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A unique resource for developing clinical skills and programs designed to increase family involvement in the treatment of schizophrenia. The book is a "hands-on" learning tool to be used as a broad overview of many intervention models and/or for a more focused look at a particular model with details of its use, implementation, and effectiveness. You'll find case studies and vignettes of each intervention model in action - highlighting specific techniques and skills - as well as examinations of self-help and family advocacy programs, and insight into professional issues that have a direct impact on the provision of family services.
Different research approaches to schizophrenia have evolved conflicting etiological theories, variously emphasizing genetic, biochemical, physiological, and psychological aspects, all reviewed in this volume. Included are considerations of prenatal environment (L. W. Sontag), psychological studies (C. L. Winder), anxiety and perception (P. McReynolds), social relations (J. A. Clausen & M. L. Kohn), and family roles (T. Lidz, S. Fleck, M. Bowen, & J. H. Weakland). M. J. Boatman and S. A. Szurek report a clinical study of childhood schizophrenia. In an introductory overview, D. D. Jackson discusses convergent approaches and theoretical implications. (PsycINFO Database Record (c) 2004 APA, all rights reserved).
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.
"This book is primarily designed for clinicians and researchers interested in learning how to conduct an empirically supported, Culturally Informed Therapy for Schizophrenia (CIT-S) that integrates core components of evidenced based family therapy. It is estimated that approximately one percent of adults in the United States will be diagnosed with schizophrenia or a related schizophrenia spectrum disorder (SSD). Without treatment, prognosis is generally poor. Fortunately, traditional family therapies have shown increasing promise in reducing relapse rates and improving mental health for this population. As more and more societies become multicultural, however, there is an increasing expectation that mental health providers will also be prepared to meet the needs of unique and culturally diverse clients in an efficient, skillful, and culturally relevant manner. CIT-S is a 15-week, family-focused, cognitive behavioral approach for managing schizophrenia spectrum disorders. The intervention draws upon clients' cultural beliefs, practices, and traditions to help them conceptualize and manage mental illness. It aims to improve the quality of clients' lives in a manner that is in line with their values and takes into account their cultural norms when discussing important issues and addressing challenges (such as mental illness) within the family. CIT-S contains five distinct modules: 1) Family Collectivism 2) Psychoeducation 3) Spirituality 4) Communication Training and 5) Problem Solving. For each module, a detailed rationale, background information, therapy instructions, suggested homework assignments, and a sample case vignette is provided in an accessible, easy-to-use, manner"--
#1 NEW YORK TIMES BESTSELLER • OPRAH’S BOOK CLUB PICK • ONE OF GQ's TOP 50 BOOKS OF LITERARY JOURNALISM IN THE 21st CENTURY • The heartrending story of a midcentury American family with twelve children, six of them diagnosed with schizophrenia, that became science's great hope in the quest to understand the disease. "Reads like a medical detective journey and sheds light on a topic so many of us face: mental illness." —Oprah Winfrey Don and Mimi Galvin seemed to be living the American dream. After World War II, Don's work with the Air Force brought them to Colorado, where their twelve children perfectly spanned the baby boom: the oldest born in 1945, the youngest in 1965. In those years, there was an established script for a family like the Galvins--aspiration, hard work, upward mobility, domestic harmony--and they worked hard to play their parts. But behind the scenes was a different story: psychological breakdown, sudden shocking violence, hidden abuse. By the mid-1970s, six of the ten Galvin boys, one after another, were diagnosed as schizophrenic. How could all this happen to one family? What took place inside the house on Hidden Valley Road was so extraordinary that the Galvins became one of the first families to be studied by the National Institute of Mental Health. Their story offers a shadow history of the science of schizophrenia, from the era of institutionalization, lobotomy, and the schizophrenogenic mother to the search for genetic markers for the disease, always amid profound disagreements about the nature of the illness itself. And unbeknownst to the Galvins, samples of their DNA informed decades of genetic research that continues today, offering paths to treatment, prediction, and even eradication of the disease for future generations. With clarity and compassion, bestselling and award-winning author Robert Kolker uncovers one family's unforgettable legacy of suffering, love, and hope.
Using a cognitive behavioural framework, this study describes methods of assessing and intervening with the families of schizophrenics. The interventions detailed are those used in the Salford Family Intervention Study, which resulted in decreased relapse rates and better social functioning of patients. The methods include educating the family about the illness, reducing stress in family members, and helping families to promote the well-being of the patient.
The relapse rate of schizophrenia can be substantially reduced by working with the families of sufferers on the everyday problems generated by the illness. This book is a detailed practical guide to intervention. The approach to working with families has been used by hundreds of community staff and has proved helpful with a range of clients in addition to those with a diagnosis of schizophrenia. The techniques and strategies included in the guide are clearly described for use by clinical practitioners and are illustrated by case examples. The second edition retains the original sections, including the engaging the family, treading the fine line between working as a therapist and being a guest in the family's home, improving communication, teaching problem-solving and cultural issues. Material has been added on the evidence base for family work for schizophrenia and on the emotional responses of siblings. The guide has been further enriched with the authors' experience of working with families over the ten years since the first edition was published.
Throughout the past 30 years, there have been significant developments in theory and research relating family variables to various psychopathologies. The potential importance of such efforts is obviously great, given the implications that reliable and valid findings would hold for treatment and preventive inter ventions across a variety of settings and populations. The purpose of this volume is to present a critical evaluation of this field of inquiry through a detailed assessment of the theoretical perspectives, the methodological issues, and the substantive findings that have characterized family studies of psychopathology during the past several decades. The book is divided into four parts, each con taining contributions from leading researchers and theorists in the field. The first part, "Background," presents a review of the major streams of influence that have shaped the development and the present character of the field. The second part, "Conceptual Foundations," contains presentations of gen eral models and orientations relevant to family studies of psychopathology. In most cases, a particular theoretical perspective provides the primary underpin ning of the approach, the exception to this format being the family model of David Reiss based on the concept of the family paradigm. The major objective of this part is to present a broad yet detailed set of chapters that address the conceptual status of the field. It is hoped that this material will provide a rich background against which subsequent discussions of specific theories, methods, and findings can be more fully appreciated.
When someone develops a mental illness, the impact on the family is often profound. The most common treatment processes, however, focus on the patient while the loved ones are relegated to subordinate roles and sometimes even viewed as barriers to effective recovery. Families Coping with Mental Illness approaches these issues from the family's perspective, studying how they react to initial diagnosis, adjust to new circumstances, and cope with the situation. Through her own original research in the United States and Japan, Kawanishi presents a cross-cultural experience of mental illness that examine both psychological and sociological issues, making this book suitable to all international fields engaging with diversity and mental health. Including first-hand accounts along with analysis and discussion, Kawanishi gives voice to family members and adeptly identifies universal themes of resilience, adaptability, and strength of the family unit. This innovative text offers a unique viewpoint that will appeal to a wide audience of professionals and non-professionals from a variety of backgrounds.