Schizophrenia – First-Rank Symptoms
First Rank Symptoms were first described by Kurt Schneider.
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DELUSIONAL PERCEPTION
Part of a Primary delusion. It can occur ‘out of the blue’ (Autochthonous delusion) or as a two stage process where a normal perception occurs first and then a delusion if formed around it. (Delusional perception)
e.g. ‘When I saw the red car passing by me yesterday, I knew I was going to be killed.’
AUDITORY HALLUCINATIONS
- Third-person auditory hallucinations (arguing or talking about patient) – ‘He or she’
- Running commentary on person’s actions or thoughts
- Thought echo (Gedankenlautwerden) – Thoughts spoken aloud
DELUSIONS OF THOUGHT INTERFERENCE
- Thought insertion (put into your head)
- Thought withdrawal (taken out of your head)
- Thought broadcasting (broadcast so that other people know what you are thinking)
PASSIVITY PHENOMENON OR DELUSIONS OF CONTROL
Control of the following by an external force:
- Impulses
- Actions
- Feelings
- Somatic Passivity – Passive recipient of bodily sensations imposed from outside forces.
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