Schizophrenia and the Family: A Practitioner's Guide to Psychoeducation and Management [Hardcover]

Carol M. Anderson (Author), Douglas J. Reiss (Author), Gerard E. Hogarty (Author)

Book Description

ISBN-10: 0898620651 | ISBN-13: 978-0898620658 | Publication Date: May 12, 1986 | Edition: 1

Of all mental health disorders, schizophrenia remains the most pervasive, bewildering, and resistant to treatment. In addition to its profound effect on the patient, the illness can be equally devastating to the family, a problem that is compounded by the family's frequent role as provider of primary care. Psychoeducation systematically takes into account the family's role in providing care, and the importance of supporting this system, which in turn supports the patient. It is a method of care that remains focused on the family while making use of biological, psychological, and vocational interventions. SCHIZOPHRENIA IN THE FAMILY represents the first treatment manual based on the psychoeducational model. In conjunction with maintenance chemotherapy, psychoeducation reduces the emotional intensity of the patient's environment and creates a sense of continuous care. Using illustrative case examples, this "how-to-do-it' manual demonstrates methods to: * Increase treatment compliance * Sustain patients in the community * Gradually integrate patients into familial, social, and vocational roles. Specifically, they explain how to develop a productive treatment alliance with the patient and the family, and how to share with them concrete knowledge about the illness as well as management techniques for handling its difficulties. They provide recommendations for managing the critical, early outpatient phase of treatment and suggest methods for promoting the ability to work and socialize outside the home. Additionally, they describe how to conduct the final stages of treatment, when patients may be moving into maintenance sessions, other treatment methods, or toward termination. The book concludes with a helpful chapter on training issues and the application of the psychoeducational model to other mental health systems.

Editorial Reviews

Review

Here at last is the model program we have all copied and imitated so freely....It contains a modern scientific description of schizophrenia which professionals, patients, and family members can all understand and learn from. We are in the authors' debt for providing us with a teachable, well-researched, and now well-documented approach.' --C. Christian Beels

Excerpt. © Reprinted by permission. All rights reserved.

1. BACKGROUND AND RATIONALE.
Introduction. Historical Roots. ``Theories'' of Schizophrenia. The Therapeutic Environment. The Natural Environment. The Underlying Deficits. The Theory. Evidence of Effectiveness.
2. CONNECTING WITH FAMILIES. Goals. Implementation of the Principles of Connecting. Summary.
3. THE SURVIVAL SKILLS WORKSHOP. Rationale. Preparation for the Workshop. Introduction. History of Schizophrenia. Epidemiology of Schizophrenia. Schizophrenia: The Personal Experience. Schizophrenia: The Public Experience. The Psychobiology of Schizophrenia. Antipsychotic Medication. Effects of Drug and Psychosocial Treatment. Genetics and Other Possible Causes. Informal Interactions. The Family and Schizophrenia. What the Family Can Do to Help. Reactions of Families to the Workshop. Summary.
4. RE-ENTRY:THE FIRST YEAR OUT. Goals and methods. Structure of Regular Sessions. Content of Sessions. Summary.
5. SOCIAL AND VOCATIONAL REHABILITATION. Rationale for Social Rehabilitation. Content, Timing, and Structure of Social Tasks. A Few Common Problems in Social Rehabilitation. Rationale for Vocational Rehabilitation. Summary.
6. THE FINAL STAGES OF TREATMENT. Renegotiating the Contract. Anatomy of a Success. Anatomy of a Relapse. Summary.
7. IMPLEMENTATION OF A PSYCHOEDUCATION MODEL: TRAINING AND ADMINISTRATIVE ISSUES. Selection of Clinicians. Training and Supervising Staff. Description of a Model Training Program. Teaching and Supervision in an Ongoing Program. Systems Issues in Implementation. Summary of Implementation Issues. Summary: A Final Look.
Appendix A. Books, Articles, and Pamphlets for Relatives and New Staff.
Appendix B. Living with Schizophrenia Evaluation Form.

Product Details

• Hardcover: 365 pages
• Publisher: Guilford Press; 1 edition (May 12, 1986)
• Language: English
• ISBN-10: 0898620651
• ISBN-13: 978-0898620658
• Product Dimensions: 9.1 x 6.5 x 1.2 inches
• Shipping Weight: 1 pounds (View shipping rates and policies)
• Amazon Best Sellers Rank: #927,728 in Books (See Top 100 in Books)

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