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Overview
Updated throughout and filled with all the latest research, the bestselling Surviving Schizophrenia is back, now in its sixth edition.
Since its first publication in 1983, Surviving Schizophrenia has become the standard reference book on the disease and has helped thousands of patients, their families, and mental health professionals. In clear language, this much-praised and important book describes the nature, causes, symptoms, treatment, and course of schizophrenia and also explores living with it from both the patient's and the family's point of view. This new, completely updated sixth edition includes the latest research findings on what causes the disease, as well as information about the newest drugs for treatment, and answers the questions most often asked by families, consumers, and providers.
Product Details
| ISBN-13: | 9780062268853 |
|---|---|
| Publisher: | HarperCollins |
| Publication date: | 12/03/2013 |
| Pages: | 512 |
| Product dimensions: | 5.20(w) x 7.90(h) x 1.00(d) |
About the Author
E. Fuller Torrey, M.D., is a research psychiatrist specializing in schizophrenia and bipolar disorder. He is the executive director of the Stanley Medical Research Institute, the founder of the Treatment Advocacy Center, a professor of psychiatry at the Uniformed Services University of the Health Sciences, and the author of twenty books. He lives in Bethesda, Maryland.
Table of Contents
Photographs and Illustrations xiii
Preface to the Sixth Edition xv
Acknowledgments xvii
1 The Inner World of Madness: View from the Inside
Alterations of the Senses 4
Inability to Interpret and Respond 13
Delusions and Hallucinations 24
Altered Sense of Self 35
Changes in Emotions 37
Changes in Movements 42
Changes in Behavior 44
Decreased Awareness of Illness: Anosognosia 47
The Black-Red Disease 49
Recommended Further Reading 56
2 Defining Schizophrenia: View from the Outside
Official Criteria for Diagnosis 59
Subtypes of Schizophrenia 63
The Schizophrenia Spectrum: Do We All Have a Little? 64
Schizoaffective Disorder and Manic-Depressive Illness 68
Recommended Further Reading 73
3 Conditions Sometimes Confused with Schizophrenia
A "Split Personality" 75
Psychosis Caused by Street Drugs: Can Marijuana Use Cause Schizophrenia? 76
Psychosis Caused by Prescription Drugs 78
Psychosis Caused by Other Diseases 80
Psychosis Caused by Head Trauma 83
Psychosis with Mental Retardation 84
Infantile Autism 85
Antisocial Personality Disorders and Sexual Predators 86
Culturally Sanctioned Psychotic Behavior 87
Recommended Further Reading 88
4 Onset, Course, and Prognosis
Childhood Precursors 91
Onset and Early Symptoms 92
Childhood Schizophrenia 95
Postpartum Schizophrenia 96
Late-Onset Schizophrenia 97
Predictors of Outcome 98
Male-Female Differences 100
Possible Courses: Ten Years Later 101
Possible Courses: Thirty Years Later 106
Do People with Schizophrenia in Developing Countries Really Have a Better Outcome? 109
Causes of Death: Why Do People with Schizophrenia Die at a Younger Age? 110
Recommended Further Reading 113
5 Research Findings on the Causes of Schizophrenia
The Normal Brain 116
What Are the Known Facts? 118
It is a familial disease 118
There are predisposing genes 118
There are neurochemical changes 118
There are structural and neuropathological changes 120
There are neuropsychological deficits 120
There are neurological abnormalities 122
There are electrical abnormalities 123
There are immunological and inflammatory abnormalities 123
Individuals with schizophrenia have increased antibodies to some infectious agents 124
Other known risk factors for developing schizophrenia 124
What Parts of the B rain Are Affected? 128
When Does the Brain Damage Begin? 129
Recommended Further Reading 130
6 Theories About the Causes of Schizophrenia
Genetic Theories 134
Neurochemical Theories 136
Developmental Theories 137
Infectious and Immune Theories 138
Nutritional Theories 140
Endocrine Theories 141
Stress Theories 142
Obsolete Theories 144
Recommended Further Reading 147
7 The Treatment of Schizophrenia: Getting Started
How to Find a Good Doctor 150
What Is an Adequate Diagnostic Workup? 155
Hospitalization: Voluntary and Involuntary 159
Alternatives to Hospitalization 168
Payment for Treatment, Insurance Parity, and Health Care Reform 169
Outpatient Treatment, Managed Care, and Continuity of Caregiver 172
Services for Children 175
Services in Rural Areas 177
Recommended Further Reading 178
8 The Treatment of Schizophrenia
Do Antipsychotics Work? 181
How Do They Work? 181
Whose Information Can You Trust? 182
Which Drug Should You Try? 183
The Newest Drugs and Those in the Pipeline 191
Clozapine: The Most Effective Antipsychotic 193
What to Try When All Else Fails 194
Oral, Intramuscular, Dose, and Duration 196
Drug Costs and the Use of Generics 200
Criticism of Antipsychotics 201
Electroconvulsive Therapy (ECT) and Repetitive Transcranial Magnetic Stimulation (rTMS) 203
Herbal Treatments 204
Psychotherapy and Cognitive-Behavioral Therapy 206
The Early Treatment of Schizophrenia 207
Recommended Further Reading 209
9 The Rehabilitation of Schizophrenia
Money and Food 212
Housing 216
Employment 220
Friendship and Social Skills Training 223
Medical and Dental Care 226
Quality of Life Measures 228
The Need for Asylum 229
The Recovery Model 231
Recommended Further Reading 232
10 Ten Major Problems
Cigarettes and Coffee 235
Alcohol and Street Drugs 239
Sex, Pregnancy, and AIDS 243
Victimization 249
Confidentiality 251
Medication Noncompliance 254
Assisted Treatment 260
Assaultive and Violent Behavior 269
Arrest and Jail 272
Suicide 274
Recommended Further Reading 277
11 How Can Patients and Families Survive Schizophrenia?
The Right Attitude 281
The Importance of Education 290
Survival Strategies for Patients 291
Survival Strategies for Families 294
Effects of Schizophrenia on Siblings, Children, and Spouses 305
Minimizing Relapses 308
Recommended Further Reading 312
12 Commonly Asked Questions
Does Schizophrenia Change the Underlying Personality? 319
Are People with Schizophrenia Responsible for Their Behavior? 321
Does Schizophrenia Affect the Person's IQ? 324
Should People with Schizophrenia Drive Vehicles? 325
How Do Religious Issues Affect People with Schizophrenia? 326
Should You Tell People That You Have Schizophrenia? 328
Genetic Counseling: What Are the Chances of Getting Schizophrenia? 329
Why Do Some Adopted Children Develop Schizophrenia? 331
What Will Happen When the Parents Die? 332
Recommended Further Reading 334
13 Schizophrenia in the Public Eye
Schizophrenia in the Movies 336
Schizophrenia in Literature 344
Schizophrenia, Creativity, and Famous People 351
The Problem of Stigma 356
Recommended Further Reading 358
14 Dimensions of the Disaster
How Many People Have Schizophrenia in the United States? 365
Do Some Groups Have More Schizophrenia than Others? 367
Is Schizophrenia Increasing or Decreasing? 371
Is Schizophrenia of Recent Origin? 372
Deinstitutionalization: A Cradle for Catastrophe 375
What Is the Cost of Schizophrenia? 381
Recommended Further Reading 385
15 Issues for Advocates
Advocacy Organizations: Good and Bad 387
NIMH and SAMHSA 390
Scientologists, Anti-Psychiatrists, and "Consumer Survivors" 391
Educating the Public 393
Decreasing Stigma 395
How to Organize for Advocacy 396
Recommended Further Reading 398
Appendix A An Annotated List of the Best and the Worst Books on Schizophrenia 401
Appendix B Useful Websites on Schizophrenia (by D.J. Jaffe) 421
Notes 429
Index 463