Which of the following is a Kurt Schneider first-rank symptom of schizophrenia?

• A Delusional mood
• B Second-person auditory hallucinations
• C Thought insertion ✓
• D Persecutory delusions

Explanation

Schneider's first-rank symptoms include audible thoughts, voices arguing or commenting, thought insertion, withdrawal, broadcasting, made feelings, made impulses, made volitions, delusional perception, and somatic passivity. Thought insertion, the experience that thoughts placed in one's mind are not one's own, is a classic passivity phenomenon. Persecutory delusions and second-person hallucinations are common in many psychoses and are not first-rank, and delusional mood precedes but is distinct from delusional perception.

Reference: Shorter Oxford Textbook of Psychiatry, 7th ed.

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