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KMID : 0364519950060020155
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Dong-A Journal Medicine
1995 Volume.6 No. 2 p.155 ~ p.162
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Schneiderian Symptoms in Dissociative Identity Disorder
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Abstract
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Objective: This study was undertaken to investigate the prevalence psychopathology, and diagnostic value of the Schneiderian first rank symptoms of schizophrenia among patients with dissociative identity disorder. Method: The Dissociative
Disorders
Interview Schedule was administered to the 66 individuals at a Dissociative Disorder Unit in United States. Each attending doctors interviewed their patients regularly and the Director of the Unit conducted rounds for diagnostic evaluation
monitoring
treatment process of all the patients on regular basis. Results: In comparison to previous studies. The rate of false-positive diagnosis of schizophrenia among dissociative identity disorder populations has markedly been decreased recently Ninety
two
point four% of subjects had experienced one or more Schneiderian symptoms and the patients had experienced average number of 5.2 Schneiderian symptoms. Schneiderian symptoms considered to be highly correlated to a variety of dissociative symptom
clusters which were known as characteristics of individuals subjected to chronic childhood trauma. Conclusion: These findings support a reconceptualization of Schneiderian symptoms not as "psychotic" in nature, but as essentially "posttraumatic
and
dissociative". Also the author discussed concrete differential points within Schneiderian symptoms between schizophrenia and dissociative identity disorder. A high proportion of dissociative identity disorder patients have many Schneiderian
symptoms and
may have been given false-positive diagnoses of various psychotic disorders. The author indicates that the proper diagnosis of those patients has important implication for their clinical course.
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KEYWORD
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