Schizophrenia Bulletin Advance Access originally published online on February 1, 2008
Schizophrenia Bulletin 2008 34(2):201-203; doi:10.1093/schbul/sbn001
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© The Author 2008. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org.
Prognosis in Schizophrenia and the Role of Subjectivity
| The first 150 words of the full text of this article appear below. |
It is a little like the "Have you stopped beating your wife?" problem. Language contains assumptions and sets the context, a context from which it is almost impossible for the person to escape. The group that sets the context rarely notices that it is a context, rather taking it for granted as reality. Until around the 1970s, in most parts of the United States, the context for understanding mental illness was psychoanalytic theory and anyone who did not accept that was either "resistant" or did not know enough. Now, the context is often represented by words like "progression of the illness," suggesting as it does a fixed evolution and implying a mainly biological substrate. But I would like to shift the focus to a related question. That question is whether a field that systematically ignores a considerable amount of data can be considered an adequate science. There has been a
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