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Institutionalisation and the Outcome of Functional Psychoses

Published online by Cambridge University Press:  29 January 2018

Louie M. Calvert
Affiliation:
Northwick Park Hospital, Clinical Research Centre, Watford Road, Harrow, Middlesex, HA1 3UJ

Summary

The outcome in patients receiving long-term in-patient care for manic-depressive psychosis was compared with that in long-stay schizophrenic in-patients and discharged schizophrenic patients. The manic-depressive and schizophrenic in-patients differed in terms of positive and negative features and in the pattern of behaviour, but were equally cognitively impaired. The pattern of behaviour in both schizophrenic groups was the same. The results offer some support for the use of outcome as a validating criterion for the diagnosis of schizophrenia.

Type
Research Article
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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Footnotes

Consultant Psychiatrist, St. Fintan's Hospital, Portlaoise, Co. Laois, Ireland

References

American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders (3rd edition). Washington, D.C.: APA.Google Scholar
Astrup, C., Fossum, A. & Holmboe, R. (1959) A follow-up study of 270 patients with acute affective psychoses. Acta Psychiatrica Scandinavica Suppl. 135.Google Scholar
Barton, R. (1959) Institutional Neurosis. Bristol: John Wright.Google Scholar
Beck, A. T., Ward, C., Mendelson, M., Mock, J. & Erbaugh, J. (1962) Reliability of psychiatric diagnoses: a study of consistency of clinical judgement and ratings. American Journal of Psychiatry, 119, 351357.CrossRefGoogle Scholar
Bratfos, O. & Haug, J. O. (1968) The course of manic-depressive psychosis. Acta Psychiatrica Scandinavica, 44, 89112.CrossRefGoogle ScholarPubMed
Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L., Copeland, J. R. M. & Simon, R. (1972) Psychiatric Diagnosis in New York and London Maudsley Monograph, No. 20, London: Oxford University Press.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, A., Winokur, G. & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Fuller, R. G. (1935) What happens to mental patients after discharge from hospital. Psychiatric Quarterly, 9, 95104.CrossRefGoogle Scholar
Hall, J. N. (1980) Ward rating scales for long-stay patients: a review. Psychological Medicine, 10, 277288.CrossRefGoogle ScholarPubMed
Johnstone, E. C., Owens, D. G. C. Gold, A., Crow, T. J. & Macmillan, J. F. (1981) Institutionalisation and the defects of schizophrenia. British Journal of Psychiatry. 139, 195203.CrossRefGoogle ScholarPubMed
Kraepelin, E. (1919) Dementia Praecox and Paraphrenia. Translated by Barclay, R. M. reprinted in 1971, New York: R. E. Krieger.Google Scholar
Kraepelin, E. (1921) Manic-depressive insanity and Paranoia. Translated by Barclay, R. M., edited by Robertson, G. M. Edinburgh: Livingston CrossRefGoogle Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1977). A standardised psychiatric assessment for rating chronic psychotic patients. Acta Psychiatrica Scandinavica, 55, 299308.CrossRefGoogle ScholarPubMed
Kreitman, N., Sainsbury, P., Mornssey, J., Towers, J. & Scrivener, J. (1961) The reliability of psychiatric assessment: an analysis. Journal of Mental Science, 107, 887908.CrossRefGoogle ScholarPubMed
Leff, J. P. (1977) International variations in the diagnosis of psychiatric illness. British Journal of Psychiatry. 131, 329338.CrossRefGoogle ScholarPubMed
Lewis, N. D. C. & Pietrowski, Z. A. (1954) Clinical diagnosis of manic-depressive psychosis. In: Depression (eds. Hoch, P. H., Zubin, J.) New York: Grune and Stratton.Google Scholar
Lundquist, G. (1945) Prognosis and course in manic-depressive psychosis. Acta Psychiatrica Scandinavica Suppl, 35.Google Scholar
Martin, D. (1955) Institutionalisation. Lancet, 2, 11881190.CrossRefGoogle Scholar
Myerson, A. (1939) Theory and principals of the ‘total push’ method in the treatment of chronic schizophrenia. American Journal of Psychiatry, 95, 11971204.CrossRefGoogle Scholar
Owens, D. G. C. & Johnstone, E. C. (1980) The disabilities of chronic schizophrenia: their nature and the factors contributing to their development. British Journal of Psychiatry. 136, 384395.CrossRefGoogle Scholar
Rennie, T. A. C. (1942) Prognosis in manic-depressive psychosis. American Journal of Psychiatry. 98, 801814.CrossRefGoogle Scholar
Shobe, F. O. & Brion, P. (1971) Long-term prognosis in manic-depressive illness. Archives of General Psychiatry, 24, 334337.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Fleiss, J. L. (1974) A re-analysis of the reliability of psychiatric diagnosis. British Journal of Psychiatry. 125, 341347.CrossRefGoogle ScholarPubMed
Steen, R. R. (1933) Prognosis in manic depressive psychosis. Psychiatric Quarterly, 7, 419429.CrossRefGoogle Scholar
Sternberg, D. E. & Jarvik, M. E. (1967) Memory Functions in Depression. Archives of General Psychiatry, 33, 219224.CrossRefGoogle Scholar
Wing, J. K. (1961) A simple and reliable subclassification of chronic schizophrenia. Journal of Mental Sciences, 107, 862875.CrossRefGoogle ScholarPubMed
Wing, J. K. & Brown, G. W. (1970 Institutionalisation and Schizophrenia. London: Cambridge University Press.CrossRefGoogle Scholar
Wing, J. K. Cooper, J. E. & Sartorius, N. (1974) The description and classification of psychiatric symptoms: An instruction manual for the PSE and Catego systems. Cambridge: Cambridge University Press.Google Scholar
Withers, E. & Hinton, J. (1971) Three forms of the clinical tests of the sensorium and their reliability. British Journal of Psychiatry. 119, 18.CrossRefGoogle ScholarPubMed
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