] Treatment: This group manifested an Relation of Age and Diagnosis to !Ife di- cation Evaluation. that the per- of favorable medication manage- at all age We would conclude that diagnosis the distinction between schizophrenic be pre- ) in a review of the current status of the

DONALD F. XLEIN, AND MAX FINK longed outpatient psychotherapy. matic preoccupation (10 patients), obsessional They associated with similar patients in rumination (6 patients), fearful paranoid ref- tight cliques, preserving a friendly relationship. erential states (4 patients), and a variety of While few of the hospital activities were in- schizoid and psychopathic character disorders teresting to them they stayed active rather than (7 patients). Phenothiazine medications were activities were utilized more fully d in inter- duces various behavioral change patterns ested fashion. that are related to both the personality This response was associated with a favor- of the patient and the symptom pattern able management evaluation. This group con- of the illness. While these response patterns sisted of young schizophrenic patients without cut across the usual nosologic categories, had good pre-illness personalities despite medications were also ineffective in modifying an anxious, phobic temperament. In contrast their behavior. to the classical endogenous depressive, these Other patients had a variety of syndromes patients had a normal sleep pattern or in- with the common thread of marked fixity of somnia, which readily responded to barbiturate symptomatology over a period of years prior hypnotics, rather than an early morning awak-