Which of the following is considered a "positive" symptom of schizophrenia?

• A. Flat affect
• B. Disorganized speech
• C. Poor eye contact
• D. Impaired hygiene

Answer: (B)

Disorganized speech is indeed recognized as a positive symptom of schizophrenia. Positive symptoms refer to the presence of behaviors, thoughts, or feelings that are not typically present in individuals without the disorder. Disorganized speech, which may manifest as incoherent or nonsensical speech patterns, reflects a distortion in thought processes, a hallmark of positive symptoms. These symptoms often contribute to the challenges individuals face in communication and social interactions.

In contrast, flat affect, poor eye contact, and impaired hygiene represent negative symptoms of schizophrenia. Negative symptoms involve the absence or reduction of normal emotional responses, behaviors, or functions. For instance, flat affect indicates a lack of emotional expression, poor eye contact signifies a disengagement in social situations, and impaired hygiene suggests a decrease in self-care and motivation. Recognizing the distinction between positive and negative symptoms is crucial for effective assessment and treatment in schizophrenia.