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Motor, Volitional and Behavioural Disorders in Schizophrenia

2: The ‘Conflict of Paradigms' Hypothesis

Published online by Cambridge University Press:  02 January 2018

P. J. McKenna ,
C. E. Lund ,
A. M. Mortimer  and
C. A. Biggins
P. J. McKenna*
Affiliation:
Fulbourn Hospital, Cambridge CB1 5EF
C. E. Lund
Affiliation:
High Royds Hospital, Menston, Ilkley LS21 2LY
A. M. Mortimer
Affiliation:
St Luke's Hospital, Crosland Moor, Huddersfield HD4 5RQ
C. A. Biggins
Affiliation:
Academic Department of Psychiatry, University of Leeds, 15 Hyde Terrace, Leeds LS2 9LT
*
∗Correspondence
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Abstract

An alternative to the conventional separation of extrapyramidal and catatonic symptoms exists in the ‘conflict of paradigms' hypothesis, which proposes that there is a relative rather than absolute distinction between the two. The hypothesis predicts that a clinical association should exist between extrapyramidal and catatonic symptoms in schizophrenia. After rating 75 schizophrenic patients, a highly significant correlation between scores on the two classes of disorder was indeed found. This was composed of separate correlations between tardive dyskinesia and ‘positive’ catatonic phenomena, and Parkinsonism and ‘negative’ catatonic phenomena. The associations were not easily attributable to confounding factors and they were supported by factor analysis.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 158 , Issue 3 , March 1991 , pp. 328 - 336
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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