The Northwick Park Study of First Episodes of Schizophrenia

case-note studies to be feasible for all the patients included and samples ofthose excluded.The main impression from the Goodmayes study, which has been reinforced by continuing experience with some of the patients concerned, is of the individual consistency of courses.A longitudinal framework is therefore essential to dojustice to social Editor influences, which appear to operate within narrow, perhaps biologically determined, constraints over a very long time course.A much more complex explanation than either a disease process or a social model alone provides is likely to be required for the re-evaluation of ‘¿ institutionalisation'.