A neurobiological hypothesis for the classification of schizophrenia: Type a (hyperdopaminergic) and type b (normodopaminergic)

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Abstract

Schizophrenia is usually classified based on clinical presentation. However, the conventional paranoid- disorganised-residual distinctions have had limited clinical utility. Here we draw on the evidence for differences in pathophysiology underlying treatment response to propose a subclassification based on neurobiology to guide diagnostic testing and treatment.

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Howes, O. D., & Kapur, S. (2014). A neurobiological hypothesis for the classification of schizophrenia: Type a (hyperdopaminergic) and type b (normodopaminergic). British Journal of Psychiatry. Royal College of Psychiatrists. https://doi.org/10.1192/bjp.bp.113.138578

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