In this important new volume, Michael Robbins presents an exploration of schizophrenia unique in both its breadth and depth. His work renders this mysterious condition much more comprehensible, and offers both theoreticians and clinicians of different scientific orientations new possibilities for treatment and interdisciplinary collaboration. The book interweaves an explication of the nature and treatment of schizophrenia, drawn from interlocking perspectives including organic, psychological, interpersonal, familial, and socio-cultural, with five of the most detailed case reports of treatment to be found in the literature. Part I introduces the work by covering basic definitions of schizophrenia, the hierarchical systems model for mental illness, issues concerning the data presented in the book, and the methodology used to gather information. Representing the extremes in outcome, Part II comprises two extensive case studies: One is the story of an unusually successful treatment; the other is a case that proved to be a multisystem failure. Chapters in Part III synthesize what is known about the disorder from the perspectives of neuroscience, psychology and psychoanalysis, family systems, and society and culture, incorporating Dr. Robbins' original ideas in these areas. The contributions of such factors as constitutional vulnerability are also explored. Chapters on treatment issues in Part IV cover evaluation and treatment planning from a systems perspective, and review studies of the efficacy of a psychological approach. Technique, process, and the stages of psychotherapy are discussed in detail, as are issues of hospital treatment, pharmacologic and somatic modalities, and family treatment. Part V consists of three complete case studies that are illuminating reading for professionals and students alike. Covering the cases from inception to termination, and spanning the gamut of clinical experience, they include one case that had a positive outcome, one in which the patient seemed to choose to remain ill, and one successful treatment of a chronic schizophrenic. Rounding out the volume is a chapter that summarizes the work and points the way for future research. This thought-provoking book is basic reading for all human science professionals interested in the study and treatment of mental illness, in philosophical and practical questions about the relationships among the scientific disciplines, or in broad questions about the connections among the individual, the family, and social structure.

Tessler and Gamache provide substantial research on the impact of mental illness on the family through interviews conducted with hundreds of family members between 1989 and 1997. According to the authors, how families experience the mental illness of a relative depends on many social factors, including how public mental health services are organized and financed, and whether families feel judged or supported by professionals. Most family members experience a range of emotions toward one another ranging from warmth and gratification to anger and rejection. Tessler and Gamache detail the family experience with mental illness in terms of both negative and positive feelings. They take a holistic approach to the family experience and present a variety of family responses and dilemmas. The family members whose stories are told are diverse in respect to race, gender, age, and relationship, and the demographic-clinical characteristics of their relatives with mental illness. Tessler and Gamache find that the amount of burden that family members experience depends, in part, on which dimension of burden is being addressed. When burden is defined as assistance in daily living, it is less than what was thought. On the other hand, the subjective burden associated with supervision and control is substantial. Family role and residence contribute to most dimensions of burden. For example, a mother living with an adult son with schizophrenia will experience mental illness differently than the brother who has moved out of the family home and moved to another state. In both studies, a major finding involved lower than expected expenditures by family members for medication and mental health treatment in both studies. Most expenditures were focused instead on personal or survival needs, which for a sub-sample of family members involves considerable expenditures. This work is an important research finding for scholars, students, and professionals involved with social work, public health, and public mental health policy.

The body of knowledge that we have accumulated about the causes and nature of schizophrenia is prodigious, and the repertoire of evidence-based treatments is substantial and increasing. Comprehensive Care of Schizophrenia distills this corpus into the essential information that clinicians who care for persons with schizophrenia need to know. The second edition of the popular volume is thoroughly updated, offering new information on the advances in research and management since the first edition was published a decade ago. Chapters are streamlined to keep content as concise as possible, while key sections have been revised and expanded to include new information on drug therapy and advice on patient care. People with schizophrenia can suffer from multiple morbidities and disabilities, and thus may require a variety of treatments, both pharmacological and psychosocial. To cover the complex and growing field of schizophrenia management, renowned psychiatrists Jeffrey Lieberman and Robin Murray have recruited a distinguished group of researchers, practitioners and consumers of mental health care. This guide delves into to all aspects of the clinical management of schizophrenia for both the health care professional who treats patients as well as the researcher interested in the advances made in the field and their clinical application.

We live in an age uniquely attentive to the problem of mental illness. More than half of us will be diagnosed with a mental illness or disorder at some point in our lifetime. It has been easy, for centuries, to relegate persistent emotional and mental struggles entirely to the realm of a failed personal work ethic ("Just don't worry so much!"), not enough faith ("Just pray harder!"), or, in recent years, a chemical imbalance in our brains ("Just take this pill!"). Yet, for those of us who live with mental illness, none of these suggestions provides the quick relief it promises, and the continued struggle takes its toll on our already burdened hearts and minds. In All Who Are Weary, Emmy Kegler joins the reader on the long walk of reflection, understanding, and compassion, calling followers of Jesus back to ancient practices of lament, vulnerability, honesty, community, and hope. This book is not a map to a cure, nor a perfectly restorative prayer. Written with a wide community in mind--patients, but also parents and partners, coworkers and friends, pastors and therapists, and the whole church--All Who Are Weary points to the embodied grace known in Jesus, trusting in the promise of a lighter load for all.

Written in a highly accessible style, this book gives detailed practical guidance, providing the reader with a range of strategies and techniques, set within a clear, structured framework.

Emerging from a qualitative research study on the rehabilitation experiences of adult male probationers with mental health illness, this book describes the treatment and rehabilitation experiences of these individuals and contextualizes their experiences within the landscape of mental health treatment in the United States. Often underserved in outpatient community support programs, probationers with mental health illness (PMIs) face stigma and obstacles in seeking mental health treatment and rehabilitation. Examining the lived experiences of both PMIs and their probation officers, this book offers insights into the study of stigma as it relates to probationers and the work of probation officers in furthering treatment and rehabilitation options for PMIs.