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

Anderson, Carol M.; Reiss, Douglas J.; Hogarty, Gerard E.

Hardcover

ISBN 10: 0898620651 ISBN 13: 9780898620658

Publisher: The Guilford Press, 1986

Synopsis

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.

About this title

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.

Edition details

• Publisher: The Guilford Press
• Publication date: 1986
• Language: English
• ISBN 10: 0898620651
• ISBN 13: 9780898620658
• Binding: Hardcover
• Edition number: 1
• Number of pages: 365