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Three Phases Documented by Patient's Interpretation of Research Procedures

Michael H. Sacks, MD; William T. Carpenter, Jr., MD; John S. Strauss, MD

Arch Gen Psychiatry. 1974;30(1):117-120.

Abstract
The experiences of acutely psychotic patients during research procedures reveal important characteristics of the process of recovery from delusional thought. Changes in the patients' perceptions and interpretations of testing experiences parallel changes in their clinical status and are used to demonstrate the continuum between delusional and nondelusional thinking.

Three specific phases are defined: the delusional, double-awareness, and nondelusional phases. The interaction between this regular sequence of changes and the patients' participation in research is examined with particular reference to the process of recovery from delusions.

Author Affiliations
Bethesda, Md

From the Psychiatric Assessment Section, Adult Psychiatry Branch, National Institute of Mental Health, Bethesda, Md. Dr. Sacks is currently at the New York University Medical Center and Veterans Administration Hospital, New York, and Dr. Strauss is with the Clinical Psychiatry Research Programs, University of Rochester School of Medicine, Rochester, NY.

Footnotes
Accepted for publication Aug 10, 1973.

Reprint requests to the Veterans Administration Hospital, First Ave at 24th St, Room 17021 West, New York, NY 10010 (Dr. Sacks).

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