Abstract
Although both Kraepelin and Eugene Bleuler believed that schizophrenia was usually a deteriorating disorder, influential voices now question this. For example, Manfred Bleuler[1] estimated that 25% of his cases recovered completely, 50% ran a fluctuating course, while only 10% showed severe and permanent impairment. Several other follow-up studies have shown a more benign outcome than the traditional view would have predicted[2–4]. This has lead Zubin[5] to dispute the existence of any underlying disease process, and to postulate instead a ‘vulnerability model’ in which the schizophrenic individual is seen as characterised by some permanent predisposition to episodes of illness.
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Murray, R.M., Owen, M.J., Goodman, R., Lewis, S.W. (1990). A neurodevelopmental perspective on some epiphenomena of schizophrenia. In: Cazzullo, C.L., Sacchetti, E., Conte, G., Invernizzi, G., Vita, A. (eds) Plasticity and Morphology of the Central Nervous System. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0851-2_19
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DOI: https://doi.org/10.1007/978-94-009-0851-2_19
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