ABSTRACT

As more effective treatments for schizophrenia have evolved, emphasis has

started to be placed on defining treatments for the individual symptoms

rather than on the whole schizophrenia syndrome. The hallmark positive

symptoms, i.e. hallucinations and delusions, are a case in point. Although the

severity of these symptoms may be controlled by medication, it is not uncom-

mon for them to persist, or at least to reappear in subsequent relapses, despite

adequate doses of medication. For some patients the effects of medication on

positive symptoms include making them less anxious about the symptoms

(this is particularly so for delusions), and allowing them to ‘ignore’ the symp-

toms so they can concentrate on their domestic and social lives. Others

describe their ‘voices’ as getting quieter and less frequent with medication.