The Psychosis-Risk Syndrome Handbook for Diagnosis and Follow-Up

by McGlashan, Thomas; Walsh, Barbara; Woods, Scott

• ISBN13: 9780199733316
• ISBN10: 0199733317
• Edition: 1st
• Format: Hardcover
• Copyright: 2010-06-03
• Publisher: Oxford University Press

Summary

Using the authors' over thirteen years of experience at the psychosis-risk clinic at Yale University School of Medicine, The Psychosis-Risk Syndrome presents a concise handbook that details the diagnostic tools and building blocks that comprise the Structural Interview for Psychosis-Risk Syndromes, or SIPS. Clear and to the point, this volume provides an in-depth description of this new clinical high-risk population, along with instructions on how to use the SIPS to evaluate persons for psychosis-risk. The handbook's main section takes the reader step-by-step through the SIPS evaluation, tracking how patients and families find their way to the clinic, the initial interview, the evaluation process, and the summary session consisting of findings and future options. The core diagnostic symptoms of the SIPS and psychosis-risk states are illustrated with dozens of symptom and case examples drawn from real but disguised patients from the Yale clinic. With an emphasis on clinical usefulness, the handbook finishes with "practice cases" for the reader to test his or her new skills at evaluating clinical populations for psychosis-risk.

Author Biography

Thomas H. McGlashan, M.D.
Professor
Department of Psychiatry
Yale University School of Medicine
New Haven, CT
Barbara Walsh, PhD
Clinical Staff, PRIME Research Clinic,
Department of Psychiatry,
Yale University School of Medicine
New Haven, CT
Scott Woods, MD
Director, PRIME Research Clinic.
Department of Psychiatry,
Yale University School of Medicine
New Haven, CT

Table of Contents

Psychosis-Risk Syndromes for First Psychosis: Background	p. 1
Psychosis-Risk Syndromes for First Psychosis: A History of the Concept	p. 3
Development of the Structured Interview for Psychosis-Risk Syndromes (SIPS)	p. 10
Reliability and Validity of the SIPS	p. 17
Symptom Classes and Factors in the SIPS	p. 21
Psychosis-Risk Syndromes and Psychosis in the SIPS	p. 24
The ôOtherö Symptoms of the Risk Syndromes: Negative, Disorganization, and General	p. 33
Characteristics of SIPS Psychosis-Risk Samples	p. 36
Psychosis-Risk Syndromes: SIPS and SOPS Evaluation	p. 45
Pathways to the Risk Syndrome Clinic	p. 47
Initial Interview: The SIPS and SOPS Evaluation	p. 49
Initial Evaluation: Informing Patients and Families of Risk Status and Options	p. 59
Rating Positive and Other Psychosis-Risk Symptoms with the SOPS	p. 63
Rating Actual Cases, Baseline Assessment	p. 78
Differential Diagnosis of the Psychosis-Risk Syndrome	p. 109
Psychosis-Risk Patients over Time	p. 120
Rating Baseline Cases for Practice	p. 139
The PRIME Clinic: Psychosis-Risk Patients Face-to-Face	p. 161
Bibliography	p. 169
Appendixes
Risk Syndrome Phone Screen	p. 174
SIPS/SOPS 5.0	p. 179
Informed Consent	p. 237
Index	p. 239
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