The article you requested is
Drs. Galynker and Winston Reply
J Clin Psychiatry 1997;58:325-326 [letter]
Copyright 1997 Physicians Postgraduate Press, Inc.
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Letter to the Editor
Sir: We appreciate Dr. Bermanzohn and colleagues’ interest
in our report. The relationship between panic attacks, psychosis,
and schizophrenia is an intriguing one, and we are grateful
to the authors for emphasizing a possible etiologic role of panic
attacks in schizophrenia. The overlap between panic attacks and
psychosis plus the complexity of underlying neuroanatomical depressubstrates
also underscores the limitations of the currently prevailing
categorical approach to psychiatric symptoms, which
often disregards such relationships. An alternative dimensional
approach emphasizes continuity of psychiatric symptomatology
and corresponding neurobiology across diagnostic categories.