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The Social Breakdown Syndrome-Some Origins
ERNEST M. GRUENBERG
Am J Psychiatry 1967;123:1481-1489.
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Professor of Psychiatry, College of Physicians and Surgeons of Columbia University, Department of Psychiatry, New York, N. Y. 10032

1966-67, American Psychiatric Association

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Abstract

Some patients manifest progressive chronic deterioration chiefly by behavior changes which are observable as modifications of personal and social behavior. Thus, studies of inner psychic connection underlying symptom formation can be complemented by investigating how social functioning breaks down. Six years' study suggests that the social breakdown syndrome (SBS) occurs when certain reactions to the patient interact and resonate with some of his efforts to do what he feels will be acceptable. There is evidence that properly conducted mental health center services can interrupt this process.

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