Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-22T16:07:12.792Z Has data issue: false hasContentIssue false
  • English
  • Français

First-Rank Symptoms of Schneider

A New Perspective?

Published online by Cambridge University Press:  02 January 2018

Michael R. Trimble
Michael R. Trimble*
Affiliation:
Institute of Neurology, Queen Square, London WC1N 3BG
Get access Rights & Permissions [Opens in a new window]

Abstract

Based on evidence from patients with epilepsy who develop a schizophrenia-like illness, it is argued that the first-rank symptoms of Schneider are closely related to temporal lobe pathology, particularly in the dominant hemisphere. It is suggested that the first-rank symptoms should be seen as signifiers of temporal lobe pathology, as opposed to being pathognomonic for schizophrenic illness.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 156 , Issue 2 , February 1990 , pp. 195 - 200
Copyright
Copyright © Royal College of Psychiatrists, 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edition) (DSM–III). Washington, DC APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edition, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Bleuler, E. (1950) Dementia Praecox or the Group of Schizophrenics (trans. Zenkin, J.). New York: New York International University Press.Google Scholar
Conlon, P., Trimble, M. R. & Rogers, D. (1988) Magnetic resonance imaging in epilepsy. Epilepsy Research, 2, 37–43.CrossRefGoogle ScholarPubMed
Conlon, P., Trimble, M. R. & Rogers, D. (1990) A study of epileptic psychosis using magnetic resonance imaging. British Journal of Psychiatry, 156, 231–235.CrossRefGoogle ScholarPubMed
Flor-Henry, P. (1969) Psychosis and temporal lobe epilepsy. Epilepsia, 10, 363–395.CrossRefGoogle ScholarPubMed
Gallhofer, B., Trimble, M. R., Frackowiak, R., et al (1985) A study of cerebral blood flow and metabolism in epileptic psychosis using positron emission tomography and oxygen–15. Journal of Neurology, Neurosurgery and Psychiatry, 48, 201–206.CrossRefGoogle Scholar
Gregoriadis, A., Fragos, E., Kapsalakis, Z., et al (1971) A correlation between mental disorders and EEG and AEG findings in temporal lobe epilepsy. Proceedings of the Vth World Congress of Psychiatry, Mexico. Mexico City: Prensa Medica Mexicana.Google Scholar
Hara, T., Hoshi, A., Takase, M., et al (1980) Factors related to psychiatric episodes in epilepsies. Folia Psychiatrica et Neurologica Japonica, 34, 329–330.Google Scholar
Heath, R. G. (1982) Psychosis and epilepsy: similarities and differences in the anatomic-physiologic substrate. In Temporal Lobe Epilepsy, Mania, Schizophrenia and the Limbic System (eds Koella, W. P. & Trimble, M. R.), pp. 106–116. Basle: Karger.Google Scholar
Hill, D. (1953) Psychiatric disorders of epilepsy. Medical Press, 229, 473–475.Google Scholar
Jensen, I. & Larsen, J. K. (1979) Psychoses in drug resistant temporal lobe epilepsy. Journal of Neurology, Neurosurgery and Psychiatry, 42, 948–954.CrossRefGoogle ScholarPubMed
Kluver, H. & Bucy, P. C. (1939) Preliminary analysis of functions of the temporal lobe in monkeys. Archives of Neurology and Psychiatry, 42, 979–1000.CrossRefGoogle Scholar
Koehler, K. (1979) First rank symptoms of schizophrenia: questions concerning clinical boundaries. British Journal of Psychiatry, 134, 236–248.CrossRefGoogle ScholarPubMed
Kristensen, O. & Sindrup, E. H. (1978) Psychomotor epilepsy and psychosis. Acta Neurologica Scandinavica, 57, 361–370.CrossRefGoogle ScholarPubMed
MacLean, P. D. (1970) The triune brain, emotion and scientific bias. In The Neurosciences, Second Study Program (eds Schmidt, F. O. & Worden, F. G.), pp. 336–349. New York: Rockerfeller University Press.Google Scholar
McGuffin, P., Farmer, A. E., Gottesman, I. I., et al (1984) Twin concordance for operationally designed schizophrenia. Archives of General Psychiatry, 41, 541–554.CrossRefGoogle Scholar
Ounsted, C. & Lindsay, J. (1981) The long-term outcome of temporal lobe epilepsy in childhood. In Epilepsy and Psychiatry (eds Reynolds, E. H. & Trimble, M. R.), pp 186–215. Edinburgh: Churchill Livingstone.Google Scholar
Papez, J. W. (1937) A proposed mechanism of emotion. Archives of Neurology and Psychiatry, 38, 725–733.CrossRefGoogle Scholar
Perez, M. M. & Trimble, M. R. (1980) Epileptic psychosis-diagnostic comparison with process schizophrenia. British Journal of Psychiatry, 137, 245–249.CrossRefGoogle ScholarPubMed
Perez, M. M. & Trimble, M. R. Reider, I., et al (1984) Epileptic psychosis, a further evaluation of PSE profiles. British Journal of Psychiatry, 146, 155–163.CrossRefGoogle Scholar
Pond, D. (1957) Psychiatric aspects of epilepsy. Journal of the Indian Medical Profession, 3, 1441–1451.Google Scholar
Schneider, K. (1974) Primary and secondary symptoms in schizophrenia. In Themes and Variations in European Psychiatry (eds Hirsch, S. R. & Shepherd, M.), pp 40–46. Bristol: John Wright.Google Scholar
Sherwin, I. (1981) Psychosis associated with epilepsy: significance of laterality of the epileptogenic lesion. Journal of Neurology, Neurosurgery and Psychiatry, 44, 83–85.CrossRefGoogle ScholarPubMed
Sherwin, I. (1982) The effect of the location of an epileptogenic lesion on the occurrence of psychosis in epilepsy. In Temporal Lobe Epilepsy, Mania, Schizophrenia and the Limbic System (eds Koella, W. P. & Trimble, M. R.), pp 81–97. Basel: Karger.Google Scholar
Slater, E. & Beard, A. W. (1963) The schizophrenia-like psychoses of epilepsy. British Journal of Psychiatry, 109, 95–150.CrossRefGoogle Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria for a Selected Group of Functional Disorders (3rd edn). New York: New York Psychiatric Institute.Google Scholar
Taylor, D. C. (1975) Factors influencing the occurrence of schizophrenia-like psychosis in patients with TLE. Psychological Medicine, 5, 249–254.CrossRefGoogle Scholar
Taylor, M. A. & Abrams, R. (1978) The prevalence of schizophrenia: a reassessment using modern diagnostic criteria. American Journal of Psychiatry, 135, 945–948.Google ScholarPubMed
Toone, B. (1982) Psychoses of epilepsy. In Epilepsy and Psychiatry (eds Reynolds, E. H. & Trimble, M. R.), pp 113–137. Edinburgh: Churchill Livingstone.Google Scholar
Trimble, M. R. (1981) Neuropsychiatry. Chichester: John Wiley & Sons.Google Scholar
Trimble, M. R. (1988) Biological Psychiatry. Chichester: John Wiley & Sons.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Description and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
Yakovlev, P. (1948) Motility, behaviour and the brain. Journal of Nervous and Mental Disease, 107, 313–335.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.