A study of hospitalized paranoid schizophrenics with grandiose symptomatology.
Twenty-one paranoid schizophrenics who were being treated in a therapeutic community were divided into groups with grandiose and nongrandiose symptomatology, based on ratings on the Inpatient Multidimensional Psychiatric Scale. The nine nongrandiose patients showed significantly greater improvement during hospitalization. A follow-up of five nongrandiose and nine grandiose patients one year after discharge revealed a trend toward greater improvement by the nongrandiose group. The authors feel that a patient's grandiosity creates a barrier that keeps the therapist and the members of the therapeutic community at a distance and makes him less accessible to therapeutic intervention. The field dependence of patients was also rated, but was of no prognostic significance.
D000328:Adult; D003702:Delusions / Q000150:complications*; D005260:Female; D005364:Field Dependence-Independence; D005500:Follow-Up Studies; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D009519:New York City; D011369:Professional-Patient Relations; D011569:Psychiatric Status Rating Scales; D012563:Schizophrenia, Paranoid / Q000150:complications / Q000534:rehabilitation*; D012917:Social Adjustment; D013808:Therapeutic Community