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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]
Schizophrenic people find it hard to pick up on social cues. [39] More specifically, people with schizophrenia are found to have deficits in emotional facial recognition, social knowledge, empathy, and non-verbal cues, and emotional processing. Most of these aspects are part of a category called social cognition.
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.”
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.
In the books Schizophrenia and the Family and The Origin and Treatment of Schizophrenic Disorders Lidz and his colleagues explain their belief that parental behaviour can result in mental illness in children: Lidz's general thesis examined how the socialization between parents affect the aetiology of schizophrenia in their children.
A global review on the stigma of mental illnesses and discrimination found that “there is no known country, society, or culture where people with mental illness (diagnosed or recognized as such by the community) are considered to have the same value or be as acceptable as persons who do not have mental illness”. [66]
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.