Diagnostic and treatment interactions between the physician and the patient have role-inducing "side effects." Our present approach to the acutely psychotic adult may assign a "mental illness" role which further injures the person's potential for growth and adaptation. An alternative approach to the diagnosis and treatment of acute schizophrenia is described in a case history. The focus avoids invidious labels resulting from categorizing and suppressing an "illness process"; instead, the diagnostic and treatment interactions define the psychotic experience as offering possibilities for growth which were previously unavailable in the prepsychotic state.
Levene HI. Acute SchizophreniaClinical Effects of the Labeling Process. Arch Gen Psychiatry. 1971;25(3):215-222. doi:10.1001/archpsyc.1971.01750150023004