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Computerised Life Chart Methods to Map Domains of Function and Illustrate Patterns of Interactions in the Long-Term Course Trajectories of Patients Who Once Met the Criteria for DSM-III Schizophrenia

Published online by Cambridge University Press:  06 August 2018

Courtenay M. Harding ,
Rodney V. McCormick ,
John S. Strauss ,
Takamaru Ashikaga  and
George W. Brooks
Courtenay M. Harding
Affiliation:
Department of Psychiatry Yale, University School of Medicine
Rodney V. McCormick
Affiliation:
University of Vermont, Burlington, Vermont
John S. Strauss
Affiliation:
Department of Psychiatry Yale, University School of Medicine
Takamaru Ashikaga
Affiliation:
University of Vermont, Burlington, Vermont
George W. Brooks
Affiliation:
University of Vermont, Burlington, Vermont
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Extract

The research question of which mediating factors influence the long-term course of schizophrenia was not asked until recently because the expectation has been of uniformly poor outcome (Kraepelin, 1902; American Psychiatric Association, 1980). However, anecdotal clinical knowledge about heterogeneity in the long-term course of this severe illness has been firmly supported in the last 15 years by six recent longitudinal studies in Europe, Asia, and the USA (Blueler, 1972; Ciompi & Müller, 1976; Huber et al, 1979; Tsuang et al, 1979; Harding et al, 19876; Ogawa et al, 1987). Each of these studies, more methodologically rigorous than those of the past, has found multiple indices of wide heterogeneity in the long-term outcome of schizophrenia with trends toward significant improvement or recovery demonstrated in over half of each cohort.

Type
IV. From the Perspective of Person-Environment Relationships
Information
The British Journal of Psychiatry , Volume 155 , Issue S5: Schizophrenia as a Systems Disorder: The Relevance of Mediating Processes for Theory and Therapy , July 1989 , pp. 100 - 106
Copyright
Copyright © The Royal College of Psychiatrists 

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