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Article   |    
A Study of Hospitalized Paranoid Schizophrenics With Grandiose Symptomatology
Daniel S. Papernik; Herbert Pardes; Arnold Winston
Psychiatric Services 1975; doi:
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Department of Psychiatry Downstate Medical Center State University of New York Brooklyn, New York

1975 by the American Psychiatric Association

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Twenty-one paranoid schizophrenics who were being treated in a therapeutic community were divided into groups with grandiose and nongrandiose symptomatology, based on ratings on the Inpatient Multidimensional Psychiatric Scale. The nine nongrandiose patients showed significantly greater improvement during hospitalization. A follow-up of five non-grandiose and nine grandiose patients one year after discharge revealed a trend toward greater improvement by the nongrandiose group. The authors feel that a patient's grandiosity creates a barrier that keeps the therapist and the members of the therapeutic community at a distance and makes him less accessible to therapeutic intervention. The field dependence of patients was also rated, but was of no prognostic significance.

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