SynthesisSchizophrenia bulletin2008
A systematic review of the Soteria paradigm for the treatment of people diagnosed with schizophrenia.
Synthesis in Schizophrenia bulletin, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 123 citations in OpenAlex.
- Treatment-Resistant to Antipsychotics: A Resistance to Everything? Psychotherapy in Treatment-Resistant Schizophrenia and Nonaffective Psychosis: A 25-Year Systematic Review and Exploratory Meta-Analysis.Frontiers in psychiatry · 2019Pooled it
- The effect of Soteria on personal recovery in early episode psychosis - a two-year naturalistic cohort comparison with care as usual.Social psychiatry and psychiatric epidemiology · 2026Article
- The concept of the schizophrenic lifeworld revisited.Frontiers in psychiatry · 2025Review
- Medication-Free Treatment in Mental Health Care How Does It Differ from Traditional Treatment?Patient preference and adherence · 2024Article
- Treatment with Soteria-elements in acute psychiatry-Effectiveness for acutely ill and voluntarily treated patients.Frontiers in public health · 2023Article
- [Cross-sectoral therapeutic concepts and innovative technologies: new opportunities for the treatment of patients with mental disorders].Der Nervenarzt · 2022Review
- Facilitating and hindering factors of personal recovery in the context of Soteria-A qualitative study among people with (early episode) psychosis.Frontiers in psychiatry · 2022Article
- Affect-Logic, Embodiment, Synergetics, and the Free Energy Principle: New Approaches to the Understanding and Treatment of Schizophrenia.Entropy (Basel, Switzerland) · 2021Article
- From Mental Health Industry to Humane Care. Suggestions for an Alternative Systemic Approach to Distress.International journal of environmental research and public health · 2021Review
- From Wish to Reality: Soteria in Regular Care-Proof of Effectiveness of the Implementation of Soteria Elements in Acute Psychiatry.Frontiers in psychiatry · 2021Article
- Why Service Users Choose Medication-Free Psychiatric Treatment: A Mixed-Method Study of User Accounts.Patient preference and adherence · 2021Article
- Using Open Questions to Understand 650 People's Experiences With Antipsychotic Drugs.Schizophrenia bulletin · 2020Article
- A Key, Not a Straitjacket: The Case for Interim Mental Health Legislation Pending Complete Prohibition of Psychiatric Coercion in Accordance with the Convention on the Rights of Persons with Disabilities.Health and human rights · 2020Article
- My Personal Experience of Orthodox Psychiatry and Alternative Approaches.Journal of religion and health · 2019Article
- Emerging perspectives from the hearing voices movement: implications for research and practice.Schizophrenia bulletin · 2014Article
- Schizophrenia--time to commit to policy change.Schizophrenia bulletin · 2014Article
- A pilot study on community-based outpatient treatment for patients with chronic psychotic disorders in Somalia: Change in symptoms, functioning and co-morbid khat use.International journal of mental health systems · 2012Article
- The residential care alternative for the acutely psychotic patient.The Psychiatric quarterly · 2011Review
- How frequent is chronic multiyear delusional activity and recovery in schizophrenia: a 20-year multi-follow-up.Schizophrenia bulletin · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe "Soteria paradigm" attempts to support people diagnosed with schizophrenia spectrum disorders using a minimal medication approach. Interest in this approach is growing in the United Kingdom, several European countries, North America, and Australasia.
aimsTo summarize the findings from all controlled trials that have assessed the efficacy of the Soteria paradigm for the treatment of people diagnosed with schizophrenia spectrum disorders.
methodsA systematic search strategy was used to identify controlled studies (randomized, pseudorandomized, and nonrandomized) employing the Soteria paradigm to treat adults and adolescents meeting the criteria for schizophrenia spectrum disorders according to International Classification of Diseases and Diagnostic and Statistical Manual for Mental Disorders criteria.
resultsWe identified 3 controlled trials involving a total of 223 participants diagnosed with first- or second-episode schizophrenia spectrum disorders. There were few major significant differences between the experimental and control groups in any of the trials across a range of outcome measures at 2-year follow-up, though there were some benefits in specific areas.
conclusionsThe studies included in this review suggest that the Soteria paradigm yields equal, and in certain specific areas, better results in the treatment of people diagnosed with first- or second-episode schizophrenia spectrum disorders (achieving this with considerably lower use of medication) when compared with conventional, medication-based approaches. Further research is urgently required to evaluate this approach more rigorously because it may offer an alternative treatment for people diagnosed with schizophrenia spectrum disorders.
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What OpenQuestion holds
Registered trials
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.