A note on the importance of trauma in the genesis of schizophrenia.
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Biomedical subjects
Publications and source records attributed to D D JACKSON.
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There are many advantages of treating schizophrenic patients outside a hospital setting, if it can be managed. These advantages include the lesser pecuniary cost to the family and patient and the maintenance of the patient's self-esteem by his continued life in the community, particularly if he can be kept at some sort of gainful occupation. There is also a tendency for schizophrenic persons to increase their loss of contact with reality if, as in a hospital, they are taken care of and not expected to assume any responsibility for themselves. The office treatment of a schizophrenic person entails special problems not only of therapy but of dealing with relatives and the community. It is felt that attention to these matters results in the successful social restoration of patients who formerly would have been thought too ill to remain outside a hospital setting. Although this is among the most demanding work a psychiatrist can engage in, the rewards are great.
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