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August 1964

Age of Patient And Diagnosis of Schizophrenia

Author Affiliations

Clinical Director, Philadelphia Psychiatric Center.

Arch Gen Psychiatry. 1964;11(2):185-191. doi:10.1001/archpsyc.1964.01720260079011

Open disagreement occurs quite frequently when attempts are made to delineate the essential diagnostic features of schizophrenia. Menninger2 in writing about the International Congress on Schizophrenia that was held in 1957 said, ". . . . hundreds of different conditions (are) called Schizophrenia by different doctors. The use of such a word is thus of little importance; my opinion is that it does a great deal of damage." In American psychiatry a combination of the concepts of Freud, Bleyler, and Meyer resulted in the currently accepted nomenclature as found in the Diagnostic and Statistical Manual: Mental Disorders, of the American Psychiatric Association.4 Here placed under the large category of functional disorders, Schizophrenic Reactions are ". . . . synonomous with the formerly used term dementia praecox. It represents a group of psychotic reactions characterized by fundamental disturbance in reality relationships and concept formations with affective behavioral and intellectual disturbances in varying