A Rating Scale for Psychotic Symptoms (RSPS)
Abstract
The authors present a new rating scale for the psychotic symptoms of schizophrenia and related psychoses. The scale links specific symptoms of psychopathology to dysfunction and overactivity of dopaminergic mechanisms underlying the processes of reward and selective attention. The Rating Scale for Psychotic Symptoms (RSPS) is a 44-item rating instrument with a seven-point severity scale for each item. Psychotic symptoms are classified into three groups: Pathological amplification of mental images (perception symptoms) (subscale 1), Distraction symptoms (including catatonia and passivity experiences) (subscale 2), and Delusions (subscale 3). A dimensional, rather than a categorical, conceptualization of psychosis is assumed. Rating is accomplished through a manual and a semi-structured interview (SSCI-RSPS). In this first of two papers, general issues about the construction of the scale and the derivation of symptom groups are discussed. Dopamine-mediated modification of cortico-striatal synapses is seen as being of critical importance in all three groups of symptoms. In this first paper, we present subscale I (perception symptoms), which includes both amplified perceptual images (illusions) and hallucinations. A total of seven illusions and 11 hallucinations are rated as individual items.
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In a group cognitive-behavioral therapy aimed at relapse prevention for patients tapering antidepressants within 4 months, only 37% (n = 26) succeeded in discontinuing the drug and only 28% (n = 20) succeeded in discontinuing without recurrence.
“Regarding non-pharmacological interventions, when a group cognitive-behavioral therapy aimed at relapse prevention was proposed to patients who were tapering antidepressants within 4 months according to a fixed schedule, only 37% ( n = 26) of the subjects succeeded in discontinuing the drug and only 28% ( n = 20) succeeded in discontinuing without recurrence.”
From Acute and Persistent Withdrawal Syndromes Following Discontinuation of Psychotropic Medications (2020) · cites this paper as [133]
The results of the group cognitive-behavioral therapy trial might be partly due to the vulnerability of the sample under study, the majority of whom had unsuccessfully tried to discontinue before.
“as well as to the vulnerability of the sample under study, the majority had unsuccessfully tried to discontinue before [133].”
From Acute and Persistent Withdrawal Syndromes Following Discontinuation of Psychotropic Medications (2020) · cites this paper as [133]
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Brainwashing, Bipolar Disorder, Delusions, Hallucinations, and Schizophrenia
Kent, S. A. (2025) · Springer eBooks · doi:10.1007/978-3-031-98451-8_2
- Authors
- Chouinard, G., & Miller, R.
- Affiliations
- Institut universitaire en santé mentale de Montréal (CA)
- University of Otago (NZ)
- Corresponding author
- Chouinard, Guy
- ORCID
- Miller, Robert
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 1999-08
- Volume
- 38
- Issue
- 2-3
- Pages
- 101-122
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2160157920
- Cited by
- 26
- References
- 66
- Citations by year
- 2025: 1 · 2022: 1 · 2020: 3 · 2019: 1 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 1 · 2012: 1
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Research Council of New Zealand
- Division of Information Systems
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Keywords
- psychotic symptoms
- MeSH terms
- Behavioral Symptoms, Brain, Cerebral Cortex, Corpus Striatum, Dopamine, Humans, Interview, Psychological, Models, Psychological, Neural Pathways, Neuropsychological Tests, Perceptual Disorders, Perceptual Distortion, Psychiatric Status Rating Scales, Psychometrics, Psychotic Disorders
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