Abstract
Schizophrenia is a complex and multifaceted illness that has a pervasive impact on a wide range of human experience, including social and vocational functioning, the ability to maintain basic living skills such as grooming and personal hygiene, the affects and emotions, and the perception of reality. Problems in social functioning are axiomatic to the diagnosis of schizophrenia, because such difficulties are necessary to establish the illness according to recent diagnostic criteria.1 The impairments in schizophrenic patients’ functioning and interactions may reflect a variety of influences, including: the primary impact of the illness on the drive and ability to experience and enjoy interpersonal relationships (ie. negative symptoms); effects of an altered perception of reality and affect (ie, positive symptoms); inadequate learning experiences (ie, poor premorbid adjustment); and mild adaptive responses to adverse environmental events or contingencies (eg, life events, excessive criticism). Thus, deficiencies in social functioning can be the result of paranoid or other delusions, anhedonia or asociality, and avoidance of interpersonal stress or difficulty initiating and maintaining social interactions.
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Mueser, K.T., Liberman, R.P., Glynn, S.M. (1990). Psychosocial Interventions in Schizophrenia. In: Recent Advances in Schizophrenia. International Perspectives Series: Psychiatry, Psychology, and Neuroscience. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3248-3_10
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