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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.
#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.
Will the person you love ever get better? Chances are you've grappled with the question. With care and support from their families, people with schizophrenia can and do make vast improvements. Noted therapists Kim Mueser and Susan Gingerich deepen your understanding of the illness and cover a wide range of effective treatments. Based on decades of research and experience, they offer pragmatic suggestions for dealing with depression, psychosis, and other symptoms. They show you how to prioritize needs, resolve everyday problems, and encourage your loved one to set life goals. Plus, individual sections highlight special issues for parents, children, siblings, and partners. Whether you’re facing schizophrenia for the first time or you’ve dealt with its impact for years, you’ll discover innovative ways to handle challenges that arise over the course of treatment, from reducing the chances of relapse to making friends and finding work. Recovery isn't an endpoint--it's a lifelong journey. With love, hope, and realistic optimism, striving for it can lead to a richer, more rewarding life for your entire family. Winner, NAMI/Ken Book Award
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.
An Integrated Approach to Family Work for Psychosis is a manual for using cognitive behavioural approach to working with families of people with severe mental illness. The authors, all experienced clinicians, discuss the various core components of family work, including what constitutes family work, when it might be offered, and how and where it might be applied. As well as these core concerns, the authors also look at reframing challenges and overcoming common personal and external barriers to effective family work. Each chapter can be read individually or as part of the integrated manual. The central argument of the book is that family work must be individualised and it offers a clear approach to engaging and working with families to ensure that this happens, including guidance on how to link components of a service user's plan with their family's strengths and strategies for reducing stress. The book addressed both theory and practice, and concentrates on the experience of mental illness for the service user and their family, providing a focus for intervention. Exploring family work as an integrated psychosocial and educational support strategy, this manual will increase the confidence and competence of new family workers - mental health workers, social workers, psychiatrists, psychologists - and broaden the knowledge of those already working in the area.
In this book, thirty-five young, recently diagnosed patients speak about schizophrenia and the process of recovery, while two specialists illuminate the medical science, psychoeducation, and therapeutic needs of those coping with the illness, as well as access to medical benefits and community resources. A remarkably inclusive guide, the volume informs patients, families, friends, and professionals, detailing the possible causes of schizophrenia, medications and side effects, the functioning of the brain, and the value of rehabilitation and other services. In their dialogues, participants confront shame, stigma, substance use, and relapse issues and the necessity of healthy eating, safe sex practices, and coping skills during recovery. Clinicians elaborate on the symptoms of schizophrenia, such as violent and suicidal thoughts, delusions, hallucinations, memory and concentration problems, trouble getting motivated or organized, and anxiety and mood disorders. Adopting an uplifting tone of manageability, the participants, authors, and clinicians of this volume offer more than advice--they prescribe hope.
A critical study of the myths and realities of schizophrenia discusses the symptoms of the disease and offers a practical guide for families and friends of schizophrenics on ways to cope with the problem.
"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"--
Family Guide to Mental Illness and the Law offers the nuts-and-bolts legal information and problem-solving steps families need. This accessible resource explains how common legal issues uniquely impact people with various forms of mental illness and what family members can do to help.