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[Praecox feeling in medicine]

P Bruni1, M Suppa, M G Scarpellini

  • 1Università degli Studi di Roma, La Sapienza, Roma Cattedra di Medicina d'Urgenza Policlinico Umberto I.

Minerva Psichiatrica
|September 1, 1994
PubMed
Summary

Psychiatrists can diagnose schizophrenia using "praecox feeling," a personal sensitivity to the disease's effect on oneself. This subjective diagnostic approach, requiring self-reflection and training, may extend to other medical fields.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Medical Humanities

Background:

  • The concept of "praecox gefüll" or "praecox feeling" was revisited by H. C. Rumke in 1941 and Minkowski in 1968.
  • This subjective diagnostic approach is primarily associated with the assessment of schizophrenia.

Observation:

  • Diagnosis involves not only patient examination and symptom analysis but also a diligent self-examination by the psychiatrist.
  • Praecox feeling is described as a personal ability, developed through self-training, to sense the "effect" of a disease within oneself.

Findings:

  • The study explores the subjective and intuitive aspects of psychiatric diagnosis.
  • It highlights the importance of the clinician's personal resonance with the patient's condition.

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Implications:

  • The concept of praecox feeling, currently applied in psychiatry, has potential applications in other medical disciplines.
  • This subjective diagnostic method could enhance clinical intuition and patient understanding across various medical fields.