Schneiderian firstrank symptoms

Schneider(51) explicitly disclaimed any particular prognostic value for the subjective thought disorder phenomena, passivity experiences, and particular type of auditory hallucinations to which he attributed a 'first-rank' significance in the differential diagnosis between schizophrenic and affective psychoses. However, the first-rank symptoms have a marked tendency to recur in subsequent psychotic episodes. Patients with one or more first-rank symptoms on the initial examination had a threefold increase in the risk of experiencing such symptoms in subsequent episodes compared to patients with no first-rank symptoms on initial examination. (38)

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