Atheoretical Schneiders firstrank symptoms

These are still important for the diagnosis using the ICD-10 frame of reference. They are too rare to achieve high levels of sensitivity and their specificity has been challenged. Nevertheless, first-rank symptoms perform creditably on these parameters when compared to negative symptoms.(56) On the other hand, the lack of aetiological and prognostic significance of first-rank symptoms has undermined the prominence claimed for them. (78 and 9) Negative symptoms relate more consistently to outcome/prognosis and show more stability over time.(!°> They have poor diagnostic specificity and must be distinguished from depression and parkinsonism, chronic drug dependence, and organic brain damage.

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