The paper proposes a new framework for diagnosing psychosis spectrum disorders, suggesting continuous transitions between them, highlighting implications for psychiatry.
Abstract:Numerous clinical issues exist regarding the diagnostic criteria of psychosis. To address these issues, this paper reconstructs schizophrenia and bipolar disorder through a symptomatic framework. From schizophrenia, loosephrenia is derived, characterized by desolation as its core symptom. From bipolar disorder, manic psychosis is derived, with flight of ideas as its primary symptom and other mood symptoms classified as secondary. Furthermore, this paper proposes a comprehensive concept of primary psychosis spectrum disorder, demonstrating that these disorders transition continuously through dynamic changes related to dissolution, i.e., a dissolution spectrum, and that depression transforms into desolation along this spectrum. Nevertheless, given that this concept is still in its nascent stages, further research in this area is expected to yield significant advancements in psychiatry. Description of Revisions (Version 4.3):Minor textual corrections were made throughout the manuscript.
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Yuri Mochizuki (2026) studied this question.
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