Prediction of Relapse in Schizophrenic Outpatients Treated by Drug and Sociotherapy

Catastrophe Theory: a Model Interaction between Neurochemical and Environmental Influences in the Control of Schizophrenia

“…Such an apparent paradox may in fact be consistent with the clinical literature, where Brown et al (1972) have reported that too enthusiastic attempts at reactivating unprepared long stay schizophrenic patients can lead to sudden relapse of symptoms that had not been present for years. Goldberg et al (1977) have similarly reported that major role therapy, combining social casework and vocational rehabilitation, can have antitherapeutic effects in some pa tients; their conclusion, that patients can be provoked into a mental state they can no longer manage, resulting in panic and exacerbation of symptoms, is clearly consistent with our model. This suggests that well ¡mentioned but over zealous psychosocial treatments must be used with caution, though controlled use can have therapeutic effects (Carpenter et al, 1977).…”

Composantes d’efficacité des programmes de traitement communautaires destinés aux personnes souffrant de désordres mentaux

“…Deux études, comportant un groupe témoin (Beard et al, 1978 ;Goldberg et al, 1977), ont éta-bli et évalué un programme de traitement visant à améliorer le fonctionnement professionnel des patients chroniques. Malheureusement, les répercus-sions de ce type d'interventions n'ont fait l'objet d'aucune évaluation précise.…”

The Rehabilitation of Psychiatric Patients*

“…Patients with good prognostic features appear to benefit most, and those with poor prognostic signs least, from maintenance chemotherapy (14). From their data they conclude that the relapse risk for patients receiving placebo is 2-3 times higher and for this reason, despite the known adverse effects of prolonged medication, to discontinue maintenance treatment even after two years of social remission is unwarranted (23).…”

“…Hogarty and Goldberg's group (14,22) evaluated the benefits of outpatient taskoriented individual psychotherapy, with and without maintenance chemotherapy, for schizophrenic patients followed two years after discharge. Overall, while the quantity of time spent outside hospital was not influenced by psychotherapy, the quality of community adjustment was demonstrably enhanced.…”