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Negative Versus Positive Schizophrenia pp 79–95Cite as

Anhedonia and the Amotivational State of Schizophrenia

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Abstract

Acedia, a condition characterized in medieval times by pathological mental or spiritual torpor, was considered one of the seven deadly sins (Gilman 1982). Some 4 centuries later, we continue to struggle with the conceptualization and operationalization of motivation and, of specific concern to psychopathologists, with its status in individuals with schizophrenia. Carpenter (1987), for example, wrote that, “It has proved humane, heuristic, and scientifically valid to view persons with the disordered functions associated with schizophrenia as having an illness. Alternative views of persons with schizophrenia as immoral, self absorbed, unmotivated (emphasis added), demonically possessed, criminal, socially deviant, politically dissident, representing an extreme on normal dimensions of personal functioning, or simply as the irredeemable fringe of society have led to neglect and punishment” (p. 4).

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Author information

Authors and Affiliations

  1. Department of Psychiatry, Emory University School of Medicine, Atlanta, GA, 30322, USA

    R. R. J. Lewine

Authors
  1. R. R. J. Lewine
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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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© 1991 Springer-Verlag Berlin Heidelberg

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Lewine, R.R.J. (1991). Anhedonia and the Amotivational State of Schizophrenia. 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_6

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  • DOI: https://doi.org/10.1007/978-3-642-76841-5_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-76843-9

  • Online ISBN: 978-3-642-76841-5

  • eBook Packages: Springer Book Archive

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