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The Symptoms of Chronic Schizophrenia

A Re-examination of the Positive-Negative Dichotomy

Published online by Cambridge University Press:  02 January 2018

Peter F. Liddle*
Affiliation:
Charing Cross and Westminster Medical School, and Academic Unit, Horton Hospital, Long Grove Road, Epsom, Surrey KT19 8PZ
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The relationships between symptoms in 40 schizophrenic patients, selected for persistence of symptoms, were examined. The symptoms segregated into three syndromes: psychomotor poverty (poverty of speech, lack of spontaneous movement and various aspects of blunting of affect): disorganisation (inappropriate affect, poverty of content of speech, and disturbances of the form of thought): and reality distortion (particular types of delusions and hallucinations). Both the psychomotor poverty and disorganisation syndromes were associated with social and occupational impairment; in particular, the psychomotor poverty syndrome was associated with impairment of personal relationships, and the disorganisation syndrome with poor self-care and impersistence at work.

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Copyright © Royal College of Psychiatrists, 1987 

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