Metabolic Studies in Childhood Schizophrenia

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Abstract
It has been 25 years since schizophrenia was first described in children.1The entity of childhood schizophrenia is now well established, and there is a large literature on the subject. The relationship between the adult and the childhood form of the disease was considerably clarified by Bender’s follow-up studies2,3on a group of 143 schizophrenic children; she found that 89% of these children were considered by independent observers to have schizophrenia when examined in adulthood. Further clarification of this relationship occurs in the similarity between what has been called the core pathology of childhood schizophrenia, i. e., dysidentity,4and Federn’s description5of the fundamental psychopathology of adult schizophrenia as an ego defect, with loss of ego boundaries and a failure to differentiate the self from the external world. Federn believes that the ego is more than a concept, that the familiar experience of

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