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A historical account of schizophrenia proneness categories from DSM-I to DSM-5 (1952-2013)

Uma revisão histórica das categorias de propensão à esquizofrenia do DSM-I ao DSM-5 (1952-2013)

Un rappel historique des catégories de prédisposition à la schizophrénie du DSM-I au DSM-5 [1952-2013]

Una revisión histórica de las categorías de propensión a la esquizofrenia del DSM-I al DSM-5 [1952-2013]

Historischer Überblick der Schizophrenie-Kategorien von DSM-I bis DSM-5 [1952-2013]

The history of diagnostic classifications in psychiatry has been recognized as a privileged means of access to the vicissitudes inherent to the configuration of a scientific and professional field, also bringing significant contributions to conceptual history. We have taken as primary sources the five editions of the DSM (1952-2013) to examine the construction of diagnostic categories related to schizophrenia proneness, indicating the scientific and social contexts related to the development of DSM and psychiatry itself. Along this process we highlight the conditions of possibility for the emergence of the Attenuated Psychosis Syndrome, a highly controversial diagnostic proposal, in the elaboration of DSM-5. This proposal ended up being rejected not only on scientific grounds, but also because of feared unintended consequences.

Key words:
History of Diagnostic and Statistical Manual of Mental Disorders (DSM); schizophrenia; attenuated psychosis syndrome; values in psychiatry


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