Reversal of Schizophrenia Without Neuroleptics – Irwin

It is commonly believed tha t reversal of schizophrenia is accomplished primarily through neuroleptic drug treatment, but this belief can only be maintained by ignoring a great deal of material published in the scientific literature. Randomized studies comparing psvchosocial treatment programs without neuroleptics to drug-based programs were sought out for review, and six were found. Long-term out comes were statistically equivalent or superior in the nondrug group in all six studies, even those where the quality of the psvchosocial treattment was questionable. In studies with psychosocial interventions that appeared to have higher quality, both short- and long-term results were equivalent or superior without neuroleptics. These findings suggest that neuroleptics interfere with long- term recovery and, if appropriate psychosocial interventions are available, are not
even necessary for short-term behavior control.

Matt Irwin, Ethical Human Psychology and Psychiatry, Vol. 6, No. 2, Summer 2004

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