dosages at discharge were similar to those in previous reports from other cultures.
TL;DR: In this article, the authors argue that psychiatric diagnoses are not real, but are human attributes, and that they are just as real as height, weight, age, and a host of other attributes by which we characterize people.
Abstract: All three comments claim that we deny the reality of mental and emotional problems, even though Line 1, Paragraph 1 reads, "Psychological problems are real, but are not entities." All three also equate assessment of a person's specific type of problem (depression, schizophrenia, phobia, paranoia) with categorical assessment. We think that both of these errors are encouraged by the traditional categorical concepts of medicine, in which symptoms are the manifestations of specific, unseen organisms or lesions. If psychiatric diagnoses are mythical entities, how can psychological problems be real? The answer is that depression, schizophrenia, paranoia, and the like are human attributes. As such they are just as real as height, weight, age, and a host of other attributes by which we characterize people. The myth, suggested strongly by medical language and concepts, is that the essential problem is the presence of an unseen thing which disturbs the normal functioning of the organism and thus produces the observable feelings, thoughts, and behaviors. Thus a word such as "schizophrenia" is not just a name for bizarre thoughts and behaviors. It is implicitly the name of the unseen thing believed to cause those bizarre thoughts and behaviors. Our view is that the thoughts and behaviors called schizophrenia (e.g., thought broadcasting, thought insertion, hearing voices) are real. They are also distinct in that they are
TL;DR: The symptoms of egorrhea are reviewed in relation to other related psychopathologies such as social anxiety disorder (SAD) and taijin kyofusho (TKS), as well as schizophrenia.
Abstract: Based on his observations in Japanese clinical settings, Fujinawa (1972) conceptualized egorrhea syndrome, which includes symptoms such as olfactory reference syndrome, fear of eye-to-eye confrontation, delusions of sleep talking, delusions of soliloquy, and thought broadcasting. The key feature of this syndrome is self-leakage, a perceived sense that one’s personal internal information, such as feelings and thoughts, are leaking out. To reach a more comprehensive understanding of egorrhea, this paper aims to present general overview and reconsider the phenomenon of self-leakage using cultural-clinical psychology as a framework. First, the symptoms of egorrhea are reviewed in relation to other related psychopathologies such as social anxiety disorder (SAD) and taijin kyofusho (TKS), as well as schizophrenia. Second, a series of empirical studies conducted using Japanese non-clinical samples are summarized. The results of these studies form the basis for subsequent discussions, which incorporates the cultural-clinical psychology perspective proposed by Ryder, Ban, Chentsova-Dutton (2011). This paper ends with a general discussion regarding implications for research and clinical practice.