Psychosocial Approaches to Deeply Disturbed Persons

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Format: Hardcover
Pub. Date: 1996-07-22
Publisher(s): Routledge
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Summary

At a time when biological psychiatry claims that drugs and electroshock are the best methods for helping deeply disturbed persons, mental health professionals need to be reminded that psychological and social approaches to mental illnesses remain more effective, less harmful, and much more able to address the real needs of recovery, growth, and development for affected persons. Psychosocial Approaches to Deeply Disturbed Persons empowers counselors, psychiatrists, psychologists, and social workers to trust their intuitive and clinical understanding of how to help seriously disturbed people through humane, caring approaches. Psychosocial Approaches to Deeply Disturbed Persons introduces mental health professionals to an array of psychological and social alternatives that are available for helping patients considered "psychotic" or very emotionally disturbed. Focusing on psychological and social approaches to helping people who become labeled "psychotic" or who carry serious psychiatric diagnoses, contributors show mental health professionals psychological, social, and spiritual alternatives for approaching or treating these individuals. Readers learn about: a successful model for nonmedical, non-drug residential treatment centers utilizing the artwork of psychotic patients case histories of psychoanalytic therapy group therapy to help families with a "schizophrenic" member improve communication Re-evaluation Counseling (RC) with disturbed individuals psychoanalytically-oriented therapy World Health Organization research which demonstrates the positive effect of extended family and social relationships and the negative effect of modern biopsychiatric treatment research demonstrating the efficacy of psychotherapy with persons labeled "schizophrenic" These chapters combined with a review of empirical studies demonstrate to readers the efficacy of psychotherapy with psychotic patients. Students or experienced professionals in any of the mental health fields, including psychotherapy, counseling, clinical psychology, clinical social work, and Re-evaluation Counseling will find Psychosocial Approaches to Deeply Disturbed Persons a necessity for most effectively and humanely treating clients with serious psychiatric diagnoses.

Table of Contents

Introduction: Spearheading a Transformation
1(8)
Peter R. Breggin
Persons as Agents and Beings
1(2)
Persons as Objects or Biochemical Devices
3(1)
Contrasting Therapeutic Approaches
3(1)
Philosophy and Science
4(2)
A Conflict Resolution Model
6(3)
Schizophrenic Experience: A Humanistic Perspective
9(14)
E. Mark Stren
Alternative Realities
9(1)
Schizophrenia as a Mode of Being
10(1)
Disengagement and Convention
10(3)
Harvey: Seeing It All
13(6)
Dangers for the Therapist
19(1)
Advantages in Treating Schizophrenics
20(3)
Psychotherapy and the Fear of Understanding Schizophrenia
23(20)
Bretram P. Karon
Leighton C. Whitaker
The Patient's Terror and Therapist Reaction
26(2)
The Therapeutic Alliance
28(1)
Clinical Experience of Psychological Causality
29(2)
Understanding the Catatonic Stupor
31(2)
Hallucinations
33(1)
Delusions
34(5)
A Patients Summary
39(4)
Soteria: A Therapeutic Community for Psychotic Persons
43(16)
Loren R. Mosher
Introduction and Overview
43(1)
Background
44(4)
Clinical Settings
48(3)
Results
51(2)
System Change
53(3)
Conclusion
56(3)
Perceptions of Psychologists and Psychiatrists
59(18)
Victor D. Sanua
Psychotherapy with "Schizophrenia": Analysis of Metaphor to Reveal Trauma and Conflict
77(30)
Richard Shulman
Focus of This Paper
79(2)
Questioning "Schizophrenia" as a Disease
81(6)
Some Psychosocial Perspectives on "Psychosis"
87(3)
Illustraive Therapy Sessions
90(10)
Conclusion
100(7)
Surviving the "Mental Health" System with Co-Counselling
107(18)
Janet Foner
"Mental Illness"
110(1)
Continuing a Story
111(2)
Experiencing the Hospital
113(2)
Re-Evaluation Counselling (RC)
115(2)
People Who Have Used the Process
117(8)
Yielding to a Higher Power
125(16)
Louis Birner
"The Manic Attack"
135(2)
Theoretical and Treatment Considerations
137(4)
No Place Like Home
141(44)
Robert F. Morgan
Prologue
141(1)
Gordius
142(2)
Intake
144(1)
Goals
144(1)
Mother and the Governor
145(1)
Art Therapy
145(1)
Transference
146(1)
Holiday
147(1)
Love and Schizophrenia
148(1)
Discharge
149(2)
No Place Like Home
151(34)
Working with the Families of Schizophrenic Patients
185(28)
Julian Leff
Ruth Berkowitz
Studies of the Effectiveness of Family Intervention
189(3)
Family Sessions and Relatives Groups
192(1)
The Education Programme
192(2)
The Family Sessions
194(1)
The Therapists Support Group
195(1)
Why Two Therapists?
196(1)
Introducing the Intervention to the Family
197(1)
Avoiding Socialisation of Sessions
197(1)
Improving Communication
198(1)
Teaching Problem-Solving
199(3)
Reducing Criticism
202(1)
Reducing Overinvolvement
203(2)
Expanding Social Networks
205(1)
Reducing Social Contact
205(1)
Lowering Expectations
206(1)
The Relatives Group
207(1)
Conclusions
208(5)
WHO Studies on Schizophrenia: An Overview of the Results and Their Implications for the Understanding of the Disorder
213
Giovanni de Girolamo
Introduction
214(1)
The International Pilot Study of Schizophrenia (IPSS)
214(3)
The Study on Impairments and Disabilities in Schizophrenic Patients
217(1)
The Study on the "Determinants of the Outcome of Severe Mental Disorders"
218(5)
Conclusions
223

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