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Social dysfunction and treatment failure in schizophrenia

C Schooler, H E Spohn

    Schizophrenia Bulletin
    |January 1, 1982
    PubMed
    Summary

    Intensive social programs can harm individuals with schizophrenia, while antipsychotic drugs improve functioning and reduce social behavior. Further research is needed to understand social dysfunction in schizophrenia.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Social Neuroscience

    Background:

    • Chronic schizophrenic patients in an experimental resocialization program showed disruptive psychological functioning.
    • Intensive socioenvironmental therapies may adversely affect schizophrenic patients.
    • Schizophrenia is often characterized by social avoidance and decreased functioning with increased social interaction intensity.

    Purpose of the Study:

    • To evaluate the impact of a long-term resocialization program on chronic schizophrenics.
    • To investigate the effects of antipsychotic drugs on psychological functioning and social behavior in schizophrenia.
    • To highlight the need for further research into the causes of social dysfunction in schizophrenia.

    Main Methods:

    • Evaluation of a 20-year experimental ward resocialization program.
    • Analysis of patient psychological functioning and social behavior.
    • Review of existing literature on schizophrenia and social interaction.

    Main Results:

    • High levels of social activity in the program were disruptive to patient psychological functioning, especially for sicker patients.
    • Antipsychotic drug treatment positively impacted psychological functioning and reduced social behavior.
    • Existing studies corroborate findings that intensive social therapies can be detrimental to schizophrenics.

    Conclusions:

    • Current intensive social therapies may be counterproductive for individuals with schizophrenia.
    • Understanding the reasons behind social dysfunction in schizophrenia is crucial for developing effective treatments.
    • Further research is essential to address the complexities of social interaction and functioning in schizophrenia.

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