The British Journal of Psychiatry (2010) 196: 92-95. doi: 10.1192/bjp.bp.109.073429
© 2010 The Royal College of Psychiatrists
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REAPPRAISAL

The Kraepelinian dichotomy – going, going... but still not gone

Nick Craddock, PhD, FRCPsych and Michael J. Owen, PhD, FRCPsych

MRC Centre for Neuropsychiatric Genetics and Genomics, School of Medicine, Cardiff University, UK

Correspondence: Correspondence: Nick Craddock, MRC Centre for Neuropsychiatric Genetics and Genomics, Henry Wellcome Building, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK. Email: craddockn{at}cardiff.ac.uk

Declaration of interest

None.

ABSTRACT

Recent genetic studies reinforce the view that current approaches to the diagnosis and classification of major psychiatric illness are inadequate. These findings challenge the distinction between schizophrenia and bipolar disorder, and suggest that more attention should be given to the relationship between the functional psychoses and neurodevelopmental disorders such as autism. We are entering a transitional period of several years during which psychiatry will need to move from using traditional descriptive diagnoses to clinical entities (categories and/or dimensions) that relate more closely to the underlying workings of the brain.


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