To the EditorJAMA Psychiatry recently published an intriguing article by Kahn and Keefe1 challenging us to reconsider how we conceptualize schizophrenia and providing evidence they felt argues for positioning schizophrenia as a cognitive rather than psychotic disorder. Implicit in their message is the increased focus on functional vs clinical recovery, and they opined that our fixation on psychosis may be holding the field back. In an accompanying editorial, Heckers2 mounted a number of challenges that suggest caution in embracing such a position.
Remington G, Foussias G, Fervaha G, Agid O. Schizophrenia, Cognition, and Psychosis. JAMA Psychiatry. 2014;71(3):336–337. doi:10.1001/jamapsychiatry.2013.3532