SCHIZOPHRENIA AND SOCIAL CLASS.

摘要: A documentary survey of a national sample males aged 25-34 on their first admission to mental hospital in England and Wales for schizophrenia showed the usual excess patients social class V. However, distribution fathers at time patients' birth was very similar that population as whole. clinical study representative series consecutive admissions male schizophrenics 15-30 living socially mixed area outer London confirms these findings. It shows decline occupational status both from father son own history. The main evidence individual downward "drift" is ability schizophrenic win places grammar schools, though they end semi- or unskilled jobs. The employment histories adolescence many pursued varied careers, considerable proportion aiming professional technical jobs; still fitted broadly with career expectations home environment. The discrepancies performance between could be mainly attributed disease process. Patients whose illness had an insidious onset did not attain any skill; those started acutely before dropped shortly admission; while who were mentally subnormal well achieve level skill all. This drift appears affect highest lowest classes most severely. Only one patient out 13 school boys attained I II status, over half V labour market by survey. On other hand, two-thirds III IV survived jobs requiring moderate degree skill. These findings suggest gross socio-economic deprivation unlikely major aetiological significance schizophrenia. factors, yet defined clearly, appear exert some influence course disease.