State and trait in psychiatric practice

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Abstract
A schema for conceptualizing psychiatric illness in terms of state and trait disorders was presented. These disorders are relatively independent components, 1 or both of which can be present in 1 patient. They usually require treatment by different methods. State disorders, such as schizophrenic psychosis, mania and depression, are time-limited and autonomous and respond better to pharmacological than psychosocial therapy. Trait disorders, such as neurotic and characterological disturbances, are long-lasting and respond better to psychosocial therapies. The implications of this schema for the integration of pharmacological and psychosocial treatments were discussed.

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