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Subjective Conclusions About Schizophrenia

Subjective Conclusions About Schizophrenia Abstract To the Editor.— Breier et al1 and Carone et al2 present interesting and important findings regarding the longterm course of schizophrenia. Their articles also illustrate how careful scientific work may ultimately lead to subjective conclusions. To the detriment of patients and families, their conclusions, as opposed to their data, may propagate an unduly pessimistic picture of schizophrenia.Figure 2 in the article by Breier et al is strikingly graphic and subjective, with no scale on the abscissa. Drawn this way, it presents a more negative image than does their discussion of the phasic model.Carone et al give a thoughtful discussion of their and others' findings, but they do so with some misinterpretations. Their findings do not "challenge the conclusions" of Harding et al.3 Harding et al found a very poor outcome in the early course of their patients. The good outcome they reported was at the 25-year References 1. Breier A, Schreiber JL, Dyer J, Pickar D. National Institute of Mental Health longitudinal study of chronic schizophrenia . Arch Gen Psychiatry . 1991;48:239-246.Crossref 2. Carone BJ, Harrow M, Westermeyer JF. Posthospital course and outcome in schizophrenia . Arch Gen Psychiatry . 1991;48:247-253.Crossref 3. Harding CM, Brooks GW, Ashikaga T, Strauss JS, Breier A. The Vermont Iongitudinal study of persons with severe mental illness, II: long-term outcome of subjects who retrospectively met DSMIII criteria for schizophrenia . Am J Psychiatry . 1987;144:727-735. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Subjective Conclusions About Schizophrenia

Abstract

Abstract To the Editor.— Breier et al1 and Carone et al2 present interesting and important findings regarding the longterm course of schizophrenia. Their articles also illustrate how careful scientific work may ultimately lead to subjective conclusions. To the detriment of patients and families, their conclusions, as opposed to their data, may propagate an unduly pessimistic picture of schizophrenia.Figure 2 in the article by Breier et al is strikingly graphic and subjective, with no...
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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1992.01820010074009
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Breier et al1 and Carone et al2 present interesting and important findings regarding the longterm course of schizophrenia. Their articles also illustrate how careful scientific work may ultimately lead to subjective conclusions. To the detriment of patients and families, their conclusions, as opposed to their data, may propagate an unduly pessimistic picture of schizophrenia.Figure 2 in the article by Breier et al is strikingly graphic and subjective, with no scale on the abscissa. Drawn this way, it presents a more negative image than does their discussion of the phasic model.Carone et al give a thoughtful discussion of their and others' findings, but they do so with some misinterpretations. Their findings do not "challenge the conclusions" of Harding et al.3 Harding et al found a very poor outcome in the early course of their patients. The good outcome they reported was at the 25-year References 1. Breier A, Schreiber JL, Dyer J, Pickar D. National Institute of Mental Health longitudinal study of chronic schizophrenia . Arch Gen Psychiatry . 1991;48:239-246.Crossref 2. Carone BJ, Harrow M, Westermeyer JF. Posthospital course and outcome in schizophrenia . Arch Gen Psychiatry . 1991;48:247-253.Crossref 3. Harding CM, Brooks GW, Ashikaga T, Strauss JS, Breier A. The Vermont Iongitudinal study of persons with severe mental illness, II: long-term outcome of subjects who retrospectively met DSMIII criteria for schizophrenia . Am J Psychiatry . 1987;144:727-735.

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Jan 1, 1992

References