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Chronicity in Schizophrenia: Revisited

Published online by Cambridge University Press:  06 August 2018

Courtenay M. Harding ,
Joseph Zubin  and
John S. Strauss
Courtenay M. Harding*
Affiliation:
Department of Psychiatry, University of Colorado School of Medicine, Denver, USA
Joseph Zubin
Affiliation:
Veterans Administration Medical Center, Pittsburgh, USA
John S. Strauss
Affiliation:
Department of Psychiatry, Yale University School of Medicine, New Haven
*
Correspondence
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Extract

Derived simply from the Greek work chronos, meaning time, the label ‘chronic’ denotes an illness of long duration or one of frequent recurrence. However, when chronic is paired with schizophrenia, as in ‘this person is a chronic schizophrenic’, the connotation becomes an expectation of deterioration, defect, or deficit states (Cutting, 1983). These perceptions about schizophrenia have pervaded and guided clinical judgements (Feighner et al, 1972; American Psychiatric Association, 1980, 1987), treatment programming (Bachrach, 1979; Lamb, 1981; Strauss & Glazer, 1982), policy formulation (Greenblatt, 1978; Talbott, 1979), and decisions about priority for funding (Kraft, 1981). These perceptions have also stripped hopes of recovery from patients and their families (Chamberlin, 1979; Lovejoy, 1984). Further, the use of phrases such as ‘deinstitutionalisation of chronic mental patients’ glosses over the large heterogeneity of patient types, courses of illness and recovery, and the actual shifts in composition and migrations of groups of patients within society (Lamb, 1979; Leighton, 1982; Harding & Ashikaga, 1982).

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Information
The British Journal of Psychiatry , Volume 161 , Issue S18: Onset and Course of Schizophrenic Disorders: Dynamic Interactions between Relevant Factors , October 1992 , pp. 27 - 37
Copyright
Copyright © The Royal College of Psychiatrists 

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