Jm. Vanelle et al., ATYPICAL NEUROLEPTICS - THEIR CONTRIBUTION TO THE REHABILITATION OF SCHIZOPHRENIC-PATIENTS, European psychiatry, 11, 1996, pp. 85-89
Therapeutic effects of neuroleptics (NLP) in schizophrenia are well es
tablished in numerous international studies. Varying modalities of evo
lution under NLP treatment are described and require a clinical analys
is. Neuroleptics are a necessary but insufficient condition for the th
erapy of schizophrenia Via NLP treatment, other therapeutic approaches
, such as psychotherapy, or sociotherapy become more effective. Consec
utively, we present the effects of two compounds with dopaminergic sel
ective activity (amisulpride, remoxipride) and of two other compounds
with non-selective activity (risperidone, clozapine) regarding rehabil
itation in schizophrenic patients. Data were collected from internatio
nal studies with a medico-economic perspective and from French experie
nce of clozapine in refractory schizophrenic patients. All these data
stress the importance of several areas of study: clinical features, ev
eryday life consequences and therapeutical effects observed with the a
typical neuroleptics.