H istorically, there have been numerous efforts to delineate meaningful dimensions of symptoms in schizophrenia. These efforts have recently focused on the characterization of positive versus negative symptoms. Positive symptoms represent a behavioral excess generally considered psychotic (e.g., hallucinations, delusions), while negative symptoms represent a deficiency in normal behavior (e.g., poor eye contact, flat affect). The Scale for the Assessment of Negative Symptoms (SANS) and the Scale for the Assessment of Positive Symptoms (SAPS) are commonly used to rate these symptoms (1). The SANS and SAPS together contain 50 items reflecting individual positive and negative symptoms and nine global ratings summarizing symptom areas. Although a number of factor analytic studies have advanced our understanding of the structure of positive and negative symptoms, most of the work in this area has focused on schizophrenic patients. In addition, most studies have examined global ratings, while less is known about the factor structure of individual items.The organization of the original SANS/SAPS reflects the authors' conception at the time of two broad dimensions characterized by positive and negative symptoms (1). It was thought that these two symptom dimensions could potentially differentiate subtypes of schizophrenia (2). However, numerous studies since the development of the scales have yielded a three-factor structure of the SANS/SAPS global ratings in subjects with schizophrenia: a negative symptom factor (SANS) and two positive symptom factors (SAPS hallucinations/delusions and bizarre behavior/formal thought disorder) (3, 4). Liddle (5) termed this last factor the "disorganization syndrome."In addition to this work, there has been ongoing con-