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The Clinical Features Of Paranoia In The 20th Century And Their Representation In Diagnostic Criteria From Dsm-Iii Through Dsm-5, Kenneth S. Kendler Jan 2017

The Clinical Features Of Paranoia In The 20th Century And Their Representation In Diagnostic Criteria From Dsm-Iii Through Dsm-5, Kenneth S. Kendler

Psychiatry Publications

This review traces, through psychiatric textbooks, the history of the Kraepelinian concept of paranoia in the 20th century and then relates the common reported symptoms and signs to the diagnostic criteria for paranoia/delusional disorder in DSM-III through DSM-5. Clinical descriptions of paranoia appearing in 10 textbooks, published 1899 to 1970, revealed 11 prominent symptoms and signs reported by 5 or more authors. Three symptoms (systematized delusions, minimal hallucinations, and prominent ideas of reference) and 2 signs (chronic course and minimal affective deterioration) were reported by 8 or 9 of the authors. Four textbook authors rejected the Kraepelinian concept of paranoia. …