Personal Therapy for Schizophrenia and Related Disorders: A Guide to Individualized Treatment (Hardcover)

~ Gerard E. Hogarty MSW (Author) "The status of psychotherapy among contemporary treatments for schizophrenia has been succinctly captured by McGlashan (1994, p. 147): "What has become of the psychotherapy of..." (more)
Key Phrases: Social Security, United States, Mild Moderate Severe (more...)

Editorial Reviews

Review

"I recommend this book for anyone who works with patients having schizophrenia and similar disorders. It can be used to assist the practitioner in setting up such a program, or as simply a set of insights and techniques to support such patients even if one cannot put an entire treatment program into place."--Annals of Clinical Psychiatry

"He intended this volume to serve the dual purposes of a textbook and a practical therapeutic manual, and he has admirably met this objective....Hogarty has the unique ability to communicate complex concepts and intellectually provocative insights in a conversational and inviting style that is accessible to multidisciplinary practitioners across types and levels of expertise. His work represents a landmark advance in our understanding of the interplay between biological, psychological, and social perspectives in the pursuit of patients' recovery. His thorough scientific analysis is compelling, and his therapeutic manual is creative, exciting to read, and highly instructive....an invaluable resource for all mental health practitioners and graduate-level trainees who are inspired by evidence-based practice in mental health and the vision of recovery and rehabilitation of people with severe mental illness."--Psychiatric Services
-- Review

Review

"Spanning four decades, Gerard Hogarty's research into the treatment of schizophrenia and related disorders has been remarkable both for its scientific elegance and its practical utility. This volume puts it all together for practitioners, providing a readable, comprehensive, evidence-based model to guide clinical work. The book makes complex methodological material (as well as medication information) understandable to readers with varying levels of expertise, without talking down to them. Reading this book is like being in the presence of a wise, savvy, and experienced practitioner, not an ivory-tower researcher. What a rarity when the author is the field's most esteemed clinical researcher! An invaluable guide for practitioners, this book is also a landmark text for social work courses on mental health. It offers perhaps the best illustration to date of the importance of evidence-based practice, and what it looks like in action."--Allen Rubin, PhD, School of Social Work, University of Texas at Austin

"This book presents the first empirically based, research-established protocol for providing individual psychotherapy for schizophrenia. It provides remarkably valuable clinical tools. Theoretically grounded, the book describes a sequence of graded interventions geared to the patient's stage of recovery. Further, the therapeutic techniques are sufficiently flexible to accommodate the varying needs, deficits, and preferences of patients with this infinitely complex and heterogeneous disorder. This is an excellent text that will be immediately useful to large numbers of clinicians."--Wayne S. Fenton, MD

"A landmark contribution. Developed out of years of experience in the treatment of schizophrenia, as well as painstaking psychosocial intervention research, personal therapy is an integrated approach to helping people learn how to manage their mental illness and reenter the community. This practical guide provides clinicians with the knowledge they need to engage clients with schizophrenia, identify individual goals critical to the mastery of their illness, and track progress towards these goals. It belongs on the shelf of every clinician involved in providing psychological treatment for schizophrenia."--Kim T. Mueser, PhD, Professor of Psychiatry, Dartmouth Medical School

"Hogarty and his collaborators have created a body of knowledge that is unsurpassed by any other group, and he is uniquely qualified to describe the state of the art in psychotherapy for schizophrenia sufferers....this text is a readable, clear, and relatively unbiased introduction to the necessary basic information. For those who plan to practise psychotherapy, other psychological therapy, or counselling, the book introduces a wide variety of possible interventions and, as do most therapists, readers will choose those that best suit their own style and view of the illness."--The Canadian Journal of Psychiatry

"Dr. Hogarty has offered one of the most comprehensive primers, to date, for individualized treatment of schizophrenia and related disorders. In this step-by-step clinical roadmap for personal therapy (PT), it being the first evidence-based psychotherapy for these serious mental disorders, he elucidates how these patients manifest a wealth of opportunities for success....This book should be recommended to all clinicians who work with these patients, as it illustrates a model that emphasizes empowerment."--Bulletin of the Menninger Clinic

"...a definitive work on the psychosocial therapy of schizophrenia and a very welcome addition to a field wherein much nebulousness exists....The book is highly recommended to clinicians working with and for persons with schizophrenia, to educators developing curricula for the training of such clinicians and to clinical researchers interested in the application of psychosocial treatment paradigms to reducing dysfunction and disability from chronic mental illness."--Psychological Medicine

"I recommend this book for anyone who works with patients having schizophrenia and similar disorders. It can be used to assist the practitioner in setting up such a program, or as simply a set of insights and techniques to support such patients even if one cannot put an entire treatment program into place."--Annals of Clinical Psychiatry

"He intended this volume to serve the dual purposes of a textbook and a practical therapeutic manual, and he has admirably met this objective....Hogarty has the unique ability to communicate complex concepts and intellectually provocative insights in a conversational and inviting style that is accessible to multidisciplinary practitioners across types and levels of expertise. His work represents a landmark advance in our understanding of the interplay between biological, psychological, and social perspectives in the pursuit of patients' recovery. His thorough scientific analysis is compelling, and his therapeutic manual is creative, exciting to read, and highly instructive....an invaluable resource for all mental health practitioners and graduate-level trainees who are inspired by evidence-based practice in mental health and the vision of recovery and rehabilitation of people with severe mental illness."--Psychiatric Services

See all Editorial Reviews

---

Product Details Hardcover: 332 pages Publisher: The Guilford Press; 1 edition (August 15, 2002) Language: English ISBN-10: 157230782X ISBN-13: 978-1572307827 Product Dimensions: 9.1 x 6.1 x 1.1 inches Shipping Weight: 1 pounds (View shipping rates and policies) Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews) Amazon.com Sales Rank: #691,852 in Books (See Bestsellers in Books)

---

More About the Author

Discover books, learn about writers, read author blogs, and more.

› Visit Amazon's Gerard E. Hogarty Page

Front Cover | Front Flap | Table of Contents | First Pages | Index | Back Flap | Back Cover | Surprise Me!

Search Inside This Book:

---

Inside This Book (learn more)

First Sentence:
The status of psychotherapy among contemporary treatments for schizophrenia has been succinctly captured by McGlashan (1994, p. 147): "What has become of the psychotherapy of schizophrenia can be summarized briefly in two sentences. Read the first page

Key Phrases - Capitalized Phrases (CAPs): (learn more)
Social Security, United States, Mild Moderate Severe, Very Very, Covi Anxiety Scale, Expert Consensus Guidelines, American Psychiatric Association, Schizophrenia Bulletin, Social Adjustment Scale, Supplemental Security Income, Brief Psychiatric Rating Scale

New!
Concordance | Text Stats

Browse Sample Pages:
Front Cover | Front Flap | Table of Contents | First Pages | Index | Back Flap | Back Cover | Surprise Me!

Search Inside This Book:

---

Citations (learn more)

This book cites 4 books:

• Casework: A Psychosocial Therapy by Mary Woods on page 231
• Practice Guidelines for the Treatment of Patients with Schizophrenia by American Psychiatric Association on page 258
• Mental Health by Carpenter in Back Matter
• Social Diagnosis by Mary E. Richmond on page 231

---

What Do Customers Ultimately Buy After Viewing This Item?

	62% buy the item featured on this page: Personal Therapy for Schizophrenia and Related Disorders: A Guide to Individualized Treatment 5.0 out of 5 stars (2) $45.00
	15% buy Cognitive Therapy of Schizophrenia (Guides to Individualized Evidence-Based Treatment) 5.0 out of 5 stars (1) $22.10
	8% buy Social Skills Training for Schizophrenia, Second Edition: A Step-by-Step Guide (TREATMENT MANUALS FOR PRACTITIONERS) 5.0 out of 5 stars (2) $28.57
	8% buy The Severe and Persistent Mental Illness Treatment Planner (PracticePlanners®) 5.0 out of 5 stars (2) $34.13

Explore similar items

---

Tag this product  (What's this?) Think of a tag as a keyword or label you consider is strongly related to this product. Tags will help all customers organize and find favorite items. Your tags: Add your first tag

Search Products Tagged with   See most popular tags

---

Sell a Digital Version of This Book in the Kindle Store

If you are a publisher or author and hold the digital rights to a book, you can sell a digital version of it in our Kindle Store. Learn more

---

 

Customer Reviews

2 Reviews 5 star:  (2) 4 star:    (0) 3 star:    (0) 2 star:    (0) 1 star:    (0)           Average Customer Review 5.0 out of 5 stars (2 customer reviews)		Share your thoughts with other customers:
Most Helpful Customer Reviews 17 of 17 people found the following review helpful: 5.0 out of 5 stars New Hope for Schizophrenia!, March 27, 2003 By  Joel Kanter (Takoma Park, MD United States) - See all my reviews (REAL NAME)    Gerard Hogarty's new volume, Personal Therapy for Schizophrenia and Related Disorders, is a groundbreaking work which presents an empirically-validated psychotherapeutic approach for schizophrenia based on a contemporary biopsychosocial understanding. Hogarty, a Professor of Psychiatry at the Western Psychiatric Institute and Clinic at the University of Pittsburgh Medical Center, has a long and distinguished career as a clinician/researcher with schizophrenia. For over 30 years, Hogarty and his colleagues have developed a series of psychososcial interventions (major role therapy, family psychoeducation, social skills training, personal therapy , and, most recently, cognitive enhancement therapy) and submitted each to rigorous empirical trials. After each trial, he carefully examines the data and formulates new approaches which incorporate his prior research findings and empirical data from other sources. In the volume, Hogarty presents an approach to individual psychotherapy which he entitles "personal therapy" (PT). He describes his prior research efforts, most notably his two-year study of family psychoeducation which demonstrated a dramatic reduction in relapse in the first year of treatment, but a reduction in therapeutic efficacy as time passed. While observing that ameliorating family stressors reduced relapse, he also observed that family psychoeducation had no significant impact on the personal or social adjustment of schizophrenic patients. Based on these prior experiences, PT uses a three-phase approach, the first focusing on clinical and environmental stabilization, the second on symptom management, and the third on developing new social and vocational initiatives. Throughout all phases, all patients were maintained on antipsychotic medications which were carefully titrated to minimize side effects. The progression of patients through these phases was determined by each patient's rate of progress, not by a prearranged protocol. Until the goals of one phase were accomplished, the goals of the next phase were not initiated. The research protocol followed patients for three years, an unprecedented duration for any intervention study in schizophrenia. Before describing the three phases of PT, Hogarty devotes a chapter to outlining "essential prerequisites" for this intervention in considerable detail noting "that for decades are program has been guided by a silent mantra: innovative psychosocial treatment is for naught unless the fundamentals of good care are firmly in place (Hogarty's emphasis). His definition of "good care" includes psychological support (attentiveness, empathy, and encouragement), material support (financial support, stable housing, case management) and skillful medication management. Unique in the treatment literature, Hogarty addresses both the oft-ignored subject of obtaining government disability benefits and the intricacies of medication management. While the details of the former will be of little interest to most British readers, his attention to such seemingly mundane, yet essential, matters is impressive. (The clinic spent over $6000 annually for transportation subsidies when these costs were an impediment to clinic attendance.) With these prerequisites in place, the first "basic" phase of treatment is initiated as a therapeutic team continues medications, "joins" with the patient and family, and educates patients about their illness using a stress-vulnerability model. In the second "intermediate" phase, patients examine their own illness is greater detail, exploring the precipitants of relapse, and finally coping strategies for symptom management are taught. Finally, in the third "advanced" phase, patients maintain stability and apply these coping strategies as they undertake new social and vocational initiatives. Besides outlining the essential elements of PT, Hogarty describes the three-year controlled research protocol in considerable detail. In his discussion of the data, he carefully explores the considerable improvement of the control "supportive treatment" group, examining the therapeutic effects of "good care" and clinical management enjoyed by both experimental groups. However, while there was little significant difference between both treatment groups in both symptomatic presentation and functional adjustment at the one year mark (both groups improved significantly), the control group's progress leveled off while the PT group made impressive gains over the next two years. However, examining patters of relapse, Hogarty observed that a subgroup of PT patients who lived alone actually had a far higher rate of relapse than did patients who received "supportive treatment" only. He commented that "we wondered whether these historical negative effects of psychotherapy might have had less to do with the intervention per se and more with cognitively overwhelming life experiences" (p. 64). Not surprisingly, patients with strong family support had much better outcomes. This sort of multidimensional data analysis is perhaps unprecedented in the field of schizophrenia research, whether involving biological or psychosocial interventions. Hogarty sifts through his research data with a refreshing deftness and honesty; when the data does not support the efficacy of his intervention model, he straightforwardly acknowledges this and attempts to learn from negative as well as positive findings. In doing so, he briefly notes his most recent attempts to enhance the cognitive functioning of schizophrenic patients, an approach which is yielding impressive results. In spite of this impressive empirical data, many psychotherapists may reject Hogarty's embrace of biological psychiatry and his neglect of psychoanalytic conceptualizations. He has little patience with intriguing metaphors or sophisticated interpretations. Yet, among the impressive array of data, Hogarty writes with a passionate concern for the well-being of persons with schizophrenia that is so often overwhelmed by statistical analysis. Researchers of schizophrenia would do well to learn from his sophisticated, yet readable, analyses. At the same time, psychotherapists treating schizophrenic patients will emerge with a better appreciation of the interplay of the biological, psychological and environmental dimensions of this complex disorder. 5 of 5 people found the following review helpful: 5.0 out of 5 stars A Great Book for the Practioner, December 17, 2004 By  T. Scott "Tom Scott" (Baltimore, Maryland, USA) - See all my reviews (REAL NAME)    This is a tremendous book as it's written by a Social Worker who uses an over all biopsychosocial model. You do not see many social workers writing about therapeutic interventions who even consider biological components. Addditionally, Hogarty has two additonal components to the therapeutic strategy. He does a a concise review of entitlements with the proviso that its difficult to provide therapy when someone needs, food, medical care, and housing. The reader also gets a tool to understand the research in the appendices that reviews research terminolgy and methodology. I have looked four years for a book that has a therapeutic technique for serious psychotic illness, accepts the biology of the illness, and recognizes the immediate needs of the client. A book written by an obvious researcher whose heart comes through the pages.		Ad feedback   Search Customer Reviews Only search this product's reviews

---

Customer Discussions

This product's forum Discussion Replies Latest Post No discussions yet Ask questions, Share opinions, Gain insight Start a new discussion Topic: First post: Receive e-mail when new posts are made Prompts for sign-in   Guidelines Active discussions in related forums Discussion Replies Latest Post science Problems with the Natural Chemical "Origin of Life" 188 51 seconds ago health Male circumcision. 4602 53 seconds ago science Atheist Richard Dawkins makes liars out of forum Darwininsts who claim science can explain a natural origin to life 440 3 minutes ago science Are forum Darwinists really just a branch of ACORN? 119 5 minutes ago health Chronic wasting disease in humans? 8 8 minutes ago medicine Am I a dead woman? or what? 12 5 days ago medicine Medical fraud, let's count the ways ... 1 10 days ago Search Customer Discussions Search all Amazon discussions

The Health community Latest activity 3 minutes ago 14,537 customers have contributed 10,314 products, 716 discussions and more... › Explore the community Related forums health (716 discussions) medicine (13 discussions) science (1023 discussions) Explore more › See all Customer Communities › Your communities

---

Listmania!

Books on Cognitive oriented therapy I Prolly Oughta Read: A list by William Blais "Ambivalenz"   Great therapy manuals: A list by Psych_fan   Popular Books for Dealing with Bipolar Disorder: A list by listmania Create a Listmania! list

Search Listmania!

---

So You'd Like to...

Explore Jaynes' Theory of Consciousness/ the Bicameral Mind: A guide by Marcel Kuijsten "Reflections on the Dawn of Consciousness"   Psychiatric Nurse: A guide by D. Gordon "risitas29dn"   Live more peacefully with your Borderline (BPD) spouse: A guide by "bon51761" Create a guide

Search Guides

---

Product Information from the Amapedia Community

Beta (What's this?)

Be the first person to add an article about this item at Amapedia.com.

› See featured Amapedia.com articles

---

Look for Similar Items by Category

• Books > Health, Mind & Body > Mental Health > Compulsive Behavior
• Books > Health, Mind & Body > Mental Health > Schizophrenia
• Books > Health, Mind & Body > Psychology & Counseling > Clinical Psychology
• Books > Health, Mind & Body > Psychology & Counseling > Psychoanalysis
• Books > Health, Mind & Body > Psychology & Counseling > Psychotherapy, TA & NLP
• Books > Medicine > Nursing > Psychiatric
• Books > Medicine > Specialties > Psychiatry
• Books > Nonfiction > Social Sciences > Social Work
• Books > Professional & Technical > Medical > Medicine > Internal Medicine
• Books > Professional & Technical > Medical > Nursing > Psychiatry & Mental Health
• Books > Science > Behavioral Sciences

---

Look for Similar Items by Subject

Search Books by subject:
Psychotherapy
Psychology
Medical / Nursing / Psychiatric
Medical / Psychiatry / General
PSYCHOLOGY / Psychopathology / Compulsive Behavior
Psychology / Clinical Psychology
Psychology / Psychopathology / Schizophrenia
Psychology / Psychotherapy / General
Psychopathology - Compulsive Behavior
Psychotherapy - General
Social Science / Social Work
Clinical Psychology
Schizophrenia
Psychiatry & Clinical Psychology: Professional


i.e., each book must be in subject 1 AND subject 2 AND ...

Ad feedback

 

Feedback If you need help or have a question for Customer Service, contact us.  Would you like to update product info or give feedback on images? Is there any other feedback you would like to provide? Your comments can help make our site better for everyone. Please note that we are unable to respond directly to all feedback submitted via this form, but we'll ask you to sign in so we can contact you if needed.

Your Recent History

 (What's this?)

After viewing product detail pages or search results, look here to find an easy way to navigate back to pages you are interested in.

› View and edit your browsing history

Get to Know Us Careers Investor Relations Press Releases Amazon and Our Planet Make Money with Us Sell on Amazon Join Associates Self-publish with Us › See all Let Us Help You Shipping Rates & Policies Amazon Prime Returns Help

Canada | China | France | Germany | Japan | United Kingdom  And don't forget: Amazon Windowshop | AmazonWireless | Askville | Audible | DPReview | Endless | IMDb | Shopbop | SoundUnwound | Warehouse Deals by Amazon | Zappos Conditions of Use | Privacy Notice  © 1996-2009, Amazon.com, Inc. or its affiliates

Product Details

• Hardcover: 332 pages
• Publisher: The Guilford Press; 1 edition (August 15, 2002)
• Language: English
• ISBN-10: 157230782X
• ISBN-13: 978-1572307827
• Product Dimensions: 9.1 x 6.1 x 1.1 inches
• Shipping Weight: 1 pounds (View shipping rates and policies)
• Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)
• Amazon.com Sales Rank: #691,852 in Books (See Bestsellers in Books)

Customer Reviews

Most Helpful Customer Reviews

17 of 17 people found the following review helpful:

5.0 out of 5 stars New Hope for Schizophrenia!, March 27, 2003

By	Joel Kanter (Takoma Park, MD United States) - See all my reviews (REAL NAME)

Gerard Hogarty's new volume, Personal Therapy for Schizophrenia and Related Disorders, is a groundbreaking work which presents an empirically-validated psychotherapeutic approach for schizophrenia based on a contemporary biopsychosocial understanding. Hogarty, a Professor of Psychiatry at the Western Psychiatric Institute and Clinic at the University of Pittsburgh Medical Center, has a long and distinguished career as a clinician/researcher with schizophrenia.

For over 30 years, Hogarty and his colleagues have developed a series of psychososcial interventions (major role therapy, family psychoeducation, social skills training, personal therapy , and, most recently, cognitive enhancement therapy) and submitted each to rigorous empirical trials. After each trial, he carefully examines the data and formulates new approaches which incorporate his prior research findings and empirical data from other sources.

In the volume, Hogarty presents an approach to individual psychotherapy which he entitles "personal therapy" (PT). He describes his prior research efforts, most notably his two-year study of family psychoeducation which demonstrated a dramatic reduction in relapse in the first year of treatment, but a reduction in therapeutic efficacy as time passed. While observing that ameliorating family stressors reduced relapse, he also observed that family psychoeducation had no significant impact on the personal or social adjustment of schizophrenic patients.

Based on these prior experiences, PT uses a three-phase approach, the first focusing on clinical and environmental stabilization, the second on symptom management, and the third on developing new social and vocational initiatives. Throughout all phases, all patients were maintained on antipsychotic medications which were carefully titrated to minimize side effects. The progression of patients through these phases was determined by each patient's rate of progress, not by a prearranged protocol. Until the goals of one phase were accomplished, the goals of the next phase were not initiated. The research protocol followed patients for three years, an unprecedented duration for any intervention study in schizophrenia.

Before describing the three phases of PT, Hogarty devotes a chapter to outlining "essential prerequisites" for this intervention in considerable detail noting "that for decades are program has been guided by a silent mantra: innovative psychosocial treatment is for naught unless the fundamentals of good care are firmly in place (Hogarty's emphasis). His definition of "good care" includes psychological support (attentiveness, empathy, and encouragement), material support (financial support, stable housing, case management) and skillful medication management. Unique in the treatment literature, Hogarty addresses both the oft-ignored subject of obtaining government disability benefits and the intricacies of medication management. While the details of the former will be of little interest to most British readers, his attention to such seemingly mundane, yet essential, matters is impressive. (The clinic spent over $6000 annually for transportation subsidies when these costs were an impediment to clinic attendance.)

With these prerequisites in place, the first "basic" phase of treatment is initiated as a therapeutic team continues medications, "joins" with the patient and family, and educates patients about their illness using a stress-vulnerability model. In the second "intermediate" phase, patients examine their own illness is greater detail, exploring the precipitants of relapse, and finally coping strategies for symptom management are taught. Finally, in the third "advanced" phase, patients maintain stability and apply these coping strategies as they undertake new social and vocational initiatives.

Besides outlining the essential elements of PT, Hogarty describes the three-year controlled research protocol in considerable detail. In his discussion of the data, he carefully explores the considerable improvement of the control "supportive treatment" group, examining the therapeutic effects of "good care" and clinical management enjoyed by both experimental groups. However, while there was little significant difference between both treatment groups in both symptomatic presentation and functional adjustment at the one year mark (both groups improved significantly), the control group's progress leveled off while the PT group made impressive gains over the next two years.

However, examining patters of relapse, Hogarty observed that a subgroup of PT patients who lived alone actually had a far higher rate of relapse than did patients who received "supportive treatment" only. He commented that "we wondered whether these historical negative effects of psychotherapy might have had less to do with the intervention per se and more with cognitively overwhelming life experiences" (p. 64). Not surprisingly, patients with strong family support had much better outcomes.

This sort of multidimensional data analysis is perhaps unprecedented in the field of schizophrenia research, whether involving biological or psychosocial interventions. Hogarty sifts through his research data with a refreshing deftness and honesty; when the data does not support the efficacy of his intervention model, he straightforwardly acknowledges this and attempts to learn from negative as well as positive findings. In doing so, he briefly notes his most recent attempts to enhance the cognitive functioning of schizophrenic patients, an approach which is yielding impressive results.

In spite of this impressive empirical data, many psychotherapists may reject Hogarty's embrace of biological psychiatry and his neglect of psychoanalytic conceptualizations. He has little patience with intriguing metaphors or sophisticated interpretations. Yet, among the impressive array of data, Hogarty writes with a passionate concern for the well-being of persons with schizophrenia that is so often overwhelmed by statistical analysis. Researchers of schizophrenia would do well to learn from his sophisticated, yet readable, analyses. At the same time, psychotherapists treating schizophrenic patients will emerge with a better appreciation of the interplay of the biological, psychological and environmental dimensions of this complex disorder.

5 of 5 people found the following review helpful:

5.0 out of 5 stars A Great Book for the Practioner, December 17, 2004

By	T. Scott "Tom Scott" (Baltimore, Maryland, USA) - See all my reviews (REAL NAME)

This is a tremendous book as it's written by a Social Worker who uses an over all biopsychosocial model. You do not see many social workers writing about therapeutic interventions who even consider biological components.

Addditionally, Hogarty has two additonal components to the therapeutic strategy. He does a a concise review of entitlements with the proviso that its difficult to provide therapy when someone needs, food, medical care, and housing. The reader also gets a tool to understand the research in the appendices that reviews research terminolgy and methodology.

I have looked four years for a book that has a therapeutic technique for serious psychotic illness, accepts the biology of the illness, and recognizes the immediate needs of the client.

A book written by an obvious researcher whose heart comes through the pages.