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Mediating Processes in Schizophrenia

Towards a New Dynamic Psychiatry

Published online by Cambridge University Press:  06 August 2018

John S. Strauss*
Affiliation:
Department of Psychiatry, Yale University School of Medicine, New Haven

Extract

To paraphrase Kant, theory without data is mere intellectual play, but data without theory are blind. “Mediating Processes in Schizophrenia” is a topic demanding theory as well as data. Although the topic may seem limited in scope, it actually probes the causes of schizophrenia. The causes involved in ‘mediating processes’, however, are not the usually considered primary or distal causes of schizophrenia, such as genetics or early environment. Instead they are the more proximal causes – mechanisms that are closer to illness onset, exacerbation, or improvement. It is amazing how little attention is paid to this kind of cause.

Type
I. Introduction: Unfolding of the Area
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Aristotle. Physics Book 2, Chapter 3.Google Scholar
Bleuler, E. (1950) Dementia Praecox or the Group of Schizophrenias. New York: International Universities Press.Google Scholar
Freud, S. (1959) Psycho-analytic notes upon an autobiographical account of a case of paranoia (dementia paranoides) (1911). In Collected Papers, Vol. 3. (Translated by J. & A. Strachey). New York: Basic Books.Google Scholar
Jackson, J. H. (1958) Selected Writings of John Hughlings Jackson, Vol. 2. Evolution and Dissolution of the Nervous System. Various Papers, Addresses and Lectures (ed . J. Taylor). New York: Basic Books.Google Scholar
Jefferson, L. (1964) I am crazy wild this minute. How can I learn to think straight? In The Inner World of Mental Illness (ed. Kaplan, B.). New York: Harper & Row.Google Scholar
Keller, M. B., Lavori, P., Rice, J., et al (1986) The persistent risk of chronicity in recurrent episodes of non-bipolar major depressive disorder: A prospective follow-up. American Journal of Psychiatry, 143, 2428.Google Scholar
Laing, R. (1967) The Politics of Experience. New York: Ballantine.Google Scholar
Leff, J. & Vaughn, C. (1985) Expressed Emotion in Families: Its Significance for Mental Illness. New York: Guilford.Google Scholar
Levinson, D., Darrow, C. N., Klein, E. B., et al (1979) The Seasons of a Man's Life. New York: Alfred A Knopf.Google Scholar
Lieberman, P. B. & Strauss, J. S. (1986) Brief psychiatric hospitalization: What are its effects? American Journal of Psychiatry, 143, 15571562.Google Scholar
Maruyama, M. (1963) The second cybernetics: Deviation-amplifying mutual causal processes. American Scientist, 51, 164179.Google Scholar
Melges, F. T. & Freeman, A. M. (1975) Persecutory delusions: A cybernetic model. American Journal of Psychiatry, 132, 10381044.Google Scholar
Ownbey, R. & Strauss, J. S. (in prep.) Processes of change following discharge from psychiatric hospitalization.Google Scholar
Rakfeldt, J. & Strauss, J. S. (1989) The low turning point: A control mechanism in the course of mental disorder. Journal of Nervous and Mental Diseases, 177, 3237.CrossRefGoogle Scholar
Sachs, M., Carpenter, W. T. Jr & Strauss, J. S. (1974) Recovery from delusions: Three phases documented by patients’ interpretation of research procedures. Archives of General Psychiatry, 30, 117120.CrossRefGoogle Scholar
Sechehaye, M. (1951) Autobiography of a Schizophrenic Girl. New York: Grune & Stratton.Google Scholar
Strauss, J. S. (1969) Hallucinations and delusions as points on continua function: Rating scale evidence. Archives of General Psychiatry, 31, 581586.CrossRefGoogle Scholar
Strauss, J. S. (1987) Processes of healing and chronicity in schizophrenia. In Search for the Causes of Schizophrenia (eds Hafner, H., Gattaz, W. F. & Janzarik, W.). Berlin: Springer.Google Scholar
Strauss, J. S., Carpenter, W. T. & Bartko, J. J. (1974) Speculations on the processes that underlie schizophrenic symptoms. Schizophrenia Bulletin, 11, 5060.Google Scholar
Strauss, J. S., Gabriel, K. R., Kokes, R. F., et al (1979) Do psychiatric patients fit their diagnoses? Patterns of symptomatology as described with the biplot. Journal of Nervous and Mental Disease, 36, 191196.Google Scholar
Strauss, J. S., Hafez, H., Lieberman, P. B., et al (1985) The course of psychiatric disorder: III. Longitudinal principles. American Journal of Psychiatry, 142, 289296.Google ScholarPubMed
Strauss, J. S., Hafez, H., Harding, C. M., et al (submitted for publication) Clinical questions and real research: II. Systematic exploratory research.Google Scholar
Wing, J. (1975) Impairments in schizophrenia: A rational basis for social treatment. In Life History Research in Psychopathology, Vol. 4 (eds R. D. Wirt, G. Winokur & M. Roff). Minneapolis: University of Minnesota Press.Google Scholar
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