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Positive and Negative Symptomatology: The State of Affairs

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Book cover Negative Versus Positive Schizophrenia

Abstract

Distinctions and dichotomies within the groups of schizophrenic disorders are as old as the concept of schizophrenia itself. Some of the distinctions were made according to the phenomenology, like the classical distinction of paranoid- hallucinatory, hebephrenic, catatonic, and simplex forms. Other distinctions are based on the prognosis (benign/non-benign, process/non-process, deficit/non-deficit, good prognosis/poor prognosis, etc.). Others are based on an assumed etiology, such as reactive (psychogenic)/process schizophrenia, or organic/endogenous schizophrenia (Marneros and Tsuang, 1991).

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References

  • Andreasen NC (1982) Negative syndromes in schizophrenia: definition and reliability. Arch Gen Psychiatry 39:784–788

    Article  PubMed  CAS  Google Scholar 

  • Andreasen NC (1983) The scale for assessment of negative symptoms. University of Iowa, Iowa City

    Google Scholar 

  • Andreasen NC (1984) The scale for assessment of positive symptoms. University of Iowa, Iowa City

    Google Scholar 

  • Andreasen NC (1985a) Positive versus negative schizophrenia. A critical evaluation. Schizophr Bull 11:380–389

    PubMed  CAS  Google Scholar 

  • Andreasen NC (1985b) Negative syndromes in schizophrenia: strategies for longterm management. Adv Biochem Psychopharmacol 40:1–7

    PubMed  CAS  Google Scholar 

  • Andreasen NC (1985c) Positive versus negative schizophenia: criteria and validation. In: Pichot P, Berner P, Wolf R, Thau K (eds) Psychiatry. The state of the art, vol. 1 : clinical psychopathology, nomenclature and classification. Plenum, New York

    Google Scholar 

  • Andreasen NC (1989) Neural mechanisms of negative symptoms. Br J Psychiatry 155 (Suppl 7): 93–98

    Google Scholar 

  • Andreasen NC (1990a) Schizophrenia: positive and negative symptoms and syndroms. Karger, Basel

    Google Scholar 

  • Andreasen NC (1990b) Positive and negative symptoms: historical and conceptual aspects. In: Andreasen NC (ed) Schizophrenia: positive and negative symptoms and syndromes. Karger, Basel

    Google Scholar 

  • Andreasen NC (1990c) Methods for assessing positive and negative symptoms. In: Andreasen NC (ed) Schizophrenia: positive and negative symptoms and syndromes. Karger, Basel

    Google Scholar 

  • Andreasen NC, Grove WM (1986) Evaluation of positive and negative symptoms in schizophrenia: definition and prevalence. Psychiatr Psychobiol 12:108–121

    Google Scholar 

  • Andreasen NC, Olsen S (1982) Negative versus positive schizophrenia. Arch Gen Psychiatry 39:789–794

    Article  PubMed  CAS  Google Scholar 

  • Andreasen NC, Flaum M, Swayze VW, Tyrell G, Arndt S (1990) Positive and negative symptoms in schizophrenia. Arch Gen Psychiatry 47:615–621

    Article  PubMed  CAS  Google Scholar 

  • Andreasen NC, Flaum M, Arndt S, Alliger R, Swayze VW (1991) Positive and negative symptomes: assessment and validity. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Angrist B, Rotrosen J, Gershon S (1980) Differential effects of amphetamine and neuroleptics on negative vs. positive symptoms in schizophrenia. Psychopharmacology 72:17–19

    Article  PubMed  CAS  Google Scholar 

  • Angrist B, Peselow E, Rubinstein M, Corwin J, Rotrosen J (1982) Partial improvement in negative schizophrenic symptoms after amphetamine. Psychopharmacology 78:128–130

    Article  PubMed  CAS  Google Scholar 

  • Arndt S, Alliger RJ, Andreasen NC (1991) The positive and negative distinction: failure of the two dimensional model. Br J Psychiatry (in press)

    Google Scholar 

  • Astrup C, Fossum A, Holmboe R (1962) Prognosis in functional psychoses. Thomas, Springfield

    Google Scholar 

  • Barnes TRE, Liddle PF (1990) Evidence for the validity of negative symptoms. In: Andreasen NC (ed) Schizophrenia: positive and negative symptoms and syndromes. Karger, Basel

    Google Scholar 

  • Berrios GE (1985) Positive and negative symptoms and Jackson. Arch Gen Psychiatry 42:95– 97

    Article  PubMed  CAS  Google Scholar 

  • Berrios GE (1991) Positive and Negative Signals: A conceptual history. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Betts BA, Walker E (1987) Positive and negative symptoms in psychotic and other psychiatrically disturbed children. J Child Psychol Psychiatry 28:555–568

    Article  Google Scholar 

  • Biehl H, Maurer K, Jablensky A, Cooper JE, Tomov T (1989) The WHO Psychological Impairments Rating Schedule (WHO/PIRS). I. Introducing a new instrument for rating observed behaviour and the rationale of the psychological impairment concept. Br J Psychiatry 155 (Suppl 7):68–70

    Google Scholar 

  • Bland RC, Parker JH, Om H (1978) Prognosis in schizophrenia: prognostic predictors and outcome. Arch Gen Psychiatry 35:72–77

    Article  PubMed  CAS  Google Scholar 

  • Bleuler E (1911) Dementia praecox oder Gruppe der Schizophrenien. In: Aschaffenburg G (ed) Handbuch der Psychiatrie. Spezieller Teil, vol 4. Deuticke, Leipzig

    Google Scholar 

  • Bleuler E (1950) Dementia praecox or the group of schizophrenias. International University Press, New York

    Google Scholar 

  • Bleuler M (1972) Die schizophrenen Geistesstörungen im Lichte langjähriger Kranken-und Familiengeschichten. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Bogerts B, Ashtari M, Degreef G, Alvir JM, Bilder RM, Lieberman JA (1990) Reduced temporal limbic structure volumes on magnetic resonance images in first episode schizophrenia. Psychiatry Res 35:1–13

    Article  PubMed  CAS  Google Scholar 

  • Bogerts B, Falkai P, Degreef G, Lieberman J (1991) Neuropathological and brain imaging studies in positive and negative schizophrenia. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Boyer P, Lecrubier V, Puech AJ (1990) Treatment of positive and negative symptoms: pharmacologic approaches. In: Andreasen NC (ed) Schizophrenia: Positive and negative symptoms and syndromes. Karger, Basel

    Google Scholar 

  • Brenner HD, Hodel B, Merlo MCG (1991) Nonpharmacological treatment concepts of negative symptomatology. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Carpenter WT, Buchanan RW (1988) Domains of psychopathology relevant to the study of etiology and treatment in schizophrenia. Schizophrenia: scientific progress. Oxford University Press, New York

    Google Scholar 

  • Carpenter WT, Heinrichs DW, Wagman AMI (1988) Deficit and nondeficit forms of schizophrenia: the concept. Am J Psychiatry 145:578–583

    PubMed  Google Scholar 

  • Carpenter WT, Buchanan RW, Kirkpatrick B, Thaker G, Tamminga C (1991) Negative symptoms: a critique of current approaches. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Ciompi L, Müller C (1976) Lebensweg und Alter der Schizophrenen. Eine katamnestische Langzeitstudie bis ins Senium. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Crow TJ (1980) Positive and negative schizophrenic symptoms and the role of dopamine. Br J Psychiatry 137:383–386

    PubMed  CAS  Google Scholar 

  • Crow TJ (1985) The two syndrome concept: origins and current status. Schizophr Bull 11:471–186

    PubMed  CAS  Google Scholar 

  • Crow TJ (1991) The demise of the Kraepelinian binary concept and the etiological unity of the psychoses. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Deister A, Marneros A, Rohde A (1991) Long-term outcome of patients with a positive initial episode versus patients with a negative initial episode. In: Marneros A, Andreasen NC, Tsuang NC (eds) Negative versus positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Eggers C (1991) Negative symptoms in the long-term course of childhood schizophrenia. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Farmer AE, McGuffin P, Spitznagel E (1983) Heterogeneity in schizophrenia. A cluster analytic approach. Psychiatry Res 8:1–12

    Article  PubMed  CAS  Google Scholar 

  • Farmer AE, McGuffm P, Gottesman II (1984) Searching for the split in schizophrenia: a twin study perspective. Psychiatry Res 13:109–118

    Article  PubMed  CAS  Google Scholar 

  • Gift TE, Strauss JS, Kokes RF et al. (1980) Schizophrenia: affect and outcome. Am J Psychiatry 137:580–585

    PubMed  CAS  Google Scholar 

  • Gross G (1989) The ‘basic’ syptoms of schizophrenia. Br J Psychiatry 155 (Suppl 7): 21–25

    Google Scholar 

  • Gross G, Huber G (1985) Psychopathology of basic stages of schizophrenia in view of formal thought disturbances. Psychopathology 18:115–125

    Article  PubMed  CAS  Google Scholar 

  • Gross G, Huber G, Schüttler R (1986) Long-term course of Schneiderian schizophrenia. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Häfner H, Maurer K (1991) Are there two types of schizophrenia? True onset and sequence of positive and negative syndromes prior to first admission. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Huber G (1983) Das Konzept substratnaher Basissymptome und seine Bedeutung für Theorie und Therapie schizophrener Erkrankungen. Nervenarzt 54:23–32

    PubMed  CAS  Google Scholar 

  • Huber G, Gross G, Schüttler R (1979) Schizophrenie. Eine Verlaufs-und sozialpsychiatrische Langzeitstudie. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Iager AC, Kirch DG, Wyatt RJ (1985) A negative symptom rating scale. Psychiatry Res 16:27–36

    Article  PubMed  CAS  Google Scholar 

  • Jackson JH (1887) Remarks on evolution and dissolution of the nervous system. J Ment Sci 33:25–48

    Google Scholar 

  • Janzarik W (1968) Schizophrene Verläufe. Eine strukturdynamische Interpretation. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Johnstone EC, Frith CD, Gold A, Stevens M (1979) The outcome of severe acute schizophrenic illnesses after one year. Br J Psychiatry 134:28–33

    Article  PubMed  CAS  Google Scholar 

  • Johnstone EC, Owens DGC, Frith CD, Crow TJ (1987) The relative stability of positive and negative features in chronic schizophrenia. Br J Psychiatry 150:65–71

    Article  Google Scholar 

  • Kay SR, Opler LA (1987) The positive-negative dimension in schizophrenia: its validity and significance. Psychiatr Dev 2:79–103

    Google Scholar 

  • Kay SR, Opler LA, Fiszbein A (1989) PANSS rating criteria: Negative Scale (N). Br J Psychiatry 155 (Suppl 7): 66–67

    Google Scholar 

  • Kirkpatrick B, Buchanan RW, McKenney PD, Alphs LD, Carpenter WT (1989) The Schedule for the Deficit Syndrome : an instrument for research in schizophrenia. Psychiatr Res 30:119–124

    Article  CAS  Google Scholar 

  • Klimke A, Klieser E (1991) The treatment of positive and negative schizophrenic symptoms with dopamine agonists. In : Marneros A, Andreasen NR, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Knight RA, Roff JD (1985) Affectivity in schizophrenia. In: Alpert M (ed) Controversies in Schizophrenia. Guilford Press, New York London

    Google Scholar 

  • Kraepelin E (1919) Dementia praecox and paraphrenia. Livingstone, Edinburgh

    Google Scholar 

  • Lewine RJ (1991) Anhedonia and the amotivational state of schizophrenia. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Lieberman JA, Kane JM, Gadalletta D, Ramos-Lorenz J, Bergmann K, Wegner J, Novacenko H (1985) Methylphenidate challenge tests and course of schizophrenia. Psychopharmacol Bull 21:123–129

    PubMed  CAS  Google Scholar 

  • Lieberman JA, Jody D, Alvir JMJ, Borenstein M, Mayerhoff DI (1991) Negative symptoms in schizophrenia: relationship to positive symptoms and outcome. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Lindenmayer JP, Kay SR, Friedman C (1986) Negative and positive schizophrenic syndromes after the acute phase: a prospective follow-up. Compr Psychiatry 27:276–286

    Article  PubMed  CAS  Google Scholar 

  • McGuffin P, Harvey I, Williams M (1991) The negative/positive dichotomy: does it makes sense from the perspective of the genetic researcher? In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Marks RC, Luchins DJ (1990) Relationship between brain imaging findings in schizophrenia and psychopathology. In: Andreasen NC (ed) Schizophrenia: Positive and negative symptoms and syndromes. Karger, Basel

    Google Scholar 

  • Marneros A (1984a) The pathognomonic value of K Schneider’s first rank symptoms in schizophrenia. Psychiatr Fenn 15:99–105

    Google Scholar 

  • Marneros A (1984b) Frequency of occurrence of Schneider’s first rank symptoms in schizophrenia. Eur Arch Psychiatry Neurol Sci 234:78–82

    Article  PubMed  CAS  Google Scholar 

  • Marneros A (1985) Schneiderian first rank symptoms in organic psychoses. In: Pichot P, Berner P, Wolf R, Thau K (eds) Psychiatry. The state of the art, vol 1. Plenum, New York

    Google Scholar 

  • Marneros A (1988) Schizophrenic first-rank symptoms in organic mental disorders. Br J Psychiatry 152: 625–628

    Article  PubMed  CAS  Google Scholar 

  • Marneros A, Tsuang MT (1991) Dichotomies and other distinctions in schizophrenia. In: Marneros A, Andreasen NC, Tsuang NC (eds) Negative versus positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Marneros A, Deister A, Rohde A, Steinmeyer EM, Jünemann H (1989a) Long-term outcome of schizoaffective and schizophrenic disorders: a comparative study. Part I: definitions, methods, psychopathological and social outcome. Eur Arch Psychiatry Neurol Sci 238:118–125

    Article  PubMed  CAS  Google Scholar 

  • Marneros A, Steinmeyer EM, Deister A, Rohde A, Jünemann H (1989b) Long-term outcome of schizoaffective and schizophrenic disorders: a comparative study. Part III: social consequences. Eur Arch Psychiatry Neurol Sci 238:135–139

    Article  PubMed  CAS  Google Scholar 

  • Marneros A, Deister A, Rohde A (1999) Long-term investigations in stability of negative/positive distinction. In: Marneros A, Andreasen NC, Tsuang NC (eds) Negative versus positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Maurer K, Häfner H (1991) Dependence, independence or interdependence of positive and negative symptoms. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. Positive Schizophrenia. Springer: Berlin Heidelberg New York

    Google Scholar 

  • McGlashan TH, Heinssen RK, Fenton WS (1990) Psychosocial treatment of negative symptoms in schizophrenia. In: Andreasen NC (ed) Schizophrenia: Positive and negative symptoms and syndromes. Karger, Basel

    Google Scholar 

  • Mellor CS (1970) First rank symptoms of schizophrenia. Br J Psychiatry 140:423–424

    Article  Google Scholar 

  • Mellor CS (1991) Methodological problems in identifying and measuring first-rank symptoms of schizophrenia. In: Marneros A, Andreasen NC, Tsuang NC (eds) Negative versus positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Meltzer HY (1991) The effect of clozapine and other atypical antipsychotic drugs on negative symptoms. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Möller HJ (1991) Typical neuroleptics in the treatment of positive and negative symptoms. In: Marneros A, Andreasen NC, Tsuang NC (eds) Negative versus positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Mortimer AM, McKenna PJ, Lund CE, Mannuzza S (1989) Rating of negative symptoms using the High Royds Evaluation of Negativity (HEN) Scale. Br J Psychiatry 155 (Suppl 7): 89–91

    Google Scholar 

  • Mundt C (1985) Das Apathiesyndrom der Schizophrenen. Eine psychopathologische und computertomographische Untersuchung. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Mundt C (1991) Constituting reality-Its decline and repair in the long-term course of schizophrenic psychoses. In : Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Pickar D, Litman RE, Konicki PE, Wolkowitz OM, Breier A (1990) Neurochemical and neural mechanisms of positive and negative symptoms in schizophrenia. In: Andreasen NC (ed) Schizophrenia: Positive and negative symptoms and syndromes. Karger, Basel

    Google Scholar 

  • Pogue-Geile MF, Harrow M (1984) Negative and positive symptoms in schizophrenia and depression. Schizophr Bull 10:371–387

    PubMed  CAS  Google Scholar 

  • Remschmidt H, Martin M, Schulz E, Gutenbrunner C, Fleischhaker C (1991) The concept of “positive and negative schizophrenia” in child and adolscent psychiatry. In : Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Reynolds JR (1858) On the pathology of convulsions, with special reference to those of children. Liverpool Med Chir J : 1–14

    Google Scholar 

  • Rohde A, Marneros A, Deister A (1991) Premorbid and sociodemographic features of initially positive and initially negative schizophrenia. In: Marneros A, Andreasen NC, Tsuang NC (eds) Negative versus positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Steinmeyer EM, Marneros A, Deister A, Rohde A (1989) Long-term outcome of schizoaffective and schizophrenic disorders: a comparative study. Part II: causal-analytic investigations. Eur Arch Psychiatry Neurol Sci 238:126–134

    Article  PubMed  CAS  Google Scholar 

  • Stieglitz RD (1991) Assessment of negative symptoms: instruments and evaluation criteria. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Süllwold L, Huber G (1987) Schizophrene Basisstörungen. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Tsuang MT, Gilbertson MW, Faraone SV (1991) Genetic transmission of negative and positive symptoms in the biological relatives of schizophrenics. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • van Kammen DP, Peters JL, Yao J, van Kammen WB, Neylan T, Shaw D (1991) Noradrenergic mechanisms, state dependency, and negative symptoms in schizophrenia. In: Greden JF, Tandon R (eds) Negative schizophrenic symptoms: pathophysiology and clinical implications. American Psychiatric Press, Washington DC

    Google Scholar 

  • Wagman AMI, Heinrichs DW, Carpenter WT (1987) The deficit and non-deficit forms of schizophrenia: neuropsychological evaluation. Psychiatry Res 22:319–330

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Psychiatrische Universitätsklinik, Sigmund-Freud-Straße 25, W-5300, Bonn, Germany

    A. Marneros

  2. Department of Psychiatry, University of Iowa, 500 Newton Road, Iowa City, 10 52242, USA

    N. C. Andreasen

Authors
  1. A. Marneros
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  2. N. C. Andreasen
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Editor information

Editors and Affiliations

  1. Psychiatrische Universitätsklinik, Sigmund-Freud-Straße 25, W-5300, Bonn, Germany

    Andreas Marneros

  2. Department of Psychiatry, University of Iowa, 500 Newton Road, Iowa City, IO, 52242, USA

    Nancy C. Andreasen MD., Ph. D.

  3. Harvard Departments of Psychiatry and Epidemiology, Brockton/West Roxbury VA Medical Center, 940 Belmont Street, Brockton, MA, 02401, USA

    Ming T. Tsuang MD., Ph. D., D. Sc.

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Marneros, A., Andreasen, N.C. (1991). Positive and Negative Symptomatology: The State of Affairs. In: Marneros, A., Andreasen, N.C., Tsuang, M.T. (eds) Negative Versus Positive Schizophrenia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76841-5_26

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  • DOI: https://doi.org/10.1007/978-3-642-76841-5_26

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