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Article
Characteristics of substance-abusing persons with schizophrenia: the paradox of the dually diagnosed
Systems and Psychosocial Advances Research Center Publications and Presentations
  • Walter E. Penk, Massachusetts Department of Mental Health
  • Raymond B. Flannery, Jr., Massachusetts Department of Mental Health
  • Elizabeth A. Irvin, Massachusetts Department of Mental Health
  • Jeffrey L. Geller, University of Massachusetts Medical School
  • William H. Fisher, University of Massachusetts Medical School
  • M. Annette Hanson, Massachusetts Department of Mental Health
UMMS Affiliation
Department of Psychiatry
Date
4-20-2000
Document Type
Article
Medical Subject Headings
Activities of Daily Living; Adult; Alcoholism; Combined Modality Therapy; Diagnosis, Dual (Psychiatry); Female; Humans; Male; Middle Aged; Psychiatric Status Rating Scales; Schizophrenia; *Schizophrenic Psychology; Social Adjustment; Substance-Related Disorders
Abstract
Previous studies have noted the paradox of the dually-diagnosed (serious mental illness and substance abuse) in which the dually-diagnosed are judged to be both behaviorally more disorganized and simultaneously more socially competent. This study sought to further assess this paradox with a large sample size and a comprehensive assessment approach. In this study, the dually-diagnosed (N = 233) differed significantly from the non-dually-diagnosed (N = 262) in the symptom paradox. The dually-diagnosed were judged both more behaviorally disorganized and socially intact. The comprehensive assessment approach yielded empirical data in support of three possible hypotheses to explain the paradox. The implications of the findings and the three possible hypotheses are discussed.
Rights and Permissions
Citation: J Addict Dis. 2000;19(1):23-30.
Related Resources
Link to Article in PubMed
PubMed ID
10772600
Citation Information
Walter E. Penk, Raymond B. Flannery, Elizabeth A. Irvin, Jeffrey L. Geller, et al.. "Characteristics of substance-abusing persons with schizophrenia: the paradox of the dually diagnosed" Vol. 19 Iss. 1 (2000) ISSN: 1055-0887 (Linking)
Available at: http://works.bepress.com/william_h_fisher/79/