Drug and Sociotherapy in the Aftercare of Schizophrenic Patients

Hogarty, Gerard E.; Goldberg, Solomon C.; Schooler, Nina R.; Ulrich, Richard F.

doi:10.1001/archpsyc.1974.01760170005001

Cited by 491 publications

(156 citation statements)

References 25 publications

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“…Il faut lire Gisela Pankow (1969Pankow ( , 1977Pankow ( , 1981 dont l'oeuvre est capitale dans le domaine. Les travaux de May (1968) et Hogarty et coll. (1973Hogarty et coll.…”

Section: La Nécessité De Développer La Psychothérapieunclassified

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La schizophrénie insaisissable

Pelsser¹

2006

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La schizophrénie serait due avant tout à un désordre biochimique et par conséquent le traitement devrait avant tout être d'ordre psychopharmacologique. L'auteur examine les recherches les plus importantes faites à ce sujet pour montrer les lacunes tant au plan des théories étiologiques que des méthodes de traitement, avant tout centrées sur les aspects biochimiques. Les schizophrènes ne sont pas guéris et ils sont à peine soignés, puisque la pensée délirante et le mode de vie psychotique restent présents pendant de longues années. La schizophrénie met en échec le savoir et le pouvoir des thérapeutes en raison de son caractère inexplicable et irréductible.Schizophrenia is caused above all, by a biochemical disorder, and, consequently, the treatment should be primarily of a psycho pharmacological nature. The author examines the most important researches related to this subject to demonstrate the gaps both at the level of actio-logical theories and of treatment methods centered, above all, on biochemical aspects. Schizophrenics are not cured and they are hardly treated, since delusional thoughts and the psychotic life style remain present many years. Schizophrenia stymies the knowledge and the power of therapists as a result of its inexplicable and irréductible character

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“…Il faut lire Gisela Pankow (1969Pankow ( , 1977Pankow ( , 1981 dont l'oeuvre est capitale dans le domaine. Les travaux de May (1968) et Hogarty et coll. (1973Hogarty et coll.…”

Section: La Nécessité De Développer La Psychothérapieunclassified

“…Les travaux de May (1968) et Hogarty et coll. (1973Hogarty et coll. ( , 1974a indiquent que la place de la psychothérapie dansle traitement des schizophrènes est réduite ; cependant certains travaux de recherche sont plus optimistes (Mosher et Keith, 1980;Strauss et Carpenter, 1981).…”

Section: La Nécessité De Développer La Psychothérapieunclassified

La schizophrénie insaisissable

Pelsser¹

2006

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“…We would argue that their non-scientific, yet deeply personal, reactions should be treated with commensurate respect by the proponents and opponents of pharmacological treatment alike. Since women were underrepresented in the sample it is pertinent to point out that Hogarty et a/ (1974) found that although drug therapy is more effective than placebo in both sexes, the size of the difference is significantly greater for women than men (P < 0.01). It can be inferred, therefore, that since medication seems to be more effective for women, the generally favourable responses to drug treatment reported here cannot be an artifact of sex bias.…”

Section: Commentmentioning

confidence: 99%

Out-patients' perceptions of the clinical and psychosocial effects of neuroleptic medication

Chapman¹,

Mulvihill

1990

Psychiatr. bull.

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“…This was employed as a major determinant of relapse in 6 (40%) of the 15 studies that employed the relapse concept (Abuzzahab & Zimmerman, 1980;del Guidice et al 1975;Hogarty et al 1973Hogarty et al , 1979Linn et al 1979;Schooler et al 1980). The two studies of Hogarty and his colleagues incorporated the notion of impending hospital readmission and actual hospital readmission in their definition of relapse.…”

Section: (A) Hospital Readmissionmentioning

confidence: 99%

“…Other studies have employed independent assessment of social functioning at relapse and have restricted the definition of relapse to clinical outcome (Abuzzahab & Zimmerman, 1980;Clark et al 1975;Falloon et al 1978;Hirsch et al 1973;Hogarty et al 1973;Linn et al 1979;O'Brien et al 1972;Schooler et al 1980).…”

Section: (D) Change Of Management Requiring Terminationmentioning

confidence: 99%

Relapse in schizophrenia: a review of the concept and its definitions

Falloon¹,

Marshall²,

Boyd³

et al. 1983

Psychol. Med.

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The increasingly rigorous attention paid to the diagnosis of schizophrenia has not yet been extended to the development of reliable and valid criteria for describing the course of the illness. Over the past two decades the concept of 'relapse' has become the pre-eminent measure of the success of community treatment programmes of schizophrenia. However, to date there has been little effort to examine this measure critically, or to develop other measures to reflect the wide range of clinical outcome in schizophrenia. This issue is not new. Kraepelin has been faulted for his lack of clarity in discussing the association between the diagnosis of dementia praecox and a poor clinical outcome (WHO, 1975). Stressing that 'the general course of dementia praecox is very variable', he outlined several typical courses of the illness, all of which proceeded to terminal dementia (Kraepelin, 1919). He recognized the lack of specifically defined outcome criteria, citing reports showing recovery rates varying from 0 to 25%.Although Kraepelin remained sceptical that full recovery without any residual defect was possible, Meyer (1922) contended that functional recovery was possible and proposed that, in many cases, schizophrenia could be regarded as episodic, with relapses representing fresh attacks of the disease. Kraepelin acknowledged that 'more than half exhibit marked improvement', but noted that these recoveries 'give way sooner or later to a relapse'. In support of his thesis of incomplete remission, he observed that subsequent relapses almost always consisted of symptoms similar to those presented in the original episode. This consistency of symptom patterns was also reported by Bleuler (1911), who supported the notion that complete restoration of premorbid mental health was a rarity. Bleuler cautioned against attributing much significance to published reports regarding 'cure' rates, not only because of the subjective nature of such determinations, but also because of' the varying conditions of admission and relapse for each institution', which often play a greater role in defining discharge status than objective changes in psychopathology.Concern about the natural course of schizophrenia led these pioneers to focus discussion more upon the definition of remission, than its counterpart, relapse. Although concern regarding the course of the illness has continued (Vaillant, 1964;Huber et al. 1981), little attention has been paid to this matter in studies investigating the effectiveness of clinical interventions. With the advent of newer pharmacological and psychosocial interventions, emphasis has shifted to factors surrounding clinical exacerbation after the patient has been discharged from the hospital in a state of partial or complete clinical remission. The effectiveness of community aftercare has been measured in terms of failure to sustain these 'remissions' and, more often than not, by readmission of the patient to hospital. The latter is primarily a social intervention which, although usually associated with symptom e...

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Drug and Sociotherapy in the Aftercare of Schizophrenic Patients

Cited by 491 publications

References 25 publications

La schizophrénie insaisissable

La schizophrénie insaisissable

Out-patients' perceptions of the clinical and psychosocial effects of neuroleptic medication

Relapse in schizophrenia: a review of the concept and its definitions

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