Social Problems — Organizing Adequate Services for Patients in the Group of Schizophrenias

  • Gerald J. Sarwer-Foner


Patients afflicted with one of the Group of the Schizophrenias show particular well-known tendencies that express themselves in characteristic symptoms. The natural course of the illness, the “Way of Life”. (1) of those chronically afflicted, here takes on a personal individualistic characterological pattern as “the usual way of being” that the patient shows. In its humanistic aspects, the illness thus poses th most profound medical problems for each particular society. The Group of the Schizophrenias poses severe political considerations for each proposed solution in each society, for people with these illnesses. Here again it is a rather complete model of the complexities of what such an illness does to the society in which it exists, and of what a particular society does to people with an illness. If one looks at the particular social dependency needs of people with Schizophrenia in its severe forms, then the interactions between these forms and the demand that the symptomatic expression of these forms makes on the social organization of a particular culture and society, also offers interesting food for thought. Here it poses the issue of how much money and resources a society will put into people with such illness, and what the needed range and spectrum of such resources should be, or are. I have discussed these more fully in my Simon Bolivar lecture, (3) and space and time does not permit me to elaborate on these today.


Schizophrenic Patient Planning Figure Humanistic Aspect State Mental Hospital Social Dependency 
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    SARWER-FONER,G.J.: Schizophrenia 1980: Implications for Psychopharmacology. Ch. 7, pp 67–83 in Psychiatry, Psycho-pharmacology and Alternative therapies: Trends for the 80s. Schwab,J.J., Edit., New York, Marcel Dekker,1981.Google Scholar
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    SARWER-FONER,G.J., The Simon Bolivar Lecture, American Psychiatric Association. Some Thoughts on the Current Status of the Schizophrenic Group of Illnesses: Treatment, Research and Social Aspects. The Psychiat J Univ Ottawa, 8: 1–16 (June) 1983.Google Scholar
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    SOSOWSKY,L.: Explaining the increased arrest rate among mental patients: a cautionary note. Am J Psychiatry, 137: 1602–1605, 1980.PubMedGoogle Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • Gerald J. Sarwer-Foner
    • 1
  1. 1.Department of PsychiatryUniversity of Ottawa School of Medicine/Ottawa General HospitalOttawaCanada

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