Schizophrenic/paranoid psychoses: determining diagnostic divisions. 1981

R L Cromwell, and W D Pithers

Metadiagnostic guidelines are delineated for evaluating the utility of both existing diagnostic criteria and recently proposed revisions (Magaro 1980). Among the metadiagnostic guidelines are the demonstration of differential treatment-outcome relationships for different disorders and the applicability of the characteristics of a superordinate diagnosis to its subordinate (or subtype) diagnoses. The authors note the conceptual development of the schizophrenia construct. Attempts to verify the existence of subtypes of schizophrenia in psychoanalytic theory, demographic traits, psychological assessment, and behavioral research are reviewed. Data accumulated from these efforts provide evidence regarding the validity of the distinction between paranoid and nonparanoid schizophrenia proposed by Magaro (1980). The authors conclude that a number of alternate relationships between paranoid and nonparanoid subtypes may by hypothesized. Only the notion that paranoid and nonparanoid subtypes are representative of differences in severity of schizophrenia may be rejected. As yet, little evidence exists for choosing one of the remaining alternatives as correct. Integrating research from diverse fields of study is advocated in the effort to refine conceptions of psychiatric disorders. In addition to continued attempts to make improvements in psychiatric diagnosis by changing the clinical symptoms used to define disorders, refinements may be accelerated by assessing the potential utility of other sources of information as the basis for psychiatric diagnosis. Performance on tasks employed in behavioral psychopathology research may represent such an example.

UI MeSH Term Description Entries
D010259 Paranoid Disorders Chronic mental disorders in which there has been an insidious development of a permanent and unshakeable delusional system (persecutory delusions or delusions of jealousy), accompanied by preservation of clear and orderly thinking. Emotional responses and behavior are consistent with the delusional state. Paranoia,Paranoid Psychoses,Psychoses, Paranoid,Disorder, Paranoid,Disorders, Paranoid,Paranoias,Paranoid Disorder
D010465 Perception The process by which the nature and meaning of sensory stimuli are recognized and interpreted. Sensory Processing,Processing, Sensory
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D011386 Projective Techniques Techniques to reveal personality attributes by responses to relatively unstructured or ambiguous stimuli. Picture Frustration Study,Rosenzweig Picture-Frustration Study,Szondi Test,Projective Technics,Psychodynamic Assessment,Psychosomatic Assessment,Rosenzweig Picture Frustration Study,Assessment, Psychodynamic,Assessment, Psychosomatic,Assessments, Psychodynamic,Assessments, Psychosomatic,Frustration Study, Picture,Projective Technic,Projective Technique,Psychodynamic Assessments,Psychosomatic Assessments,Study, Picture Frustration,Study, Rosenzweig Picture-Frustration,Technic, Projective,Technics, Projective,Technique, Projective,Techniques, Projective,Test, Szondi
D011581 Psychological Tests Standardized tests designed to measure abilities (as in intelligence, aptitude, and achievement tests) or to evaluate personality traits. Parenting Stress Index,Trier Social Stress Test,Trier Stress Test,Psychologic Tests,Psychological Test,Test, Psychological,Tests, Psychological,Index, Parenting Stress,Psychologic Test,Stress Index, Parenting,Stress Test, Trier,Test, Psychologic,Test, Trier Stress,Trier Stress Tests
D011930 Reaction Time The time from the onset of a stimulus until a response is observed. Response Latency,Response Speed,Response Time,Latency, Response,Reaction Times,Response Latencies,Response Times,Speed, Response,Speeds, Response
D012054 Reinforcement, Psychology The strengthening of a conditioned response. Negative Reinforcement,Positive Reinforcement,Psychological Reinforcement,Reinforcement (Psychology),Negative Reinforcements,Positive Reinforcements,Psychological Reinforcements,Psychology Reinforcement,Psychology Reinforcements,Reinforcement, Negative,Reinforcement, Positive,Reinforcement, Psychological,Reinforcements (Psychology),Reinforcements, Negative,Reinforcements, Positive,Reinforcements, Psychological,Reinforcements, Psychology
D003071 Cognition Intellectual or mental process whereby an organism obtains knowledge. Cognitive Function,Cognitions,Cognitive Functions,Function, Cognitive,Functions, Cognitive
D003702 Delusions A false belief regarding the self or persons or objects outside the self that persists despite the facts, and is not considered tenable by one's associates. Delusion
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis

Related Publications

R L Cromwell, and W D Pithers
January 1982, Schizophrenia bulletin,
R L Cromwell, and W D Pithers
February 1972, The British journal of psychiatry : the journal of mental science,
R L Cromwell, and W D Pithers
January 1977, Psychiatrie, Neurologie, und medizinische Psychologie,
R L Cromwell, and W D Pithers
January 2012, Soins. Psychiatrie,
R L Cromwell, and W D Pithers
January 1983, Psychiatria clinica,
R L Cromwell, and W D Pithers
April 2012, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
R L Cromwell, and W D Pithers
January 2003, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry,
R L Cromwell, and W D Pithers
February 1988, Ceskoslovenska psychiatrie,
R L Cromwell, and W D Pithers
January 1982, Archiv fur Psychiatrie und Nervenkrankheiten,
R L Cromwell, and W D Pithers
January 1981, Schizophrenia bulletin,
Copied contents to your clipboard!