Abstract
Among outpatients with schizophrenia who received medical treatment for over five years, 183 cases from the Karasuyama Mental Hospital, which is affilated with Showa University, were analyzed. Based on the clinical pictures, the patients were divided into two types : symptom-relieved (124 cases), and symptom-revealed (59 cases) . Socio-biological and pathological surveys were made on the progress of social adaptability and correlativity between social adaptability and positive/negative symptoms. There was strong correlation between social adaptability and mental symptoms in all clinical pictures. In symptom-relieved types, there was strong correlation between social adaptability and negative symptoms, whereas for symptom-revealed types correlation of the same degree between social adaptability and positive/ negative symptoms was weak. For the symptom-revealed types, the long-term turning point (result) was found to be closely related equally with both positive and negative symptoms. There were many cases of improvement in social adaptability. The symptom-revealed types improved in the superior type of negative symptoms. This picture was demonstraded to have an affinity with the“second flexible”Zweiter Knick (Mayer-Gross) -like phenomenon.
