This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Michael A. Taylor, MD

Arch Gen Psychiatry. 1972;26(1):64-67.

Abstract
The records of 78 male patients diagnosed as schizophrenic admitted to a closed psychiatric ward were reviewed. Patient age, race, social class, response to treatment, need for somatic treatment, disposition, and final diagnosis were related to the presence or absence of schneiderian first-rank symptoms and good or poor prognostic signs. Patients exhibiting first-rank symptoms and those exhibiting poor prognostic signs were found to be suffering from the same illness. They were younger, responded less well to treatment, required further hospitalization, and more frequently received high-dose neuroleptics than the clinically heterogeneous patients exhibiting good prognostic signs and without first-rank symptoms. The use of first-rank symptoms and prognostic signs as a diagnostic checklist of schizophrenia and as predictors of response to treatment and clinical outcome is discussed.

Author Affiliations
Oakland, Calif

From Department of Psychiatry, Naval Hospital, Oakland, Calif. Dr. Taylor is currently with the Division of Biological Psychiatry, Department of Psychiatry, New York Medical College.

Footnotes
Accepted for publication April 17, 1971.

Reprint requests to 9 Covent PI, Hartsdale, NY 10530 (Dr. Taylor).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Diagnostic Status of First-Rank Symptoms
Nordgaard et al.
Schizophr Bull 2008;34:137-154.
ABSTRACT | FULL TEXT  

Symptoms of Schizophrenia: Methods, Meanings, and Mechanisms
Andreasen et al.
Arch Gen Psychiatry 1995;52:341-351.
ABSTRACT  

The Road to Nosologic Nirvana-Reply
Harrow and Silverstein
Arch Gen Psychiatry 1981;38:1298-1299.
ABSTRACT  

Schneiderian First-Rank Symptoms in Schizophrenia
Silverstein and Harrow
Arch Gen Psychiatry 1981;38:288-293.
ABSTRACT  

Schizophrenia-Primary Affective Disorder Discrimination: I. Development of a Data-Based Diagnostic Index
Fowler et al.
Arch Gen Psychiatry 1980;37:811-814.
ABSTRACT  

Diagnosis in Schizophrenia and Manic-Depressive Illness: A Reassessment of the Specificity of 'Schizophrenic' Symptoms in the Light of Current Research
Pope and Lipinski
Arch Gen Psychiatry 1978;35:811-828.
ABSTRACT  

Prognosis in Schizophrenia: Prognostic Predictors and Outcome
Bland and Parker
Arch Gen Psychiatry 1978;35:72-77.
ABSTRACT  

First-Rank Symptoms of Schizophrenia in Schneider-Oriented German Centers
Koehler et al.
Arch Gen Psychiatry 1977;34:810-813.
ABSTRACT  

Consistency of Kurt Schneider-Oriented Diagnosis Over 40 Years
Koehler and Steigerwald
Arch Gen Psychiatry 1977;34:51-55.
ABSTRACT  

Hopelessness, Depression, and Suicide Intent
Wetzel
Arch Gen Psychiatry 1976;33:1069-1073.
ABSTRACT  

Are There Pathognomonic Symptoms in Schizophrenia? An Empiric Investigation of Schneider's First-Rank Symptoms
Carpenter et al.
Arch Gen Psychiatry 1973;28:847-852.
ABSTRACT  

Psychiatry and Pseudopsychiatry
Akiskal and McKinney
Arch Gen Psychiatry 1973;28:367-373.
ABSTRACT  

Acute Psychosis Induced by Psychotomimetic Drug Abuse: I. Clinical Findings
Bowers
Arch Gen Psychiatry 1972;27:437-440.
ABSTRACT