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September 1971

Acute Schizophrenia: Clinical Effects of the Labeling Process

Author Affiliations

San Francisco
From the Langley Porter Neuropsychiatric Institute, and the Department of Psychiatry, University of California School of Medicine, San Francisco.

Arch Gen Psychiatry. 1971;25(3):215-222. doi:10.1001/archpsyc.1971.01750150023004

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.

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