A new study to be published in the next issue of Schizophrenia Research examines patients suffering from a first-episode of psychosis who stop taking any antipsychotic drugs. The researchers attempt to identify variables that may predict the successful discontinuation of antipsychotics. They find, for example, that those who discontinue the drugs have, on average, the same outcomes as those who stay on them, and that those who have better social integration are more likely to discontinue without relapse.
My interpretation of this- bad prognosis cases that stay on medication do as well as good prognosis cases that come off medication. That sounds like a plus point for medication for those that need it. The problem is defining who is a good or bad prognosis case.