Progressing from patienthood to personhood across the multidimensional outcomes in schizophrenia and related disorders.
The conceptualization of outcome in schizophrenia has been modified since Krapelin's dementia praecox and is now thought to be more heterogeneous and multidimensional. Qualitative research reveals a deeper and more complete understanding of the complex processes involved. This study investigates and describes the subjective experience of the multidimensional outcome of schizophrenia. The findings are based on bimonthly comprehensive assessments conducted over a 1-year period with 43 persons who were hospitalized for schizophrenia and related disorders. Results reveal ongoing person-environment interactions, which constitute the nonlinear progression from "patienthood" to 'personhood" across the multidimensional outcome domains of work, treatment, and social relationship. To facilitate this difficult process, it is essential to simultaneously help consumers develop their strengths and increase society's awareness and commitment to meet their unique needs.
Roe
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School of Social Work, Bar Ilan University, Ramat Gan, Israel.
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012050:Rehabilitation, Vocational; D012559:Schizophrenia / Q000175:diagnosis / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D020377:Self Efficacy; D012803:Sick Role; D012917:Social Adjustment; D012931:Social Environment