Social and Family Factors in the Course of Schizophrenia

Toward an Interpersonal Problem-Solving Therapy for Schizophrenics and Their Families
  • Robert Paul Liberman
  • Charles J. Wallace
  • Christine E. Vaughn
  • Karen S. Synder
  • Clinton Rust


With the current enthusiasm for biological mechanisms in the understanding and treatment of schizophrenia, a bystander may wonder why there is a clamor for psychotherapeutic approaches to this major psychiatric disorder. After all, doesn’t research on genetics, dopamine, and endorphins promise early breakthroughs in deciphering the pathogenesis of schizophrenia? Haven’t the neuroleptic drugs shown that schizophrenia is a biological illness that should be treated with somatic methods? Hasn’t the value of psychotherapy—whether conducted by seasoned analysts, enthusiastic residents, or optimistic social workers—been shown to be limited, at best, for the great proportion of individuals suffering from schizophrenia? Although these questions may seem naive, dead and buried to those who are committed, through training and experience, to a psychotherapeutic approach with schizophrenic patients, they are very much alive in the minds of many rank-and-file psychiatrists, residents-in-training, and health planners, who are the architects of our future national medical insurance programs. Thus, it is important to address the rationale for psychosocial treatment in schizophrenia, and to offer a clear and convincing strategy for its clinical use.


Social Skill Schizophrenic Patient Express Emotion Homework Assignment Social Skill Training 
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Copyright information

© Plenum Publishing Corporation 1980

Authors and Affiliations

  • Robert Paul Liberman
    • 1
    • 2
  • Charles J. Wallace
    • 1
    • 2
  • Christine E. Vaughn
    • 1
    • 2
  • Karen S. Synder
    • 1
    • 2
  • Clinton Rust
    • 1
    • 2
  1. 1.Mental Health Clinical Research Center for the Study of SchizophreniaCarmarillo State HospitalCamarilloUSA
  2. 2.UCLA School of MedicineLos AngelesUSA

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