ABSTRACT
Cognitive difficulties have been an integral part of the diagnosis of schizo-
phrenia in all diagnostic systems beginning with Kraepelin and Bleuler more
than 100 ago, although they differed on the specific mechanism that was at
fault; thus, Bleuler stressed the loosening of the associational threads that tie
thoughts together, whilst Kraepelin and others emphasized poor attention
and memory difficulties. This chapter describes these difficulties, with
particular reference to the effect they have on quality of life and life choices.
Treatment options for cognitive difficulties in schizophrenia are