Table 3.
DSM-5 criteria | Behavioural equivalents | |
---|---|---|
Criterion A Core symptoms |
Delusions | Not observable when patient does not speak, or barely speaks |
Hallucinations | Hallucinatory behaviour including staring at fixed points and yelling, covering ears and at the same time uttering strange sounds, earaches without otitis, talks to himself out load, talks directly to people not there, talks out loud if upset, sensations not explainable, and says he sees things not there | |
Disorganized speech | Incoherence / word salad, derailment, (severely) impoverished speech, speech vanished, meaningless response/confused use of words (illogical speech), pressure of speech, and echolalia. | |
Disorganized behaviour | Derailment in task solving including task interruption by changing focus, sequence failure, aimlessness, rocking, repetitive behaviour, unexpected violent behaviour, meaningless response (non-verbal/gestures), using known objects wrongly (apraxia), impaired task solving in known activities | |
Negative symptoms | Social withdrawal (more than usual, decreased number of patient initiatives, apathy/fatigue, lack of motivation (fewer initiatives than usual), blunted affect, lack of spontaneity | |
Criterion B Functioning fall |
Related to self-care, work, and relationships | Neglect related to self-care, work, and relationships. Tasks usually solved are neglected |
Criterion C Duration |
Continuous signs for at least 6 months | Not relevant |
Criterion A symptoms for at least 1 month | Described above | |
Criterion D, E, F Differentials |
Other conditions are ruled out | Not relevant |