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Table 5. Lifetime Dimensions of Psychosis Scale, version 2

4—2+ yrs

3—2+ mos or 2+ episodes of > 2 wks

2—2+ wks

1—< 2 wks (>hrs)

0—absent

Duration

4—very severe; gross or nearly constant effect on function

3—severe; clearly interferes with function or preoccupies

2—moderate; definite, clinically significant symptoms

ild

1—minimal; very m symptoms or only suspected

0—absent

Severity

DURATION SEVERITY

P-1. Any delusions. Any type, not limited to the following (check all that apply):

0 12 3 4

34

0 12

g"

f. Nihilistic

e. Religious

d. Somatic

c. Grandiose

b. Nonparanoid

a. Paranoid

g. Delusions accompanied by hallucinations for at least 1 wk

Paranoia, (preoccupation with persecutory ideas, delusional or not) Any hallucinations, (abnormal full sensory perception when awake) Any type, not limited to

P-2. P-3.

4 4

3 3

12 12

0 0

01 2 34

2 34

01

a. Nonaffective verbal hallucinations spoken to the subject

c. Control of thought/actions

b. Thought withdrawal

a. Thought insertion

Control delusions.

Other bizarre delusions, (implausible, impossible, other than control delusions) Conversing/commenting/continuous hallucinations.

S-1.

S-2. S-3.

4 4 4

3 3 3

12 12 12

0 0 0

34

4 4

3 3

2 2 2

1 1 1

0 0 0

c. Continuous (throughout the day for several days)

b. Voices commenting

a. Voices conversing

•§

3

I

Abnormal perception of thought.

S-4.

c. Thought echo

b. Audible thoughts

a. Thought broadcasting

NAP. Psychosis (2+ wks) without prominent mood symptoms.

c. Neither

b. After depression

a. After mania

N-1. Blunted (restricted) affect.

Poverty of speech, (negative thought disorder) . Formal thought disorder, (impaired understandability, abnormal use of words)

N-2. D-1

D-2. Bizarre behavior, (grossly unusual dress or social/sexual/agitated/ritualistic behavior likely due to psychosis) DE-1. Depression. (Dysphoria and associated symptoms. Severity of 3-4 requires full major depressive syndrome.)

DE-2. Maximum of 9 depressive features concurrent for 2+ wks ever M-1. Mania. (Manic mood and associated symptoms. Severity of 3-4 requires full manic syndrome.) M-2. Maximum of 7 manic features other than mood concurrent for 1 + wks ever (-1 if only irritable)

MP-1. Concurrent depressed mood + delusions or hallucinations of:

d. Disease (nonbizarre)

c. Suicide

b. Catastrophe/nihilism

a. Guilt

MP-2. Concurrent grandiose/manic mood + delusions or hallucinations of:

b. Special relationship with God/mission

a. Importance/power

Deterioration. Residuum between exacerbations is 0—absent, 1—mild, 2—significant, 3—severe, 4—severe, > 5 yrs. Complicating features are 0—absent, 1—present but unlikely to be causative, 2—strongly suspected or likely causes of psychosis. Specify:

C. A.

4

4

4 4 4 4 4

3 3 3

3 3 3 3

12 12 12

12 12 12 12

4

3

12

4 3

34

12 12

12 3 4

2

1

0 0 0

0 0 0 0 #: 0 #: 0

0 0

0

4 4 4

3 3 3

2 2 2

1 1 1

0 0 0

4 4 4 4

3 3 3 3

2 2 2 2

1 1 1 1

0 0 0 0

34

2

1

0

2 34

01

01 2 34

as o

e. Dissociative

d. Personality disorder

c. Atypical features

b. Organic

a. Substance abuse

to oo

1—very limited

2—major inadequacies/reduced confidence

Quality of available information.

3—minor inadequacies

4—excellent

34

12

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