Author: Dr Jennifer Cumming

Exploring first rank symptoms in a psychiatric history – OSCE guide

Kurt Schneider, a German psychiatrist pointed out certain symptoms as being characteristic of schizophrenia and therefore exhibiting a “first-rank” status in the hierarchy of potentially diagnostic symptoms.¹ However first rank symptoms can occur in other disorders such as mania or delirium which is why their isolated presence is not sufficient for a diagnosis of schizophrenia.  This guide provides examples of questions that can prove useful in exploring first rank symptoms when taking a history.  Auditory hallucinations Thought disorders Somatic hallucinations Delusional perception Passivity Closing the consultation Opening the consultation Introduce yourself Confirm patient details – name / DOB “I have to...

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