Courtenay Harding - Academia.edu (original) (raw)

Papers by Courtenay Harding

Research paper thumbnail of Deep Concern

Schizophrenia Bulletin, 2010

Research paper thumbnail of The Maine and Vermont three-decade studies of serious mental illness. II. Longitudinal course comparisons

British Journal of Psychiatry, 1995

This study compared long-term outcome of serious mental illness in two states using a matched des... more This study compared long-term outcome of serious mental illness in two states using a matched design to assess psychiatric rehabilitation programmes; Vermont subjects participated in a model psychiatric rehabilitation programme, while the Maine group received more traditional care. Maine and Vermont subjects (n = 269) were matched by age, sex, diagnosis, and chronicity. Demographic, illness, and life history information were abstracted from hospital records by clinicians blind to outcome. DSM-III criteria were applied retrospectively. Outcome was assessed by clinicians blind to history. Vermont subjects alive at follow-up (n = 180) were more productive (P < 0.0009), had fewer symptoms (P < 0.002), better community adjustment (P < 0.001) and global functioning (P < 0.001) than Maine subjects (n = 119). Outcome differences may be due to Vermont's model programme and a policy of allowing an earlier opportunity for community life.

Research paper thumbnail of Speculations on the measurement of recovery from severe psychiatric disorder and the human condition

1. Psychiatr J Univ Ott. 1986 Dec;11(4):199-204. Speculations on the measurement of recovery from... more 1. Psychiatr J Univ Ott. 1986 Dec;11(4):199-204. Speculations on the measurement of recovery from severe psychiatric disorder and the human condition. Harding CM. PMID: 3547438 [PubMed - indexed for MEDLINE]. Publication ...

Research paper thumbnail of How serious is schizophrenia? Comments on prognosis

Biological psychiatry, 1984

Research paper thumbnail of The course of psychiatric disorder, III: Longitudinal principles

The American journal of psychiatry, 1985

The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to... more The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to explore systematically the course of psychiatric disorder. Data collected over the 2-year period following discharge suggested the existence of eight longitudinal principles for understanding the course of psychiatric disorder. These principles reflect identifiable phases and some of the factors involved in a patient's remaining in one phase or moving on to a new phase. The clinical and research implications of these principles are described.

Research paper thumbnail of The Vermont longitudinal study of persons with severe mental illness, I: Methodology, study sample, and overall status 32 years later

The American journal of psychiatry, 1987

The authors report the latest findings from a 32-year longitudinal study of 269 back-ward patient... more The authors report the latest findings from a 32-year longitudinal study of 269 back-ward patients from Vermont State Hospital. This intact cohort participated in a comprehensive rehabilitation program and was released to the community in a planned deinstitutionalization effort during the mid-1950s. At their 10-year follow-up mark, 70% of these patients remained out of the hospital but many were socially isolated and many were recidivists. Twenty to 25 years after their index release, 262 of these subjects were blindly assessed with structured and reliable protocols. One-half to two-thirds of them had achieved considerable improvement or recovery, which corroborates recent findings from Europe and elsewhere.

Research paper thumbnail of Computerised life chart methods to map domains of function and illustrate patterns of interactions in the long-term course trajectories of patients who once met the criteria for DSM-III schizophrenia

The British journal of psychiatry. Supplement, 1989

Research paper thumbnail of Chronicity in schizophrenia: revisited

The British journal of psychiatry. Supplement, 1992

Derived simply from the Greek work chronos, meaning time, the label ‘chronic’ denotes an illness ... more Derived simply from the Greek work chronos, meaning time, the label ‘chronic’ denotes an illness of long duration or one of frequent recurrence. However, when chronic is paired with schizophrenia, as in ‘this person is a chronic schizophrenic’, the connotation becomes an expectation of deterioration, defect, or deficit states (Cutting, 1983). These perceptions about schizophrenia have pervaded and guided clinical judgements (Feighner et al, 1972; American Psychiatric Association, 1980, 1987), treatment programming (Bachrach, 1979; Lamb, 1981; Strauss &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; Glazer, 1982), policy formulation (Greenblatt, 1978; Talbott, 1979), and decisions about priority for funding (Kraft, 1981). These perceptions have also stripped hopes of recovery from patients and their families (Chamberlin, 1979; Lovejoy, 1984). Further, the use of phrases such as ‘deinstitutionalisation of chronic mental patients’ glosses over the large heterogeneity of patient types, courses of illness and recovery, and the actual shifts in composition and migrations of groups of patients within society (Lamb, 1979; Leighton, 1982; Harding &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; Ashikaga, 1982).

Research paper thumbnail of The Maine-Vermont longitudinal project: The world's only replication study over three decades

Schizophrenia Research, 1991

Research paper thumbnail of Computerised life chart methods to map domains of function and illustrate patterns of interactions in the long-term course trajectories of patients who once met the …

British Journal of …, 1989

Research paper thumbnail of Chronicity in schizophrenia: Revisited

British journal of Psychiatry, 1992

APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...

Research paper thumbnail of The course of psychiatric disorder, III: Longitudinal principles

American Journal of …, 1985

The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to... more The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to explore systematically the course of psychiatric disorder. Data collected over the 2-year period following discharge suggested the existence of eight longitudinal principles for understanding the course of psychiatric disorder. These principles reflect identifiable phases and some of the factors involved in a patient&#39;s remaining in one phase or moving on to a new phase. The clinical and research implications of these principles are described.

Research paper thumbnail of The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of …

American Journal of Psychiatry

The authors present the findings from a long-term follow-up study of 118 patients from Vermont St... more The authors present the findings from a long-term follow-up study of 118 patients from Vermont State Hospital who, when rediagnosed retrospectively, met DSM-lII criteria for schizophrenia at their index hospitalization in the mid-1950s. The patients were studied with structured; reliable, multivariate instrument batteries by raters who were blind to information in their records. The rediagnostic process is de~cribed, and results of the follow-up are.) presented. Outcome varied widely, but one-half to two-thirds of the sample had achieved considerable improvement or recovered, in contrast to statements in DSM-IIl that predict a poor outcome for schizophrenic patients.

Research paper thumbnail of Reviewers for 1995-96

The staff of the Schizophrenia Bulletin would like to express our appreciation for the important ... more The staff of the Schizophrenia Bulletin would like to express our appreciation for the important assistance we have received from the following individuals who, along with the members of the Bulletin's editorial board, evaluated manuscripts submitted during 1995-96.

Research paper thumbnail of The Colorado postdoctoral training consortium: An innovative postdoctoral program in public psychology

... psychology. Serving the seriously mentally ill: Public–academic linkages in services, researc... more ... psychology. Serving the seriously mentally ill: Public–academic linkages in services, research, and training. Zimet, Carl N.; Harding, Courtenay. Wohlford, Paul (Ed); Myers,Hector F. (Ed); Callan, Joanne E. (Ed), (1993). Serving ...

Research paper thumbnail of The Psyche and Schizophrenia: The Bond between Affect and Logic

J Nerv Ment Dis, 1991

... Login to save citations to My List. Citation. Database: PsycINFO. [Book; Authored Book]. The ... more ... Login to save citations to My List. Citation. Database: PsycINFO. [Book; Authored Book]. The psyche and schizophrenia: The bond between affect and logic. Ciompi, Luc; Schneider, DeborahLucas (Trans). Cambridge, MA, US: Harvard University Press. (1988). xii, 327 pp. Abstract ...

Research paper thumbnail of The doctor who saw through psychiatric labels to find the real person underneath

American Journal of Psychiatric Rehabilitation, 2016

Research paper thumbnail of Relationships between adult development and the course of mental disorder

Risk and Protective Factors in the Development of Psychopathology, 1990

Research paper thumbnail of The Natural History of Mania, Depression, and Schizophrenia

Psychiatric Services, Oct 7, 2014

... Page 23. Introduction to the Iowa 500 Study tematic recording of data. Although he did much o... more ... Page 23. Introduction to the Iowa 500 Study tematic recording of data. Although he did much of the work himself, he was aided by Raymond Crowe and John Clancy, who evaluated the records in a systematic fashion. Morrison ...

Research paper thumbnail of The Natural History of Mania, Depression, and Schizophrenia

The Journal of Clinical Psychiatry, 1997

... Page 23. Introduction to the Iowa 500 Study tematic recording of data. Although he did much o... more ... Page 23. Introduction to the Iowa 500 Study tematic recording of data. Although he did much of the work himself, he was aided by Raymond Crowe and John Clancy, who evaluated the records in a systematic fashion. Morrison ...

Research paper thumbnail of Deep Concern

Schizophrenia Bulletin, 2010

Research paper thumbnail of The Maine and Vermont three-decade studies of serious mental illness. II. Longitudinal course comparisons

British Journal of Psychiatry, 1995

This study compared long-term outcome of serious mental illness in two states using a matched des... more This study compared long-term outcome of serious mental illness in two states using a matched design to assess psychiatric rehabilitation programmes; Vermont subjects participated in a model psychiatric rehabilitation programme, while the Maine group received more traditional care. Maine and Vermont subjects (n = 269) were matched by age, sex, diagnosis, and chronicity. Demographic, illness, and life history information were abstracted from hospital records by clinicians blind to outcome. DSM-III criteria were applied retrospectively. Outcome was assessed by clinicians blind to history. Vermont subjects alive at follow-up (n = 180) were more productive (P < 0.0009), had fewer symptoms (P < 0.002), better community adjustment (P < 0.001) and global functioning (P < 0.001) than Maine subjects (n = 119). Outcome differences may be due to Vermont's model programme and a policy of allowing an earlier opportunity for community life.

Research paper thumbnail of Speculations on the measurement of recovery from severe psychiatric disorder and the human condition

1. Psychiatr J Univ Ott. 1986 Dec;11(4):199-204. Speculations on the measurement of recovery from... more 1. Psychiatr J Univ Ott. 1986 Dec;11(4):199-204. Speculations on the measurement of recovery from severe psychiatric disorder and the human condition. Harding CM. PMID: 3547438 [PubMed - indexed for MEDLINE]. Publication ...

Research paper thumbnail of How serious is schizophrenia? Comments on prognosis

Biological psychiatry, 1984

Research paper thumbnail of The course of psychiatric disorder, III: Longitudinal principles

The American journal of psychiatry, 1985

The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to... more The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to explore systematically the course of psychiatric disorder. Data collected over the 2-year period following discharge suggested the existence of eight longitudinal principles for understanding the course of psychiatric disorder. These principles reflect identifiable phases and some of the factors involved in a patient's remaining in one phase or moving on to a new phase. The clinical and research implications of these principles are described.

Research paper thumbnail of The Vermont longitudinal study of persons with severe mental illness, I: Methodology, study sample, and overall status 32 years later

The American journal of psychiatry, 1987

The authors report the latest findings from a 32-year longitudinal study of 269 back-ward patient... more The authors report the latest findings from a 32-year longitudinal study of 269 back-ward patients from Vermont State Hospital. This intact cohort participated in a comprehensive rehabilitation program and was released to the community in a planned deinstitutionalization effort during the mid-1950s. At their 10-year follow-up mark, 70% of these patients remained out of the hospital but many were socially isolated and many were recidivists. Twenty to 25 years after their index release, 262 of these subjects were blindly assessed with structured and reliable protocols. One-half to two-thirds of them had achieved considerable improvement or recovery, which corroborates recent findings from Europe and elsewhere.

Research paper thumbnail of Computerised life chart methods to map domains of function and illustrate patterns of interactions in the long-term course trajectories of patients who once met the criteria for DSM-III schizophrenia

The British journal of psychiatry. Supplement, 1989

Research paper thumbnail of Chronicity in schizophrenia: revisited

The British journal of psychiatry. Supplement, 1992

Derived simply from the Greek work chronos, meaning time, the label ‘chronic’ denotes an illness ... more Derived simply from the Greek work chronos, meaning time, the label ‘chronic’ denotes an illness of long duration or one of frequent recurrence. However, when chronic is paired with schizophrenia, as in ‘this person is a chronic schizophrenic’, the connotation becomes an expectation of deterioration, defect, or deficit states (Cutting, 1983). These perceptions about schizophrenia have pervaded and guided clinical judgements (Feighner et al, 1972; American Psychiatric Association, 1980, 1987), treatment programming (Bachrach, 1979; Lamb, 1981; Strauss &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; Glazer, 1982), policy formulation (Greenblatt, 1978; Talbott, 1979), and decisions about priority for funding (Kraft, 1981). These perceptions have also stripped hopes of recovery from patients and their families (Chamberlin, 1979; Lovejoy, 1984). Further, the use of phrases such as ‘deinstitutionalisation of chronic mental patients’ glosses over the large heterogeneity of patient types, courses of illness and recovery, and the actual shifts in composition and migrations of groups of patients within society (Lamb, 1979; Leighton, 1982; Harding &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; Ashikaga, 1982).

Research paper thumbnail of The Maine-Vermont longitudinal project: The world's only replication study over three decades

Schizophrenia Research, 1991

Research paper thumbnail of Computerised life chart methods to map domains of function and illustrate patterns of interactions in the long-term course trajectories of patients who once met the …

British Journal of …, 1989

Research paper thumbnail of Chronicity in schizophrenia: Revisited

British journal of Psychiatry, 1992

APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...

Research paper thumbnail of The course of psychiatric disorder, III: Longitudinal principles

American Journal of …, 1985

The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to... more The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to explore systematically the course of psychiatric disorder. Data collected over the 2-year period following discharge suggested the existence of eight longitudinal principles for understanding the course of psychiatric disorder. These principles reflect identifiable phases and some of the factors involved in a patient&#39;s remaining in one phase or moving on to a new phase. The clinical and research implications of these principles are described.

Research paper thumbnail of The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of …

American Journal of Psychiatry

The authors present the findings from a long-term follow-up study of 118 patients from Vermont St... more The authors present the findings from a long-term follow-up study of 118 patients from Vermont State Hospital who, when rediagnosed retrospectively, met DSM-lII criteria for schizophrenia at their index hospitalization in the mid-1950s. The patients were studied with structured; reliable, multivariate instrument batteries by raters who were blind to information in their records. The rediagnostic process is de~cribed, and results of the follow-up are.) presented. Outcome varied widely, but one-half to two-thirds of the sample had achieved considerable improvement or recovered, in contrast to statements in DSM-IIl that predict a poor outcome for schizophrenic patients.

Research paper thumbnail of Reviewers for 1995-96

The staff of the Schizophrenia Bulletin would like to express our appreciation for the important ... more The staff of the Schizophrenia Bulletin would like to express our appreciation for the important assistance we have received from the following individuals who, along with the members of the Bulletin's editorial board, evaluated manuscripts submitted during 1995-96.

Research paper thumbnail of The Colorado postdoctoral training consortium: An innovative postdoctoral program in public psychology

... psychology. Serving the seriously mentally ill: Public–academic linkages in services, researc... more ... psychology. Serving the seriously mentally ill: Public–academic linkages in services, research, and training. Zimet, Carl N.; Harding, Courtenay. Wohlford, Paul (Ed); Myers,Hector F. (Ed); Callan, Joanne E. (Ed), (1993). Serving ...

Research paper thumbnail of The Psyche and Schizophrenia: The Bond between Affect and Logic

J Nerv Ment Dis, 1991

... Login to save citations to My List. Citation. Database: PsycINFO. [Book; Authored Book]. The ... more ... Login to save citations to My List. Citation. Database: PsycINFO. [Book; Authored Book]. The psyche and schizophrenia: The bond between affect and logic. Ciompi, Luc; Schneider, DeborahLucas (Trans). Cambridge, MA, US: Harvard University Press. (1988). xii, 327 pp. Abstract ...

Research paper thumbnail of The doctor who saw through psychiatric labels to find the real person underneath

American Journal of Psychiatric Rehabilitation, 2016

Research paper thumbnail of Relationships between adult development and the course of mental disorder

Risk and Protective Factors in the Development of Psychopathology, 1990

Research paper thumbnail of The Natural History of Mania, Depression, and Schizophrenia

Psychiatric Services, Oct 7, 2014

... Page 23. Introduction to the Iowa 500 Study tematic recording of data. Although he did much o... more ... Page 23. Introduction to the Iowa 500 Study tematic recording of data. Although he did much of the work himself, he was aided by Raymond Crowe and John Clancy, who evaluated the records in a systematic fashion. Morrison ...

Research paper thumbnail of The Natural History of Mania, Depression, and Schizophrenia

The Journal of Clinical Psychiatry, 1997

... Page 23. Introduction to the Iowa 500 Study tematic recording of data. Although he did much o... more ... Page 23. Introduction to the Iowa 500 Study tematic recording of data. Although he did much of the work himself, he was aided by Raymond Crowe and John Clancy, who evaluated the records in a systematic fashion. Morrison ...