Description

Andreasen and Olsen developed criteria for separation of the major clinical subtypes of schizophrenia. In the positive form of schizophrenia florid symptoms dominate while in negative schizophrenia clinical deficits are seen. The authors are from the University of Iowa.


 

Features of positive schizophrenia:

(1) hallucinations (auditory, haptic or olfactory)

(2) delusions (persecutory, jealous, somatic, religious, grandiose, fantastic)

(3) positive formal thought disorder (marked incoherence, derailment, tangentiality, illogicality)

(4) repeated instances of bizarre or disorganized behavior

 

Features of negative schizophrenia:

(1) alogia (marked poverty of speech, poverty of speech content)

(2) flattened affect

(3) anhedonia-asociality (inability to experience pleasure or to feel intimacy; few social contacts)

(4) avolition-apathy (anergia, impersistence at work or school)

(5) attentional impairment

 

Each of these is graded on a 0 to 5 Likert-type scale, based on factors such as persistence, frequency and effect on lifestyle. A finding >= 4 considered prominent/marked.

Type of Schizophrenia

Positive Features

Negative Features

positive

>= 1 marked

none marked

negative

none marked

>= 2 marked

 

If the person does not fulfill the criteria for either positive or negative schizophrenia, then the person is classified as mixed.

 


To read more or access our algorithms and calculators, please log in or register.