Changing Concepts in the 1970s and 1980s: The Overlap of Symptoms and Course Between Schizophrenia and Psychotic Mood Disorders

  • C. Raymond Lake


During these two decades, the number of publications that reported overlap and similarities in phenomenology between patients diagnosed with schizophrenia and psychotic mood disorders increased progressively. Also, by inference, these works questioned the Kraepelinian dichotomy and the validity of schizophrenia as a disease separate from psychotic mood disorders. There were at least 25 publications, one of which reviewed 166 other publications prior to 1978 (Pope and Lipinski 1978). However, this literature that documented the occurrence of hallucinations, delusions, disorganization, and chronicity in severe mood disordered patients appeared to have minimal, if any, impact upon academic psychiatry or the subsequent DSM’s attention to the redundant diagnostic criteria between schizophrenia and psychotic mood disorders. Psychoses and chronicity continued to be considered diagnostic of schizophrenia despite being common in psychotic mood disorders. The works of several of these authors are summarized in this chapter and in selected quotes that are given in Tables 1.1 and 10.1.


Mood Disorder Academic Psychiatry Bipolar Patient Schizoaffective Disorder Psychotic Patient 
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Authors and Affiliations

  1. 1.Department Psychiatry and Behavioral SciencesUniversity of Kansas, School of MedicineKansas CityUSA

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