Abstract
Since the advent of the drug regimes which allow us to maintain schizophrenic patients in the community, further needs have developed, namely to enable such patients to regain skills and habits lost during the acute episodes or as a result of a chronic illness, and to learn new behaviours which will aid their adjustment to community living. These patients can be divided into four major categories on the basis of the problems they present to the hospital with regard to their after care. First, a group who respond well to medication and after only relatively short periods of hospitalisation are able to return to their families and their jobs with seemingly no further problems. Usually as long as medication is maintained relapses will be kept to a minimum. Secondly, a group who respond well to medication, although possibly to a more limited degree than the first group, and are left with some residual problems which they manage to cope with themselves with seemingly little, or no, tension, but are unable to hold down a full-time job. There appear to be many women in this group who can manage their housekeeping tasks very well at their own pace but could not cope with the more rigid pressures of employment. Thirdly, there appears to be a group whose response to drug therapy is sufficient to keep them out of hospital, but not sufficient either to damp down all primary symptoms or to allow the patient to cope with attendant secondary behaviours, such as withdrawal and apathy, and so return to pre-illness behaviours and habits.
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© 1978 Raghu N. Gaind and Barbara L. Hudson
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Atkinson, J.M. (1978). Community Management of Patients with Chronic Schizophrenia by Behavioural Methods. In: Current Themes in Psychiatry 1. Palgrave, London. https://doi.org/10.1007/978-1-349-03642-4_26
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DOI: https://doi.org/10.1007/978-1-349-03642-4_26
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