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A Behavioral Phenomenon Associated With Schizophrenia With Premorbid Asociality

Frederic Quitkin, MD; Arthur Rifkin, MD; Lani McKay; Donald F. Klein, MD

Arch Gen Psychiatry. 1973;28(5):680-682.

Abstract
The schizophrenia with premorbid asociality (SPA) syndrome is reviewed and its prognosis, response to psychopharmacologic agents, and the hypothesized role of minimal brain damage in its origin is discussed.

In order to determine the relationship of a childhood history of scapegoating and the later behavioral phenomenon of being scapegoated during adolescence to a diagnosis of SPA, 42 hospitalized adolescent boys were studied. Nurses and a psychologist rated ward behavior and childhood histories for evidences of scapegoating.

Nurses judged extensive scapegoating during psychiatric hospitalization in those patients diagnosed as having SPA. A childhood history of scapegoating is useful in predicting a diagnosis of SPA only if there is also evidence of scapegoating during psychiatric hospitalization in adolescence.

Author Affiliations
Glen Oaks, NY

From the Long Island Jewish-Hillside Medical Center, Hillside Division, Glen Oaks, NY.

Footnotes
Accepted for publication Jan 13, 1973.

Reprint requests to Hillside Hospital, 75-59 263rd St, Glen Oaks, NY 11004 (Dr. Quitkin).

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Neurologic Soft Signs in Schizophrenia and Character Disorders: Organicity in Schizophrenia With Premorbid Asociality and Emotionally Unstable Character Disorders
Quitkin et al.
Arch Gen Psychiatry 1976;33:845-853.
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