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Formal Thought Disorders-Historical Roots.

Joana Jerónimo1,2, Tiago Queirós2, Elie Cheniaux3,4

  • 1Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.

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|November 27, 2018
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Summary

This review traces the historical development of Formal Thought Disorders, from 19th-century observations to modern classifications. Understanding these historical roots is crucial for accurate assessment in schizophrenia and psychosis.

Keywords:
descriptive psychopathologyformal thought disordershistory of psychiatrypsychopathologyschizophreniathought disorders

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Formal Thought Disorders (FTDs) have been recognized since the 19th century.
  • Key concepts were developed in the early 20th century by Kraepelin, Bleuler, and Schneider.
  • Later work by Andreasen refined FTD classification and assessment.

Purpose of the Study:

  • To provide a comprehensive historical review of Formal Thought Disorders.
  • To elucidate the evolution of the concept and its key descriptors.
  • To emphasize the importance of historical context for current clinical and research applications.

Main Methods:

  • Historical literature review.
  • Analysis of seminal works on thought disorders.
  • Synthesis of conceptual developments over time.

Main Results:

  • Early descriptions by Esquirol laid the groundwork for understanding thought disturbances.
  • Kraepelin introduced 'akataphasia,' Bleuler and Kretschmer noted 'loosening of associations,' and Schneider detailed specific FTDs.
  • Andreasen's work in the late 20th century led to reclassification and assessment tools.

Conclusions:

  • The historical trajectory of FTDs reveals a progressive refinement of diagnostic concepts.
  • Despite ongoing debate on specificity, FTDs remain universally significant in psychosis.
  • A firm grasp of FTD historical and conceptual elements is essential for effective clinical assessment and research.