Journal of Youth and Adolescence

, Volume 2, Issue 4, pp 291–301 | Cite as

Studying schizophrenia outside the psychiatric setting

  • Henry K. Fine


Two groups of college students were identified using the MMPI as a screening device: those with normal profiles and those with schizophrenic profiles. All those with previous psychiatric treatment were eliminated. A third group of hospitalized schizophrenics was matched to the first two along lines of age, sex and socioeconomic status. The three groups were then studied via a semistructured interview and compared for the clinical features of hospitalized schizophrenics and for objective enironmental stresses. As predicted, a group of well-functioning, untreated schizophrenics was delineated. The usefulness of the MMPI as a screening device is clarified, and the question of the true prevalence of schizophrenia is discussed. Contrary to prediction, the well-functioning schizophrenics were similar to the hospitalized schizophrenics, not to the normal controls, with regard to objective environmental stresses. The possible meaning of this is discussed considering the concept of subjective environmental stresses.


Schizophrenia College Student Socioeconomic Status Normal Control Environmental Stress 
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  1. Beck, J. C., and Worthen, K. (1972). Precipitating stress, crisis theory, and hospitalization in schizophrenia and depression.Arch. Gen. Psychiatr. 26: 123–129.PubMedGoogle Scholar
  2. Bellak, L. (1969). Epilogue. In Bellak, L., and Loeb, L. (eds.),The Schizophrenic Syndrome, Grune and Stratton, New York, p. 776.Google Scholar
  3. Bond, E. D. (1954). Results of psychiatric treatment with a control series; a 25 year study.Am. J. Psychiat. 110: 561–566.PubMedGoogle Scholar
  4. Brown, G. W., and Birley, J. L. T. (1968). Crises and life changes and the onset of schizophrenia.J. Health Soc. Behav. 9: 203–214.PubMedGoogle Scholar
  5. Brown, G. W., and Birley, J. L. T. (1971). Crises and life changes preceding the onset of relapse of acute schizophrenia: Clinical aspects. In Cancro, R. (ed.),The Schizophrenic Syndrome: An Annual Review, Brunner/Mazel, New York, pp. 293–304.Google Scholar
  6. Gilberstadt, H., and Duker, J. (1965).A Handbook for Clinical and Actuarial MMPI Interpretation, W. B. Saunders, Philadelphia.Google Scholar
  7. Grinker, R. R., and Holzman, P. S. (1973). Schizophrenic pathology in young adults: A clinical study.Arch. Gen. Psychiat. 28: 168–175.PubMedGoogle Scholar
  8. Haertzen, C. A. (1969). Implication of Eysenck's criterion analysis for test construction: Is the MMPI Schizophrenia Scale a criterion for schizophrenia?Psychol. Rep. 24(3): 894.PubMedGoogle Scholar
  9. Heston, L. L. (1966). Psychiatric disorders in foster home reared children of schizophrenic mothers.Psychiatry. 112: 819–825.Google Scholar
  10. Kallmann, F. J. (1946). The genetic theory of schizophrenia; an analysis of 691 schizophrenic twin index families.Am. J. Psychiat. 103: 309–322.Google Scholar
  11. Kayton, L., and Koh, S. D. Pleasure-deficit in non-sychotic schizophrenics. Unpublished.Google Scholar
  12. Kety, S. S., Rosenthal, D., Wender, P., and Schulzinger, F. (1968). The types of prevalence of mental illness in the biological and adoptive families of adopted schizophrenics. In Rosenthal, D., and Kety, S. S. (eds.),The Transmission of Schizophrenia, Pergamon Press, Oxford.Google Scholar
  13. Koh, S. D., Kayton, L., and Berry, R. (1973). Mnemonic organization in young non-psychotic schizophrenics.J. Abnorm. Psyol. 81(3): 199–310.Google Scholar
  14. Mednick, S. (1970). Breakdown in individuals at high risk for schizophrenia: Possible predispositional perinatal factors.Ment. Hyg. 54: 50–63.Google Scholar
  15. Meehl, P. E. (1969).Schizotaxia, schizotypy, schizophrenia. In Buss, A. H., and Buss, E. H. (eds.),Theories of Schizophrenia, Atherton Press, New York, pp. 21–46.Google Scholar
  16. Mishler, E. G., and Scotch, H. A. (1963). Sociocultural factors in the epidemiology of schizophrenia: A review.Psychiatry 26(4): 315–351.PubMedGoogle Scholar
  17. Mosher, L. R., and Feinsilver, D. (1971).Special Report: Schizophrenia, NIMH Publication No. (HSM) 72-9007.Google Scholar
  18. Mosher, L. R., and Wynne, L. C. (1970). Methodological issues in research with group at high risk for the development of schizophrenia.Schizophrenia Bull. 2: 4–10.Google Scholar
  19. Rado, S. (1956). Understanding the adaptive struggles of schizophrenic patients. In Rado, S.,Psychoanalysis of Behavior: Collected Papers, Vol. 1 Grune and Stratton, New York.Google Scholar
  20. Tamken, A., and Sonken, N. (1969). Use of psychological tests in differential diagnosis.Psychol. Rep. 24(2): 590.PubMedGoogle Scholar
  21. Yolles, S. F., and Kramer, M. (1969). Vital statistics. In Bellak, L., and Loeb, L. (eds.)The Schizophrenic Syndrome, Grune and Stratton, New York, pp. 66–113.Google Scholar

Copyright information

© Plenum Publishing Corporation 1973

Authors and Affiliations

  • Henry K. Fine
    • 1
  1. 1.Institute for Psychosomatic and Psychiatric Research and TrainingMichael Reese Hospital and Medical CenterChicago

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