This highly anticipated volume provides a concise, practical, and up-to-the-minute view of evidence-based treatment of schizophrenia. Well-designed outcome studies have demonstrated the effectiveness of specific psychological interventions for schizophrenia for over 40 years. Despite this, schizophrenia is still misperceived by many people to be treatable only by medication. This book reviews currently available treatments for schizophrenia and the evidence for their effectiveness. Practical guidance on comprehensive treatment planning of the condition is provided, along with reviews of current theories of schizophrenia, long-term outcome studies and associated remission rates, different classes and types of assessment instruments relevant to psychiatric rehabilitation, and research on mechanisms of recovery. A number of important conceptual issues are interwoven within the discussion, including the relevance of different models for treatment of schizophrenia, and the importance of a recovery-oriented perspective. --- from the publisher From the reviews: "This outstanding work should stimulate a break through in case formulation leading to comprehensive biopsychosocial approaches known to improve outcomes of people with schizophrenia. A clinical manual of this scope is long overdue."
Richard H. Hunter, PhD, ABPP, Past Chair, APA/CAPP Task Force on Serious Mental Illness, Clinical Outcomes Group, Inc., and Department of Psychiatry, Southern Illinois University School of Medicine This type of book is very overdue in the field. Silverstein, Spaulding, and Menditto have produced THE definitive book on schizophrenia, which will prove to be a wonderful resource for clinicians, consumers, researchers, and students. The comprehensiveness of this text is unparalleled in the field.
David Penn, PhD, Associate Professor of Psychology at the University of North Carolina-Chapel Hill "An authoritative, concise, and practical synthesis of the nature and treatment of schizophrenia. This outstanding, compact guide deserves a place on the bookshelf of every clinician who treats individuals with schizophrenia."
Kim Mueser, PhD, Professor of Psychiatry and of Community and Family Medicine, at Dartmouth Medical School and the Dartmouth Psychiatric Research Center "Schizophrenia as a group of mental illness remains among the least understood and most disabling of conditions facing medicine. Despite advances in pharmacotherapy profound deficits in psychological and social function often persist for decades. Silverstein, Spaulding and Menditto present the reader with a long needed practical and clearly referenced guide for clinicians concerning psychological treatments which can be genuinely helpful for persons with this condition. Detailed descriptions and honest appraisals of the efficacy are offered for interventions ranging for instance from psychotherapy to supported housing to the many varieties of skills training and beyond. This is likely to be an indispensable handbook for students, supervisors and new and seasoned professionals alike."
Paul Lysaker, Assistant Professor Dept of Psychiatry Indiana Univeristy School of Medicine and Staff Psychologist Roudebush VA Medical Center Table of Contents:
Preface Acknowledgments
1 Description
1.1 Terminology
1.1.1 Schizophrenia
1.1.2 Positive, Negative, and Disorganized Symptoms
1.1.3 Medical Model
1.1.4 Psychiatric Rehabilitation
1.1.5 Recovery
1.1.6 Evidence-Based Practice
1.2 Definition
1.2.1 Insight
1.3 Epidemiology
1.4 Course and Prognosis
1.4.1 Short-Term Outcome
1.4.2 Long-Term Outcome
1.5 Differential Diagnosis
1.6 Comorbidities
1.6.1 Psychiatric Conditions
1.6.2 Medical Conditions
1.7 Diagnostic Procedures and Documentation
2 Theories and Models of Schizophrenia
2.1 Genetics
2.2 Theories Involving Viral or Immunopathology
2.3 Birth Complications
2.4 Neuroanatomy
2.5 Neurophysiology
2.6 Neurodevelopment
2.7 Environmental Factors
2.8 Substance Abuse
2.9 Cognitive Factors
3 Diagnosis and Treatment Indications
3.1 Assessment
3.1.1 Symptom Assessment
3.1.2 Functional Assesment
3.1.3 Cognitive Assessment
3.1.4 Dynamic Assessment
3.2 Treatment Planning
3.2.1 Inpatient
3.2.2 MFM Diagnostic Formaulations
3.2.3 Outpatient
4 Treatment
4.1 Methods of Treatment
4.1.1 Collaborative Psychopharmacotherapy
4.1.2 Rehabilitation Counseling
4.1.3 Problem Solving Skills Training
4.1.4 Independent Living Skills Training
4.1.5 Supported Employment and Occupational Skills Training
4.1.6 Illness/Wellness Management Skill Training
4.1.7 Peer Support
4.1.8 Family Consultation, Education, and Therapy
4.1.9 Contingency Management
4.1.10 Individual Psychotherapy
4.2 Mechanisms of Action
4.2.1 Recovery-Oriented Perspectives
4.3 Efficacy and Prognosis
4.4 Variations and Combinations of Methods
4.5 Problems in Carrying out the Treatment
5 Case Vignette
6 Further Readings
7 References
8 Appendices: Tools and Resources |
