Cited by 137Schizophrenia research and treatmentMental Health and PsychiatryPsychopathy, Forensic Psychiatry, Sexual Offending

Course Types in Schizophrenia: An Analysis of European and American Studies

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Harding, C. M.·1988·Schizophrenia Bulletin

Abstract

There have only been a dozen studies in the world literature which have followed patients across decades after their first admissions. Persistent findings of wide heterogeneity in long-term outcome functioning have broadened and challenged the pessimistic view of outcome held by many clinicians with short-term and narrowly defined caseloads. This report compares and contrasts three very long-term followup studies completed in the past 15 years which have also documented course as well as outcome. Ciompi's schematic representation of longitudinal courses has been augmented by data from the Vermont and Burghölzli studies and sheds new light on the underlying hidden heterogeneity within samples. Two case studies present vivid portraits of very different trajectories taken over time and illuminate the processes under scrutiny.

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  • Recovery from schizophrenia clearly occurs.

    “Recovery from schizophrenia clearly occurs [229–231], but it is unclear whether those who are free of positive symptoms but who have mild residual disability should be counted as “active” cases or not.”

    From A Systematic Review of the Prevalence of Schizophrenia (2005) · cites this paper as [231]

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Research works printed but not linked: 11

  1. Bleuler, M. Die schizophrenen Geistesstorungen im Lichte langjahriger Krnnken-und Familiengeschichten. Stuttgart: George Thieme Verlag (New York: Intercontinental Medi- cal Book Corp., U.S. Distribution), 1972.
  2. Brooks, G.W., and Deane, W.N. Vocational rehabilitation. In: Tal- bott, J.A., ed. The Chronic Mentally 111-Treatment, Programs, Systems. New York: Human Services Press, 1981. pp. 96-100.
  3. Ciompi, L., and Miiller, C. Lebensxveg und Alter der Schizo- phrenen: Erne katamncstische Lonzeitstudies bis ins senium. Berlin: Springer Verlag, 1976.
  4. Harding, CM.; Brooks, G.W.; Ashikaga, T.; Strauss, J.S.; and Breier, A. The Vermont longitudinal study: II. Long-term outcome for subjects who retrospectively met DSM-1II criteria for schizophrenia. American journal of Psychiatry, 144-727-735, 1987/;.
  5. In: Miller, N.E., and Cohen, CD., eds. Schizophrenia, Paranoia and Scliizoplireniform Disorders in Later Life. New York: Guilford Press, 1987c. pp. 74-82.
  6. Harding, CM.; McCormick, R.V.; Strauss, J.S.; Ashikaga, T.; and Brooks, G.W. Investigating media- ting factors in the long-term course of DSM-I1I schizophrenia with com- puterized life chart methods. British journal of Psychiatry, in press.
  7. Harding, CM., and Strauss, J.S. The course of schizophrenia: An evolving concept. In: Alpert, M., ed. Controversies in Schizophrenia: Changes and Constancies. New York: Guilford Press, 1985. pp. 333-347.
  8. Huber, G.; Gross, C; and Schuttler, R. Schizophrenic: Verlaufs und sozmlpsychiatrische Langzeitunter- suchungen an den 1945 bis 1959 in Bonn hospitalisierten schizophrenen Kranken: Monographien aus dem Gesamtgebiete der Psychiatrie. Bd 21. Berlin: Springer Verlag, 1979.
  9. Leighton, A.H., and Leighton, D.C Gregorio, the Hand-Trembler: A psychobiological personality study of a Navaho Indian. In: Peabody Museum Papers. Cambridge, MA: Harvard University Press, 1949.
  10. Shapiro, R., and Shader, R. Selec- tive review of results of previous follow-up studies of schizophrenia and other psychoses. In: World Health Organization. Schizophrenia: An International Follow-up Study. New York: John Wiley & Sons, 1979. pp. 11^4.
  11. Strauss, J.S.; Harding, CM.; Hafez, H.; and Lieberman, P. The role of the patient in recovery from psychosis. In: Strauss, J.S.; Boker, W.; and Brenner, H.D., eds. Psycho- social Treatment of Schizophrenia Bern: Hans Huber Publishers, 1987. pp. 160-167.

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Authors
Harding, C. M.
Affiliations
Yale University (US)
Corresponding author
Harding, C. M.
Venue
Schizophrenia Bulletin
Published
1988-01-01
Volume
14
Issue
4
Pages
633-643
ISSN
  • 0586-7614 (ISSN-L)
  • 1745-1701
OpenAlex
W2149113709
Cited by
137
References
22
Citations by year
2026: 2 · 2023: 2 · 2022: 1 · 2021: 4 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 4 · 2015: 2 · 2014: 4 · 2013: 3 · 2012: 4
FWCI
4.11
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Bulletin (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (MH-40607, MH-29575)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
Keywords
schizophrenia, long-term outcomes
MeSH terms
Aged, Chronic Disease, Family, Female, Follow-Up Studies, Humans, Male, Risk Factors, Schizophrenia, Schizophrenic Psychology, Social Environment

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