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Cited by 610

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A Unitary Model of Schizophrenia: Bleuler's "Fragmented Phrene" as Schizencephaly

Andreasen, Nancy C.·1999·Archives of General Psychiatry

Abstract

inding a unifying concept behind the diversity of signs and symptoms in schizophrenia is a central challenge to contemporary research. A neo-Bleulerian unitary model is described, which defines the illness as a neurodevelopmentally derived "misconnection syndrome," involving connections between cortical regions and the cerebellum mediated through the thalamus (the cortico-cerebellar-thalamic-cortical circuit [CCTCC]). An abnormality in this circuitry, normally used to coordinate both motor and mental activity, leads to misconnections in many aspects of mental activity, or "cognitive dysmetria." As Bleuler originally proposed, "thought disorder" is the primary defining feature of schizophrenia, rather than the more obvious signs and symptoms such as delusions and hallucinations. Cognitive dysmetria, or a disorder in the CCTCC, may provide a heuristic theoretical framework for strategies to explore etiology, pathophysiology, intervention, or prevention.

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Metadata

Authors
Andreasen, N. C.
Venue
Archives of General Psychiatry
Published
1999-09-01
Volume
56
Issue
9
Pages
781
ISSN
0003-990X (ISSN-L)
OpenAlex
W2039238247
Cited by
610
References
5
FWCI
15.34
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: A Unitary Model of Schizophrenia: Bleuler's "Fragmented Phrene" as Schizencephaly. https://app.cochat.ai/papers/10.1001/archpsyc.56.9.781
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Andreasen, N. C. (1999). A Unitary Model of Schizophrenia: Bleuler's "Fragmented Phrene" as Schizencephaly. Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.56.9.781

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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