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[The schizophrenic disorder]
Acta Psiquiatrica Y Psicologica De America Latina
|December 1, 1987
Summary
The study defines schizophrenic defect (S.D.) as a "morbid residual" after psychotic episodes. It highlights the impact of family support and environmental conditions on chronic schizophrenic patients, advocating for improved therapeutic strategies.
Area of Science:
- Psychiatry
- Clinical Psychology
- Social Psychiatry
Context:
- Review of the historical and current concept of schizophrenic defect (S.D.).
- Analysis of S.D. in chronic hospitalized patients (33% D.E., 9% active schizophrenic).
- Examination of patient demographics: 33% with family, 19% without family support.
Purpose:
- To define and analyze the concept of schizophrenic defect.
- To investigate the influence of family and environmental factors on patient outcomes.
- To propose improvements in the management of chronic schizophrenic patients.
Summary:
- Schizophrenic defect (S.D.) is characterized as a residual state post-psychosis.
- Patients lacking family support exhibited increased isolation, neglect, and "hospitalism," becoming passive-dependent.
- Environmental factors, staff interactions, and
- fictitious discharge
- negatively impact patients.
Impact:
- Highlights the critical role of family and psychosocial environment in schizophrenia management.
- Suggests a need for enhanced therapeutic interventions, including family therapy and community-based care.
- Advocates for policy and legislative changes to improve patient reintegration and long-term care.