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ALAN BREIER, MD
Department of Psychiatry Maryland Psychiatric Research Center University of Maryland School of Medicine PO Box 21247 Baltimore, MD 21228

JUDITH L. SCHREIBER, MSW; DAVID PICKAR, MD
Bethesda, Md

JANYCE DYER, MSN
Pittsburgh, Pa

Arch Gen Psychiatry. 1992;49(1):74-75.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—

We appreciate Puryear and colleagues' interest in our recent article.¹ They apparently do not find fault with the methods used Or data contained in our report. Rather, they believe our interpretations of the data were inaccurate, which, they suggest, may lead to "unduly pessimistic" conclusions about the long-term outcome of schizophrenia. They specifically point to our phasic model of course of illness, indicating that the figure reflects a more negative course than does our discussion of themodel.

Our phasic model represents a synthesis of several previously published outcome studies. There were vast differences in the methods used in these studies, so it was impossible to use a single outcome measure, such as Global Assessment Scale or Levels of

Functioning scores, to synthesize the data. Thus, we believe it would have been misleading to "score" the y axis in our figure. Our phasic model was developed as an attempt to . . . [Full Text PDF of this Article]

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