July 1973

Good Outcome in Young Adult Schizophrenia

Author Affiliations

From the Psychosomatic and Psychiatric Institute, Michael Reese Hospital and Medical Center and the Pritzker School of Medicine, University of Chicago, Chicago.

Arch Gen Psychiatry. 1973;29(1):103-110. doi:10.1001/archpsyc.1973.04200010072013

Retrospective analysis was made of 13 young adult schizophrenics who had maintained good outcome from 2½ to 5½ years. Data was obtained from psychiatric history, discharge summary, therapist's progress notes, nursing notes, and follow-up questionnaire. Information was then compiled on onset and nature of psychosis, signs of early psychopathological condition, premorbid social functioning, clinical course, and follow-up.

Though symptoms picture and duration of illness were variable, there was striking homogeneity in clinical course. Four phases were observed: (1) phase of internal disorganization, (2) phase of postpsychotic regression, (3) middle phase of postpsychotic regression, and (4) termination of regression. Features of these phases are described with suggestions for phase-appropriate management and therapy. Follow-up data indicates that most patients presently live alone and few have continued in intensive psychotherapy.