Evidence map›Paper›PMID 16773457›Full record

ArticleCulture, medicine and psychiatry2005

The new paradigm of recovery from schizophrenia: cultural conundrums of improvement without cure.

Janis H Jenkins, Elizabeth Carpenter-Song

Abstract read
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In one paragraph

Article in Culture, medicine and psychiatry, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Medication Experience: A Concept Analysis.Pharmacy (Basel, Switzerland) · 2020
    Article
  7. Article
  8. Article
  9. Promoting meaningful recovery with digital mental health care.Epidemiology and psychiatric sciences · 2020
    Article
  10. Identity, Subjectivity, and Disorders of Self in Psychosis.Culture, medicine and psychiatry · 2019
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Janis H JenkinsDepartment of Anthropology, Case Western University, Cleveland, Ohio 44106-7125, USA. jhj4@case.edu
Elizabeth Carpenter-Song

Funding

CULTURE, SCHIZOPHRENIA, AND ATYPICAL ANTIPSYCHOTICSR01MH060232 · NIMH · CASE WESTERN RESERVE UNIVERSITY · PI JENKINS, JANIS H. · 1999 to 2001
$422k
NIMH NIH HHS R01 MH-60232
6 · The paper itself

Abstract

This article is a qualitative investigation of the subjective experience of recovery from the perspective of persons living with schizophrenia-related disorders. An NIMH-sponsored ethnographic study of community outpatient clinics was completed for 90 persons taking second-generation antipsychotic medications. Research diagnostic criteria and clinical ratings were obtained in tandem with an anthropologically developed Subjective Experience of Medication Interview (SEMI) that elicits narrative data on everyday life and activities, medication and treatment, management of symptoms, expectations concerning recovery, and stigma. Ethnographic observations from diverse settings (clinics, public transportation, restaurants, homes) were also obtained. The primary findings are that recovery was experienced in relation to low levels of symptoms, the need to take medications to avoid hospitalization or psychotic episodes, and personal agency to struggle against the effects of illness. The majority of participants articulated their sense of illness recovery and expectation that their lives would improve. Improvement and recovery is an incremental, yet definitively discernable subjective process. Several problems were identified as part of this process surrounding cultural conflicts that generate the experience of ambivalence analyzed here as the "paradox of recovery without cure," irreconcilable "catch-22" dilemmas involving sacrifice (e.g., one must be "fat" or be "crazy"), and substantial stigma despite improvement in illness and everyday life experience.

Indexed as

ConvalescenceCultureAdultAntipsychotic AgentsAttitude to HealthBrief Psychiatric Rating ScaleFemaleHumansMalePatient ComplianceSchizophreniaAntipsychotic Agents

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.