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Comment & Response
March 2018

Corollary Discharge and Psychosis—Origin of the Model—Reply

Author Affiliations
  • 1Childhood and Development Research Group, Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
  • 2Cmed Polyspecialistic Diagnostic and Therapeutic Centre, Rome, Italy
  • 3Department of Mental Health, Reggio Emilia, Italy
JAMA Psychiatry. 2018;75(3):301. doi:10.1001/jamapsychiatry.2017.3837

In Reply We are grateful to Feinberg for the timely commentary that integrates our recent educational review in JAMA Psychiatry1 from a historical perspective. The link between sensorimotor anomalies and related experiential states conferring vulnerability to schizophrenia has been thematized for long, and the seeds of its conceptual genealogy are indeed spread across several decades.2 We fully agree with Feinberg that such intellectual history is not “hopelessly remote” and, rather, could be strategic for our future understanding of the etiopathogenesis of schizophrenia and of its spectrum conditions. Where we differ from Feinberg is that we looked at the neurodevelopment of the psychotic mind as distributed along the developmental years since early childhood and expressed through vulnerability phenotypes, including manifold prepsychotic experiential features (eg, self-disorders, anomalies of the sense of agency).3-5

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