Recovery from Schizophrenia
Evidence, History, and Hope
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Product details:
- Publisher OUP USA
- Date of Publication 26 September 2024
- ISBN 9780195380095
- Binding Hardback
- No. of pages392 pages
- Size 221x152x33 mm
- Weight 748 g
- Language English 549
Categories
Short description:
Recovery from Schizophrenia describes two of the longest studies of schizophrenia and other psychoses, which found that one half to two thirds of even the most profoundly disabled people were able to reclaim their lives from the illness. The book features stories about patients finding their way, along with a brief history of the field of psychiatry as it struggled to understand these cases, and describes many successful recovery programs across the world.
MoreLong description:
Evidence from two highly regarded three-decade NIMH follow-up studies of schizophrenia and other psychoses, conducted by Courtenay Harding and her research team, have revealed that one half to two-thirds of even the most disabled schizophrenia patients achieved significant improvement, and even recovery, over time. These findings are consistent with those from nine other decades'-long studies from across the world, as well as many shorter-term investigations as well. But the field of psychiatry has nevertheless largely failed to accept that recovery is possible for most psychotic patients.
Recovery from Schizophrenia provides numerous examples of patients becoming productive citizens, overcoming difficult starts in early life, alongside exciting program strategies and additional research evidence - evidence that provides a blueprint for both how to build new and successful mental health systems, and how to significantly improve clinical training programs. Unfortunately, most service systems still provide primarily stabilization, maintenance, medications, and entitlements under the new guise of rehabilitation. Critical changes need to occur in public policy, funding mechanisms, program design, and new clinical expectations to improve patient care-all of which will promote much more significant improvement and recovery. Discussion of these critical issues is presented here in accessible prose, allowing readers from a range of backgrounds - families, clinicians, and researchers alike - to experience the ups and downs of an entire field trying to solve the puzzle of recovery from schizophrenia in the usual settings. Recovery from Schizophrenia is the remarkable story of these patients and the scientists and caring professionals who refused to let go of hope for better outcomes.
As a psychiatrist, I have dedicated my entire professional life to accompany people diagnosed with schizophrenia, encouraging them to become the leaders of their recovery process, always trying to find new ways to recover their own self through what we call Accompanied Self-rehabilitation. For us nothing would have been possible without the ideas, the energy, and the accompaniment we received from Professor Courtenay Harding. Anyone who studies this book carefully will understand why.
Table of Contents:
Foreword
Introduction
PART ONE: EVOLUTION OF A REVOLUTION
Chapter 1 Shocking Treatment in Colonial Vermont
Chapter 2 The Evolution of a Vermont Country Doctor
Chapter 3 A Puzzled Psychiatrist Became a Revolutionary with the Help of His Patients
Chapter 4 More Ingredients in the Early Vermont Program
Chapter 5 Phase II: The Five-Year Follow-Up in 1965 and the Demise of Vermont State Hospital
PART TWO: NEW TEAM, NEW STUDY, SAME SAMPLE, YEARS LATER
Chapter 6 The Implausibility of a Housewife Who Became a NIMH Principal Investigator
Chapter 7 Learning about Research, the Generosity of the Field, and Politics in Science
Chapter 8 How We Measured a Life Lived: Preparation Is Worth all The Effort
Chapter 9 Tough Questions from The Chief of Medical Biostatistics
PART THREE: SURPRISES
Chapter 10 Surprise Discoveries Out in the Field
Chapter 11 "A Whole Bunch of People Got Better"
Chapter 12 "I Don't Believe a Word She Just Said!"
Chapter 13 Did Rediagnosis for Contemporary Schizophrenia Make a Difference in the Rates of Improvement and Recovery?
Chapter 14 Vermont Data Supported the DSM-5 Deletion of Subtypes in Schizophrenia
Chapter 15 The Role of Rehabilitation, Neural Plasticity, and Public Policy in Long-term Outcome--The Maine-Vermont Comparison Study
Chapter 16 Northern New England: Perfect Environments for Longitudinal Research
PART FOUR: NINE OTHER VERY LONG-TERM STUDIES FROM ACROSS THE WORLD AND THEIR IMPLICATIONS
Chapter 17 World Wide Evidence of Recovery
Chapter 18 Eating Humble Pie
PART FIVE: SAMPLE OF REHABILITATION PROGRAMS HELPING PEOPLE IMPROVE AND RECOVER
Chapter 19 World Programs
Chapter 20 US Programs
ACKNOWLEDGMENTS
NOTES
INDEX
