Understanding and Treating Schizophrenia: Contemporary Research, Theory, and Practice

by Trepper; Terry S

• ISBN13: 9780789018885
• ISBN10: 0789018888
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2004-01-19
• Publisher: Routledge

Summary

Get a fair and balanced perspective on schizophrenia! Understanding and Treating Schizophrenia: Contemporary Research, Theory, and Practice is a comprehensive overview of schizophrenia and its treatment from a variety of approaches. The book presents a balanced look at the most influential theoretical perspectives based on empirical research, clinical descriptions, and narrative histories. Dr. Glenn Shean, author of Schizophrenia: An Introduction to Research and Theory, examines neurocognitive and neurodevelopmental models of brain dysfunction, psychodynamic and family factors, up-to-date pharmacological advances, and successful community programs for discharged patients suffering from this debilitating disorder. Understanding and Treating Schizophrenia: Contemporary Research, Theory, and Practice presents a comprehensive review of evidence concerning the epidemiology and course and outcome of schizophrenia based on theoretical groupings and levels of analysis. The book examines the evolution of diagnostic criteria and guidelines, as well as stress-vulnerability and diathesis-stress models, providing critical reviews of biological, genetic, cognitive-behavioral, and phenomenological, approach to understanding and treating schizophrenia. Topics addressed in Understanding and Treating Schizophrenia: Contemporary Research, Theory, and Practice include: the history of the concept of schizophrenia the writings of Emil Kraepelin and Eugene Bleuler changes in diagnostic guidelines in the last 50 years General System Theory Perspective diagnostic and statistical manuals Schneider's first rank symptoms and much more! Understanding and Treating Schizophrenia: Contemporary Research, Theory, and Practice is an essential resource for undergraduate and graduate students working in psychology, psychiatry, nursing, social work, and social policy.

Author Biography

Glenn D. Shean is Professor of Psychology at the College of William & Mary in Williamsburg, Virginia.

Table of Contents

Preface	xiii
SECTION I: THE DEVELOPMENT, EVOLUTION, EPIDEMIOLOGY, AND SUBSYNDROMES OF SCHIZOPHRENIA	1	(76)
Chapter 1. History of the Concept of Schizophrenia	3	(20)
The Premodern Period	4	(2)
The Nineteenth Century	6	(2)
Origins of the Concept of Schizophrenia	8	(1)
Emil Kraepelin	8	(5)
Adolph Meyer	13	(1)
Eugen Bleuler	14	(8)
Summary	22	(1)
Chapter 2. Evolving Diagnostic Criteria	23	(16)
Diagnosing Schizophrenia	23	(1)
DSM-I	24	(1)
DSM-II	24	(2)
Problems with Diagnostic Reliability	26	(1)
European Diagnostic Efforts	27	(3)
Research Definitions	30	(2)
DSM-III	32	(1)
DSM-IV	33	(3)
Reliability and Validity	36	(1)
Summary	37	(2)
Chapter 3. Epidemiology, Course, and Outcome	39	(18)
Prevalence and Incidence	39	(4)
Phases of Schizophrenia	43	(3)
Long-Term Outcome	46	(4)
Positive and Negative Symptoms	50	(2)
Symptoms and Premorbid Predictors of Outcome	52	(1)
Schizophrenia and Comorbid Substance Use	52	(1)
The Role of Culture in Outcome: The WHO International Pilot Study of Schizophrenia (IPSS)	53	(2)
Summary	55	(2)
Chapter 4. Language, Thought, and Syndromes of Schizophrenia	57	(20)
Delusions	58	(5)
Categories of Symptoms	63	(11)
Summary	74	(3)
SECTION II: INTEGRATIVE MODELS AND LEVELS OF ANALYSIS	77	(22)
Chapter 5. Vulnerability-Stress Models	79	(14)
A "Two-Hit" Biological Model of Diathesis Stress	81	(2)
Vulnerability	83	(2)
Stress	85	(6)
Summary	91	(2)
Chapter 6. Epistemology, General Systems Theory, and Schizophrenia	93	(6)
General Systems Theory	95	(1)
Summary	96	(3)
SECTION III: BIOLOGICAL PERSPECTIVES	99	(54)
Chapter 7. Genetics and Schizophrenia	101	(22)
Genetic Models	101	(2)
The Nature of Genetic Influence	103	(1)
Concordance Research	104	(12)
Basic Genetic Research	116	(3)
Summary	119	(4)
Chapter 8. Neurobiological Models and Research	123	(16)
Studies of Specific Brain Abnormalities	126	(2)
Neurobiological Modular Systems and Clusters of Schizophrenia Symptoms	128	(2)
Cognitive Dysmetria	130	(2)
Modular Disjunction	132	(2)
Dysfunctions in Interrelated Systems and Symptom Clusters	134	(3)
Summary	137	(2)
Chapter 9. Antipsychotic Medications and Neurochemical Theories	139	(14)
Efficacy of Typical Antipsychotics	140	(2)
The Dopamine Hypothesis	142	(2)
Atypical Antipsychotics	144	(3)
The Hyperdopaminergic Hypothesis and Glutamate	147	(1)
Schizophrenia: A Neurotransmitter Imbalance Syndrome?	148	(2)
Summary	150	(3)
SECTION IV: COGNITIVE-BEHAVIORAL, NEUROCOGNITIVE, AND NEURO-DEVELOPMENTAL RESEARCH	153	(44)
Chapter 10. Neurocognitive and Neurodevelopmental Research	155	(10)
Neurocognitive Indicators of Vulnerability	155	(3)
Neurodevelopmental Precursors to Clinical Symptoms	158	(2)
Therapies for Neurocognitive Deficits	160	(2)
Summary	162	(3)
Chapter 11. Cognitive-Behavioral Approaches and Therapies	165	(32)
Applied Behavioral Analysis	166	(2)
The Cognitive-Behavioral Approach	168	(1)
Broad-Spectrum Cognitive Therapy	169	(4)
Symptom-Focused Cognitive Interventions	173	(2)
Social Cognition and Schizophrenia	175	(2)
Cognitive-Behavioral Intervention Programs Tailored to Symptom Phase	177	(14)
Personal Therapy (PT): A Disorder-Relevant Therapy	191	(4)
Summary	195	(2)
SECTION V: PSYCHODYNAMIC, PHENOMENOLOGICAL, AND FAMILY-BASED THEORIES	197	(68)
Chapter 12. Psychodynamic Theories: The Role of Early Experience	199	(34)
Background	200	(2)
Sullivan's Interpersonal Theory	202	(3)
The Kleinian School	205	(11)
Margaret Mahler	216	(2)
Object Relations and Delusions	218	(3)
Robbins' Hierarchical Systems/Psychoanalytical Model	221	(8)
Contemporary Psychodynamic Therapies	229	(2)
Summary	231	(2)
Chapter 13. Phenomenology and Schizophrenia	233	(10)
Delusions and the Relationship to the Outer World	236	(1)
The Process of Delusion Formation	236	(2)
Schizophrenic and Nonschizophrenic Delusions	238	(1)
Daseinsanalysis	238	(4)
Summary	242	(1)
Chapter 14. Schizophrenia and the Family	243	(22)
Murray Bowen and the Washington Group	245	(2)
Theodore Lidz and the Yale Group	247	(4)
Y.O. Alanen and Finnish Family Research	251	(2)
The Palo Alto Group-Jackson, Bateson, Haley, Weakland, Satir, and Watzlawick	253	(3)
Experimental Family Studies Mishler and Waxler	256	(1)
The Rochester Research Group-Wynne and Singer	257	(3)
Nonreactive Family Research	260	(3)
Summary	263	(2)
SECTION VI: LIFE IN THE COMMUNITY	265	(28)
Chapter 15. Schizophrenia and Life in the Community	267	(20)
Community Support and Recovery	268	(3)
Model Programs	271	(9)
The Importance of Work	280	(1)
The Community Needs of the Severely Mentally Ill	281	(3)
Summary	284	(3)
Chapter 16. Conclusion	287	(6)
References	293	(36)
Index	329