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The Diagnosis and Treatment of Schizophrenia

A Questionnaire Study of Psychiatric Opinion

Published online by Cambridge University Press:  29 January 2018

J. H. Willis
Affiliation:
Stone House Hospital, Dartford, Kent
D. Bannister
Affiliation:
Bexley Hospital, Dartford Heath, Bexley, Kent

Extract

Variations in the attitude of psychiatrists to schizophrenia range from the precise and confident pronouncement of Sargant and Slater (1963) “Chlorpromazine seems to bring the schizophrenic process to a rapid halt, and to lessen the chance of chronicity and deterioration of personality” to the fundamental doubts expressed by Szasz (1957) “The problem of schizophrenia, which many consider to be the core-problem of psychiatry today, may be truly akin to the ‘problem of the ether‘. To put it simply, there is no such problem.” The literature abounds in varying, conflicting and even irreconcilable treatment suggestions. One has only to compare the physical treatment schedules recommended by Sargant (1963) with the advocacy of psychotherapy put forward by Arieti (1959); or the views on drugs of Kalinowski (1958) with the Hordern and Hamilton (1963) assertion that drug results have not been shown to be superior to the effects of “moral treatment” of a century ago. Similar comparisons in the social field might be made between the views of Hamilton and Salmon (1962) and Hamilton (1964) on sheltered workshops and the difficulties of rehabilitation programmes demonstrated by Catterson et al. (1963).

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1965 

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References

Arieti, S. (1959). “Schizophrenia, Other Aspects; Psychotherapy,” in American Handbook of Psychiatry. 75,1499 ff. New York: Basic Books.Google Scholar
Bannister, D., Salmon, P. and Leiberman, D. M. (1964). “Diagnosis-treatment relationships in psychiatry: A statistical analysis.” Brit. J. Psychiat., 110, 726732.CrossRefGoogle ScholarPubMed
Barton, R. (1963). “Science and Psychiatry.” Lancet, 566568.Google Scholar
Catterson, A. G., Bennett, D. H. and Freudenberg, R. K. (1963). “A survey of long stay schizophrenic patients.” Brit. J. Psychiat., 109, 750757.CrossRefGoogle ScholarPubMed
Glynn, A. (1953). “The nature of schizophrenia and its early diagnosis.” Acta. Psych, et Neurol. Scand., (sep) XXVIII. Fase. 2. 123173.CrossRefGoogle Scholar
Hamilton, V., and Salmon, P. (1962). “Psychological changes in chronic schizophrenics following differential activity programmes.” J. ment. Sci., 108, 505519.Google Scholar
Hamilton, V. (1964). “Psychological changes in chronic schizophrenics following differential activity programmes: a repeat study.” Brit. J. Psychiat., 109, 283286.CrossRefGoogle Scholar
Hordern, A. and Hamilton, M. (1963). Drugs and “moral” treatment. Ibid., 109, 500509.Google Scholar
Kalinowsky, L. B. (1958). “Appraisal of the tranquillizers and their influence on other somatic treatments in psychiatry.” Amer. J. Psychiat., 115, 4, 294298.Google Scholar
Kreitman, N. (1961). “The reliability of psychiatric diagnosis.” J. ment. Sci., 107, 876886.Google Scholar
Leiberman, D. M., Hoenig, J. and Auerbach, I. (1957). The effect of insulin coma and E.C.T. on the three year prognosis of schizophrenia. J. Neurol. Neurosvrg. Psychiat., 20, 108113.Google Scholar
Sargant, W. and Slater, E. (1963). An Introduction to Physical Methods of Treatment in Psychiatry 1419, 24–26, 61–64, 106–113.Google Scholar
Szasz, T. S. (1957). “The problem of psychiatric nosology: a contribution to a situational analysis of psychiatric operations.” Amer. J. Psychiat., 114, 5, 405413.CrossRefGoogle ScholarPubMed
Timbury, G. C. and Mowbray, R. M. (1964). “The diagnosis of schizophrenia by Scottish psychiatrists.” Brit. J. Psychiat., 110, 174180.Google Scholar
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