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Article |

Drug and Sociotherapy in the Aftercare of Schizophrenic Patients:  III. Adjustment of Nonrelapsed Patients

Gerard E. Hogarty, MSW; Solomon C. Goldberg, PhD; Nina R. Schooler, PhD
Arch Gen Psychiatry. 1974;31(5):609-618. doi:10.1001/archpsyc.1974.01760170011002.
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We examined the effects of chlorpromazine and major role therapy (MRT) on the quality of community adjustment of schizophrenic patients during a two-year period following hospital discharge.

Among patients in the community, those treated with combined drug and sociotherapy adjust better than those taking the drug alone; to a greater extent, those receiving placebo alone adjust better than those receiving placebo and sociotherapy. However, only 20% of those in the placebo group have not relapsed after two years while the comparable percentage for the drug group is 52%.

Effects found on assessments made by psychiatrists, social workers, family ratings, and self-reports replicate at three clinics.

Maximum restorative benefits require both maintenance phenothiazine and psychologic treatment continued for beyond a single year following hospital discharge.

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