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Relationship of Schizophrenia to the Environment

Published online by Cambridge University Press:  06 August 2018

Hugh Freeman
Hugh Freeman*
Affiliation:
University of Salford. British Journal of Psychiatry
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Extract

Attention was first drawn to the importance of this topic by Schneider (1957) when he proposed that some of his first-rank symptoms could be grouped together under the concept of ‘permeability’ of the barrier between the individual and his/her environment — the ‘loss of ego boundaries’. Similarly, in a recent series of papers (Strauss et al, 1987), the essence of schizophrenia was conceptualised in the processes of interaction between biology, behaviour, and environment. The two main syndromes — acute and chronic — can each be precipitated or made worse by environmental factors, and although most patients with the negative syndrome appear to show some irreducible impairment, poverty of the social environment has been found to worsen their condition, while on the other hand, a moderate degree of social stimulation promotes relative improvement (Wing, 1987).

Type
IV. From the Perspective of Person-Environment Relationships
Information
The British Journal of Psychiatry , Volume 155 , Issue S5: Schizophrenia as a Systems Disorder: The Relevance of Mediating Processes for Theory and Therapy , July 1989 , pp. 90 - 99
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Birchwood, M., Hallett, S. & Preston, M. (1988) Schizophrenia: An Integrated Approach to Research & Treatment. London: Longman.Google Scholar
Broadbent, D. E. (1971) Decision & Stress. New York: Academic Press.Google Scholar
Brown, G. W. & Birley, J. L. T. (1968) Crisis and life changes and the onset of schizophrenia. Journal of Health & Social Behaviour, 9, 203–214.CrossRefGoogle Scholar
Brenner, H. D. (1987) On the importance of cognitive disorders in treatment and rehabilitation. In Psychosocial Treatment of Schizophrenia (eds Strauss, J. S., Böker, W. & Brenner, H. D.). Toronto: Hans Huber.Google Scholar
Broen, W. E. & Nakamura, C. Y. (1972). Reduced range of sensory sensitivity in chronic non-paranoid schizophrenics. Journal of Abnormal Psychology, 179, 106–111.Google Scholar
Ciompi, L. (1987) Toward a coherent multi-dimensional understanding and therapy of schizophrenia. In Psychosocial Treatment of Schizophrenia (eds Strauss, J. S., Böker, W. & Brenner, H. D.). Toronto: Hans Huber.Google Scholar
Crider, A. (1979) Schizophrenia: A Biopsychological Perspective. Hillsdale, New Jersey: Erlbaum.Google Scholar
Crow, T. J. (1982) Two syndromes in schizophrenia. Trends in Neurosciences, 5, 351–354.Google Scholar
Crow, T. J. & Done, D. J. (1986) Age of onset of schizophrenia in siblings. Psychiatry Research, 18, 107–117.CrossRefGoogle ScholarPubMed
Dalen, P. (1988) Schizophrenia, season of birth, and maternal age. British Journal of Psychiatry, 153, 727–733.CrossRefGoogle ScholarPubMed
Day, R., Nielson, J. A., Kerken, A., et al (1987) Stressful life events preceding the acute onset of schizophrenia: a cross-national study from the World Health Organization. Culture, Medicine & Psychiatry, 11, 123–205.Google Scholar
Dean, K. & James, H. (1985) Depression and schizophrenia in an English city. In Mental Health and the Environment (ed. Freeman, H. L.). London: Churchill Livingstone.Google Scholar
Dinan, T. G. (1987) Calcium activated potassium conductance. British Journal of Psychiatry, 151, 455–459.Google Scholar
Dunham, H. W. (1976) Social structures and mental disorders. Millbank Memorial Fund Quarterly, 39, 259–311.CrossRefGoogle Scholar
Eaton, W. W. (1980) A formal theory of selection for schizophrenia. American Journal of Sociology, 86, 149–157.CrossRefGoogle ScholarPubMed
Eaton, W. W., Day, R. & Kramer, M. (1986) In Handbook of Schizophrenia, Vol. 4. (eds M. Tsuang & J. Simpson). Amsterdam: Elsevier.Google Scholar
Faris, R. E. & Dunham, H. W. (1939) Mental Illness in Urban Areas. Chicago: University of Chicago Press.Google Scholar
Freeman, H. L. (1980) Twelve years'experience with the total use of depot neuroleptics in a defined population. In Long-term Effects of Neuroleptic Drugs (eds Cattabeni, F., Racogni, G., Spano, P. F. & Costa, E.). New York: Raven Press.Google Scholar
Freeman, H. L. (1987) Environmental stress and psychiatric disorder. Stress in Medicine, 2, 291–299.Google Scholar
Freeman, H. L. & Alpert, M. (1986) Prevalence of schizophrenia in an urban population. British Journal of Psychiatry, 149, 603–611.Google Scholar
Frith, C. D. & Done, D. J. (1988) Towards a neuropsychology of schizophrenia. British Journal of Psychiatry, 153, 437–443.Google Scholar
Gallagher, B. J. III (1980) The Sociology of Mental Illness. Englewood Cliffs, New Jersey: Prentice-Hall.Google Scholar
Goldstein, M. J. (1987) Psychosocial issues. Schizophrenia, 13, 157–172.Google Scholar
Gottesman, I. I. & Shields, J. (1982) Schizophrenia: the Epigenetic Puzzle. Cambridge: Cambridge University Press.Google Scholar
Gurling, H. M. D. (1986) Candidate genes and favoured loci: strategies for molecular genetic research into schizophrenia, manic depression, autism, alcoholism and Alzheimer's disease. Psychiatric Developments, 4, 289–309.Google Scholar
Gurling, H. M. D. (1988) Testing the retrovirus hypothesis of manic depression and schizophrenia with molecular genetic techniques. Journal of the Royal Society of Medicine, 81, 332–334.Google Scholar
Hare, E. H. (1956) Mental illness and social conditions in Bristol. Journal of Mental Science, 102, 349–357.Google Scholar
Hare, E. H. (1983) Epidemiology of schizophrenia. In Handbook of Psychiatry Vol. 3 (ed. Shepherd, M.). Cambridge: Cambridge University Press.Google Scholar
Hirsch, S. & Leff, J. P. (1976) Abnormalities in Parents of Schizophrenics. London: Oxford University Press.Google Scholar
Hogarty, G. E. & Anderson, C. (1987) A controlled study of family therapy, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenic patients. In Psychosocial Treatment of Schizophrenia (eds Strauss, et al).Google Scholar
Hsieh, H. H., Khan, M. H., Atival, S. S., et al (1987) Seasons of birth and subtypes of schizophrenia. Acta Psychiatriaca Scandinavica, 75, 373–376.Google Scholar
Iversen, L. L. (1987) Commentary on Dinan's hypothesis. British Journal of Psychiatry, 151, 459–460.Google Scholar
Jablensky, A., Sartorius, N., Korten, A., et al (1987) Incidence worldwide of schizophrenia (letter). British Journal of Psychiatry, 151, 408–409.Google Scholar
Johnstone, E. C., Crow, T. J., Frith, C. D., et al. (1976) Cerebral ventricular size and cognitive impairment in chronic schizophrenia. Lancet, ii, 924–926.Google Scholar
Katschnig, H. (1987) Vulnerability and trigger models/rehabilitation. In Search for the Causes of Schizophrenia (eds Häfner, H., Gattaz, W. F. & Janzarik, W.). Berlin: Springer.Google Scholar
Kendler, K. S. & Eaves, L. J. (1986) Models for the joint effect of genotype and environment of liability to psychiatric illness. American Journal of Psychiatry, 143, 279–289.Google Scholar
Kendler, K. S. & Tsuang, M. T. (1988) Outcome and familial psychopathology in Schizophrenia. Archives of General Psychiatry, 45, 338–346.CrossRefGoogle ScholarPubMed
Kety, S. S. (1983) Mental illness in the biological and adoptive relatives of schizophrenia adoptees. American Journal of Psychiatry, 140, 720–725.Google Scholar
Kinney, D. K. & Jacobsen, B. (1978) Environmental factors in schizophrenia: new adoption study evidence. In The Nature of Schizophrenia (eds Cromwell, R. L. & Matthyse, S.). New York: Wiley.Google Scholar
Kohn, M. (1973) Social class and schizophrenia. Schizophrenia Bulletin, 7, 60–79.CrossRefGoogle Scholar
Kovelman, J. A. & Scheibel, A. B. (1984) A neurohistological correlate of schizophrenia. Biological Psychiatry, 19, 601–621.Google Scholar
Lewis, S. W. & Murray, R. M. (1987) The genetics of schizophrenia. Practical Reviews in Psychiatry, 2, 1–12.Google Scholar
Machon, R. A., Mednick, S. A. & Schulsinger, F. (1983) The interaction of seasonality, place of birth, genetic risk and subsequent schizophrenia in a high risk sample. British Journal of Psychiatry, 143, 383–388.Google Scholar
Manschrek, T. C. (1981) Current concepts in psychiatry. New England Journal of Medicine, 305, 1628–32.Google Scholar
MacCarthy, B., Hemsley, D., Schranck-fernadez, C., et al (1988) Unpredictability as a correlate of expressed emotion in the relatives of schizophrenics. British Journal of Psychiatry, 148, 727–731.Google Scholar
Mirsky, A. F. & Duncan, C. C. (1986) Etiology and expression of schizophrenia. Annual Review of Psychology, 37, 291–319.Google Scholar
MRC (1987) Research into Schizophrenia. London: Medical Research Council.Google Scholar
Murray, R. M. & Lewis, S. W. (1987) Is schizophrenia a neurodevelopmental disorder? British Medical Journal, 295, 681–681.Google Scholar
Murray, R. M. & Reveley, A. M. (1985) Towards an aetiological classification of schizophrenia. Lancet, i, 1023–1026.Google Scholar
Neale, J. M. & Oltmanns, T. F. (1980) Schizophrenia. New York: Wiley.Google Scholar
Nuallain, M-N., O'Hare, A. & Walsh, D. (1987) Incidence of schizophrenia in Ireland. Psychological Medicine, 17, 943–948.Google Scholar
Nuechterlein, K. H. (1987) Vulnerability models for schizophrenia: state of the art. In Search for the Causes of Schizophrenia (eds Häfner, H., Gattag, W. F. & Janzarik, W.). Berlin: Springer.Google Scholar
Ødegard, O. (1974) Season of birth in the general population and in patients with mental disorder in Norway. British Journal of Psychiatry, 125, 397–405.Google Scholar
Reveley, A. M., Reveley, M. A. & Murray, R. M. (1984) Cerebral ventricular enlargement in non-genetic schizophrenia. British Journal of Psychiatry, 144, 89–93.CrossRefGoogle ScholarPubMed
Reveley, M. A., Reveley, A. M. & Baldy, R. (1987) Left cerebral hemisphere hypodensity in discordant schizophrenic twins. Archives of General Psychiatry, 44, 625–632.Google Scholar
Rosenthal, D., Goldberg, L., Jacobsen, B., et al (1974) Migration, heredity and schizophrenia. Psychiatry, 37, 321–339.Google Scholar
Saugstad, L. & Odegard, O. (1986) Inbreeding and schizophrenia. Clinical Genetics, 30, 261–275.Google Scholar
Schneider, K. (1957) Primare and sekundäre symptoma bei der Schizophrenia. Fortschrift der Neurologie und Psychiatrie, 25, 487–490.Google Scholar
Shur, E. (1982) Season of birth in high and low genetic risk schizophrenics. British Journal of Psychiatry, 140, 410–415.Google Scholar
Stevens, J. (1987) Brief psychoses. British Journal of Psychiatry, 151, 393–396.Google Scholar
Strachan, A. M. (1986) Family intervention for the rehabilitation of schizophrenia: toward protection and coping. Schizophrenia Bulletin, 12, 678–698.Google Scholar
Stramke, G. W. & Brenner, H. D. (1983) Psychologische Trainingsprogramme zur Minderunz defizitäter kognitiver Störurgen in der Rehabilitation chrorisch schizophrener Paberten. In Empirische Schizophrenieforschung (eds Brenner, H. D., Rey, E.-R., Stramke, G. W.). Bern: Huber.Google Scholar
Strauss, J. S., Böker, W. & Brenner, H. D. (1987) Psychosocial Treatment of Schizophrenia. Toronto: Huber.Google Scholar
Tarrier, N. (1988) Family Involvement. Current Opinion in Psychiatry, 1, 201–205.Google Scholar
Torrey, F. (1980) Schizophrenia and Civilization. New York: Aronson.Google Scholar
Trimble, M. (1988) Biological Psychiatry. Chichester: Wiley.Google Scholar
Warner, R. W. (1985) Recovery from Schizophrenia. London: RKP.Google Scholar
Westermeyer, J. (1980) Psychosis in a peasant society: social outcomes. American Journal of Psychiatry, 137, 1390–1394.Google Scholar
Wig, N., Menon, D. K., Bedi, H., et al (1987) Distribution of expressed emotion components among relatives of schizophrenic patients in Aarhus and Chandigarh. British Journal of Psychiatry, 151, 160–165.Google Scholar
Wing, J. K. (1987) Psychosocial factors affecting the long-term course of schizophrenia. In Psychosocial Treatment of Schizophrenia (eds Strauss, J. S., Böner, W. & Brenner, H. D.). Toronto: Hans Huber.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.Google Scholar
Zubin, J. (1987) Possible implications of the vulnerability hypothesis for the psychosocial management of schizophrenia. In Psychosocial Treatment of Schizophrenia. Toronto: Hans Huber.Google Scholar
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