Schizophrenia Bulletin Advance Access published online on November 5, 2007
Schizophrenia Bulletin, doi:10.1093/schbul/sbm122
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Remission and Recovery in Schizophrenia: Practitioner and Patient Perspectives
2 Program for Recovery and Community Health, Department of Psychiatry, Yale University School of Medicine, Erector Square 6 West, Suite #1C, 319 Peck Street, New Haven, CT 06513
1 To whom correspondence should be addressed; tel: 203-764-7583, fax: 203-764-7595, e-mail: Larry.Davidson{at}Yale.edu.
Schizophrenia remains a complex, dynamic, multi-dimensional, and poorly understood condition. Although the concept of heterogeneity in outcome has conceptually overturned the post Kraepelinian legacy of progressive deterioration, a number of factors appear to contribute to perpetuating a pessimistic attitude toward outcome within the field. These include the limited access people with schizophrenia have to effective interventions and the phenomenon of the "clinician's illusion," which refers to the tendency of practitioners to assume that patients remain seriously ill when outside of the clinical care settings in which they are typically seen. Longitudinal studies, however, continue to point to a large number of people who experience improvements in their condition over time. Pressure from patients and their families, who experience periods of symptomatic relief and enhanced functioning first-hand, has led to the introduction of such concepts as "remission" and being "in" recovery with schizophrenia, in addition to the conventional notion of recovering "from" schizophrenia. These developments are consistent with recent policy initiatives by the U.S. and other governments around the world and aim to re-orient research and clinical practice from a traditional focus on effecting cure to exploring ways to encourage and assist people with schizophrenia to live meaningful lives in the face of an enduring illness.
Keywords: remission / recovery / being in recovery
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  S. Mohamed, R. Rosenheck, J. McEvoy, M. Swartz, S. Stroup, and J. A. Lieberman Cross-sectional and Longitudinal Relationships Between Insight and Attitudes Toward Medication and Clinical Outcomes in Chronic Schizophrenia Schizophr Bull, March 1, 2009; 35(2): 336 - 346. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Wunderink, S. Sytema, F. J. Nienhuis, and D. Wiersma Clinical Recovery in First-Episode Psychosis Schizophr Bull, March 1, 2009; 35(2): 362 - 369. [Abstract] [Full Text] [PDF]
|
|