Toward a Terminology for Functional Recovery in Schizophrenia: Is Functional Remission a Viable Concept?

Recovery in schizophrenia is receiving increasing attention. Part of the increased focus is based on the recent working criteria for clinical remission in schizophrenia and the realization that many people with schizophrenia meet these criteria for remission. In this article, we consider whether fun...

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Bibliographic Details
Published in:Schizophrenia bulletin 2009-03, Vol.35 (2), p.300-306
Main Authors: Harvey, Philip D., Bellack, Alan S.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Cost of Illness
Employment
Health Status
Humans
Outcome and Process Assessment (Health Care)
Outcome Assessment (Health Care)
Patient Participation
Prognosis
Psychiatric Status Rating Scales
Recurrence
Schizophrenia - diagnosis
Schizophrenia - therapy
Schizophrenic Psychology
Severity of Illness Index
Social Adjustment
Terminology as Topic
Theme: Functional Recovery in Schizophrenia: Raising the Bar for Outcomes in People with Schizophrenia Guest Editor: Philip D. Harvey
Time Factors
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Summary:Recovery in schizophrenia is receiving increasing attention. Part of the increased focus is based on the recent working criteria for clinical remission in schizophrenia and the realization that many people with schizophrenia meet these criteria for remission. In this article, we consider whether functional disability can also be evaluated in a "remission" model. In so doing, we evaluate the concept of clinical remission, evaluate the possibility of remission of other generally stable features of schizophrenia such as negative symptoms, and make some heuristic terminological recommendations. We also propose a "level and breadth" model for the definition of functional remission and examine some of the alternate influences that could produce suboptimal everyday functioning, including effort, motivation, and societal barriers toward functional achievement.
ISSN:0586-7614
1745-1701
DOI:10.1093/schbul/sbn171