- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.1 Delirium, dementia, amnesia, and other cognitive disorders
- 4.2 Substance use disorders
- 4.3 Schizophrenia and acute transient psychotic disorders
- 4.3.1 Schizophrenia: a conceptual history
- 4.3.2 Descriptive clinical features of schizophrenia
- 4.3.3 The clinical neuropsychology of schizophrenia
- 4.3.4 Diagnosis, classification, and differential diagnosis of schizophrenia
- 4.3.5 Epidemiology of schizophrenia
- 4.3.6 Aetiology
- 4.3.7 Course and outcome of schizophrenia and their prediction
- 4.3.8 Treatment and management of schizophrenia
- 4.3.9 Schizoaffective and schizotypal disorders
- 4.3.10 Acute and transient psychotic disorders
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry
Schizophrenia: a conceptual history
- Chapter:
- Schizophrenia: a conceptual history
- Author(s):
Nancy C. Andreasen
- DOI:
- 10.1093/med/9780199696758.003.0071
We know that psychotic disorders have been present and publicly recognized at least since classical times because of their portrayals in literature: the madness of Medea, the frenzied behaviour in The Bacchae, or the paranoia of Othello. Perhaps the most ‘valid’ portrayal from a modern clinical perspective is the feigned madness of ‘Poor Tom’ in King Lear. However, the definition and delineation of schizophrenia as a discrete disorder is a relatively recent phenomenon. This chapter covers the founding fathers of the concept: Kraepelin and Bleuler, Schneiderian symptoms, psychosis, and the dominance of diagnostic criteria, and the concept of positive and negative symptoms, finishing with a look present and future developments.
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- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.1 Delirium, dementia, amnesia, and other cognitive disorders
- 4.2 Substance use disorders
- 4.3 Schizophrenia and acute transient psychotic disorders
- 4.3.1 Schizophrenia: a conceptual history
- 4.3.2 Descriptive clinical features of schizophrenia
- 4.3.3 The clinical neuropsychology of schizophrenia
- 4.3.4 Diagnosis, classification, and differential diagnosis of schizophrenia
- 4.3.5 Epidemiology of schizophrenia
- 4.3.6 Aetiology
- 4.3.7 Course and outcome of schizophrenia and their prediction
- 4.3.8 Treatment and management of schizophrenia
- 4.3.9 Schizoaffective and schizotypal disorders
- 4.3.10 Acute and transient psychotic disorders
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry