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The outcomes paradox (otherwise known as the "better prognosis hypothesis") is the observation that patients with schizophrenia in developing countries benefit much more from therapy than those in developed countries. This is surprising because the reverse holds for most diseases: "the richer and more developed the country, the better the ...
Most people with schizophrenia live independently with community support. [1] In people with a first episode of psychosis a good long-term outcome occurs in 42% of cases, an intermediate outcome in 35% of cases, and a poor outcome in 27% of cases. [7] Outcome for schizophrenia appear better in the developing than the developed world. [8]
Regarding posthumous diagnoses: only a few famous people are believed to have been affected by schizophrenia. Most of these listed have been diagnosed based on evidence in their own writings and contemporaneous accounts by those who knew them. Also, persons prior to the 20th century may have incomplete or speculative diagnoses of schizophrenia.
More than 40 percent of all people with schizophrenia end up in supervised group housing, nursing homes or hospitals. Another 6 percent end up in jail, usually for misdemeanors or petty crimes, while an equal proportion end up on the streets. Among researchers, schizophrenia has long been known as the “graveyard of psychiatric research.”
Nidotherapy is suggested to be a cost-effective social prescribing intervention using efforts to change the environment to improve functional ability. [175] Numerous people diagnosed with schizophrenia have found it necessary to organize confidential groups with each other where they can discuss their experiences without clinicians present.
Impaired capacity to appreciate one's own and others' mental states has been reported to be the single-best predictor of poor social competence in schizophrenia, [182] and similar cognitive features have been identified in close relatives of people diagnosed with schizophrenia, [183] including those with schizotypal personality disorder.
The first wave began in the 1950s and targeted people with mental illness. [1] The second wave began roughly 15 years later and focused on individuals who had been diagnosed with a developmental disability. [1] Deinstitutionalization continues today, though the movements are growing smaller as fewer people are sent to institutions.
The SA program is based on the twelve-step model, [10] but includes just six steps. [6] [11] The organization describes the program's purpose of helping participants to learn about schizophrenia, "restore dignity and sense of purpose," obtain "fellowship, positive support, and companionship," improve their attitudes about their lives and their illnesses, and take "positive steps towards recovery."