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May 1951

A DYNAMIC FACTOR CORRELATED WITH THE PROGNOSIS IN PARANOID SCHIZOPHRENIA

Author Affiliations

INDIANAPOLIS

From the Division of Psychiatric Research, Department of Neuropsychiatry, Indiana University Medical Center, and the Indianapolis General Hospital.

AMA Arch NeurPsych. 1951;65(5):604-606. doi:10.1001/archneurpsyc.1951.02320050061007
Abstract

WITHIN the diagnostic category of paranoid schizophrenia, one may distinguish two clinically dissimilar varieties of reaction to projected judgments of guilt. The patients in one of these groups passively accept their projected judgments of guilt. For example, one such patient had an auditory hallucination in which he heard a voice saying, "Get that bum; he's no good." The subsequent reactions of this patient indicate that he passively accepted this projected judgment of guilt. Instead of stopping to refute the projected accusation, he fled, apparently in terror, plunging headlong through the screen door of the barracks in which he was living. In order to distinguish such patients from other paranoid schizophrenic patients who do not passively accept any judgments of guilt, even their own projections if they have them, Molholm1 has suggested that these two types of paranoid schizophrenia can be described as the passive, compliant type and the active,

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