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Cited by 675Schizophrenia research and treatmentMental Health and PsychiatryPsychoanalysis and Psychopathology Research

The Early Symptoms of Schizophrenia

Chapman, James·1966·British Journal of Psychiatry
DOI 10.1192/bjp.112.484.225
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Abstract

Since Bleuler introduced his concept of schizophrenia in 1911, there has been a steady growth of clinical and experimental data relating to this disease. However, the literature dealing with early diagnosis is sparse and as yet there is no general agreement as to what symptomatology constitutes the early clinical picture. Older texts (Kraepelin, 1919; Bleuler, 1911) do not elaborate early diagnosis, dwelling more on distinguishing schizophrenia from other disease entities. Likewise, more recent texts tend to refer to the early stages very briefly in rather vague terms, signifying the development of the disease over the first few years from its onset. Although practice varies, the diagnosis of schizophrenia is often reserved until Bleuler's primary symptoms of disordered volition, thinking and affect appear overtly, by which time there may be also some evidence of deterioration. It is recognized, however, that these symptoms may take years to appear (Gillies, 1949) so that early diagnosis cannot readily be made by using these criteria.

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Authors
Chapman, J.
Affiliations
University of St Andrews (GB)
Corresponding author
Chapman, James
Venue
British Journal of Psychiatry
Publisher
Royal College of Psychiatrists
Published
1966-03
Volume
112
Issue
484
Pages
225-251
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
DOI
10.1192/bjp.112.484.225
OpenAlex
W2166094975
Cited by
675
References
53
Citations by year
2026: 4 · 2025: 8 · 2024: 10 · 2023: 9 · 2022: 8 · 2021: 9 · 2020: 8 · 2019: 8 · 2018: 9 · 2017: 13 · 2016: 10 · 2015: 20 · 2014: 11 · 2013: 13 · 2012: 16
FWCI
15.23
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified, 18962 d)
Locations
  • The British Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
schizophrenia, early diagnosis, early symptoms, prodromal symptoms, disorganized thinking, mood disorders, disease onset
MeSH terms
Adolescent, Adult, Attention, Catatonia, Cognition, Delusions, Epilepsy, Tonic-Clonic, Epilepsy, Absence, Epilepsy, Temporal Lobe, Female, Humans, Interview, Psychological, Male, Movement, Perception, Schizophrenia, Schizophrenic Language, Schizophrenic Psychology, Speech, Thinking, Verbal Behavior, Visual Perception

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