Three Lectures on Schizophrenia

Ciompi, Luc

doi:10.1192/bjp.136.5.413

Cited by 328 publications

(39 citation statements)

References 4 publications

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“…These observations may be similar to the step-like changes found following each relapse. which have been described in a number of longitudinal studies (Bleuler, 1978(Bleuler, , [1972; Ciompi, 1980;Kraepelin, 1913;Snezhnevsky, 1966;Watt et al, 1983).…”

Section: Evidence From Discontinuation Studiesmentioning

confidence: 99%

The effects of early and sustained intervention on the long-term morbidity of schizophrenia

Wyatt

Henter

1998

Journal of Psychiatric Research

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By examining the literature concerning early intervention with antipsychotic medications, and how it affects long-term morbidity, this article will review the concept that early intervention with antipsychotic medications improves the long-term course of schizophrenia. It also looks at the potential long-term effects of discontinuing antipsychotic medications early in the course of schizophrenia. It appears that early intervention with antipsychotic medications decreases some of the long-term morbidity associated with schizophrenia. Some of the implications of this finding are discussed in the context of both clinical practice and clinical research."For simple weak-mindedness, which signifies a kind of recovery with defect, it is distinctly enlightening and often confirmed by experience that, sooner or later, a fresh exacerbation of the disease may follow and bring about a higher degree and another form of dementia." (Kraepelin,

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Section: Evidence From Discontinuation Studiesmentioning

confidence: 99%

The effects of early and sustained intervention on the long-term morbidity of schizophrenia

Wyatt

Henter

1998

Journal of Psychiatric Research

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“…More than 80% of the sample showed some degree of social disability (global evaluation scores 1 to 4), and almost 30% were severely disabled in their global social functioning (score 4). Ciompi 11 ,in a long-term follow-up study of 289 schizophrenic patients in Switzerland, found that the overall social adaptation appeared to be good or fair in only one-third old the sample by the end of the study. In a study of 70 first episode schizophrenics in Germany, Schubart et al 37 reported that two-thirds had DAS global scores of 3 (poor adjustment) or more at 2-year follow-up.…”

Section: Levels Of Social Disability In the Samplementioning

confidence: 99%

The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil

Menezes¹,

Mann²

1993

Rev. Saúde Pública

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A sample (n=124) of schizophrenic patients from a defined catchment area of the city os S.Paulo, Brazil, who had been consecutively admitted to hospital, was assessed for psychopathological status and social adjustment levels. Sociodemographic, socio-economic and occupational characteristics were recorded: almost 30% of the subjects had no occupation and received no social benefit, more than two-thirds had a monthly per capita income of US$ 100.00 or less. Sixty-five percent presented with Schneiderian firstrank symptoms. Nearly half the sample showed poor or very poor social adjustment in the month prior to admission. The most affected areas of social functioning were participation in the household activities, work and social withdrawal. The current mental health policy of promoting extra-mural care as an alternative to the previous hospital-based model will then mean the investment in a network of new community-based services, that give effective treatment and support to patients and their families. The need of further research into the current picture of mental disorders in the country is stressed.

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“…Recovery in this context has been defined as the amelioration of symptoms and other deficits associated with the disorder to a sufficient degree that they no longer interfere with daily functioning, allowing the person to resume personal, social, and vocational activities within what is considered a normal range. What these studies suggest is that at least one quarter, and up to two-thirds, of people diagnosed with a serious mental illness will achieve this form of recovery from the disorder and its effects (e.g., Ciompi, 1980;Davidson, Harding, & Spaniol, 2005;Davidson & McGlashan, 1997;Harding, Zubin, & Strauss, 1987;McGlashan, 1988).…”

mentioning

confidence: 99%

Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery

Davidson

Roe²

2007

Journal of Mental Health

473

402

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Background: There is an increasing global commitment to recovery as the expectation for people with mental illness. There remains, however, little consensus on what recovery means in relation to mental illness. Aims: To contribute to current efforts to tease apart the various aspects of recovery appearing in the psychiatric literature by describing two conceptualizations of recovery from and recovery in mental illness. Method: Review of empirical literature on recovery and use of the term in clinical and rehabilitative practice. Results: Two potentially complementary meanings of recovery were identified. The first meaning of recovery from mental illness derives from over 30 years of longitudinal clinical research, which has shown that improvement is just as common, if not more so, than progressive deterioration. The second meaning of recovery in derives from the Mental Health Consumer/Survivor Movement, and refers instead to a person's rights to self-determination and inclusion in community life despite continuing to suffer from mental illness. Conclusions: The implications for practice of each of these concepts of recovery, as well as for that group of individuals for which neither concepts may apply, are discussed. Declaration of interest: None.

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Three Lectures on Schizophrenia

Cited by 328 publications

References 4 publications

The effects of early and sustained intervention on the long-term morbidity of schizophrenia

The effects of early and sustained intervention on the long-term morbidity of schizophrenia

The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil

Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery

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