0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
SCHIZOPHRENIA AND SOCIAL STRUCTURE
A. B. HOLLINGSHEAD; F. C. REDLICH
Am J Psychiatry 1954;110:695-701.
View Author and Article Information

The Yale University Departments of Sociology and Psychiatry.

text A A A
PDF of the full text article.
Abstract

In a previous report the authors and their co-workers found treated prevalence of schizophrenia in the lowest social class 11 times more frequent than in the upper class. The present paper analyzes this striking distribution. From our data it may be concluded that the difference is not due to downward social mobility. Tabulating approximate treated incidence of schizophrenics (patients in treatment for less than 1 year) we found that approximately twice as many schizophrenics occur in class V than in classes I and II combined. At the more chronic levels the ratio between upper- and lower-class schizophrenics is much higher. We found 31 times as many schizophrenics in class V as in classes I and II. This increase of chronic patients in class V appears to be related to significant differences in treatment. Our data demonstrate that schizophrenics in the upper and middle classes enter treatment earlier than those in the lower class. The upper- and middle-class schizophrenic is referred for treatment through medical channels; the lower-class schizophrenic through legal ones.The schizophrenic of the upper and middle classes is more likely to be treated by psychotherapy; the lower-class patient by organic treatment and, in far too many cases, he is not treated at all. The patient in the upper and middle classes has a greater chance of being discharged to his family and community than has the lower-class schizophrenic. Implications of these findings for the pathology and therapy of schizophrenia need to be discussed more thoroughly than space allows us here.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 59

Related Content
Articles
Books
DSM-5™ Clinical Cases > Chapter 14.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 8.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 6.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 17.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 17.  >
Topic Collections
Psychiatric News
Read more at Psychiatric News >>
APA Guidelines
PubMed Articles