Schizophrenia, I said. The word itself is ominous.
An edition of Surviving Schizophrenia
(1983)
Surviving Schizophrenia
A Manual for Families, Consumers, and Providers
Fourth Edition
by E. Fuller Torrey
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Surviving schizophrenia: a manual for families, consumers, and providers
2006, HarperPaperbacks
in English
- 5th ed.
0060842598 9780060842598
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Surviving Schizophrenia: A Manual for Families, Consumers, and Providers
2001, Quill
in English
- Fourth Edition
0060959193 9780060959197
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Surviving Schizophrenia: A Manual for Families, Consumers, and Providers (4th Edition)
May 8, 2001, Collins
in English
0060959193 9780060959197
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Surviving schizophrenia: a manual for families, consumers, and providers
1995, HarperPerennial
in English
- 3rd ed.
006055360X 9780060553609
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Surviving schizophrenia: a family manual
1985, Harper Colophon Books
in English
0060912170 9780060912178
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Surviving schizophrenia: a family manual
Publish date unknown, Perennial Library
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Surviving Schizophrenia: A Family Manual
Publish date unknown, Harper & Row
Paperback
in English
- Revised Edition
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Book Details
Table of Contents
Illustrations. xvii
Preface to the Fourth Edition. xix
Preface to the First Edition, 1983. xxi
Acknowledgments. xxiii
1. DIMENSIONS OF THE DISASTER. 1
How Many People Have Schizophrenia in the United States?. 6
Where Are They?. 8
Do Some Groups Have More Schizophrenia Than Others?. 12
Is Schizophrenia Increasing or Decreasing?. 15
Is Schizophrenia of Recent Origin?. 16
Deinstitutionalization: A Cradle for Catastrophe. 19
What Is the Cost of Schizophrenia?. 24
2. THE INNER WORLD OF MADNESS: VIEW FROM THE INSIDE. 30
Alterations of the Senses. 33
Inability to Interpret and Respond. 42
Delusions and Hallucinations. 53
Altered Sense of Self. 66
Changes in Emotions. 68
Changes in Movements. 73
Changes in Behavior. 74
Decreased Awareness of Illness. 78
The Black-Red Disease. 80
3. DEFINING SCHIZOPHRENIA: VIEW FROM THE OUTSIDE. 88
Official Criteria for Diagnosis. 89
Subtypes of Schizophrenia. 93
Delusional Disorders. 94
Schizotypal, Schizoid, Paranoid, and Borderline Personality Disorders. 95
Schizoaffective Disorder and Manic-Depressive Illness. 97
“Manicdephrenia”. 100
4. CONDITIONS SOMETIMES CONFUSED WITH SCHIZOPHRENIA. 105
A “Split Personality”. 105
Psychosis Caused by Street Drugs. 106
Psychosis Caused by Prescription Drugs. 108
Psychosis Caused by Other Diseases. 110
Psychosis Caused by Head Trauma. 113
Psychosis with Mental Retardation. 114
Infantile Autism. 114
Antisocial Personality Disorders and Sexual Predators. 116
Culturally Sanctioned Psychotic Behavior. 117
5. ONSET, COURSE, AND PROGNOSIS. 119
Childhood Precursors. 119
Onset and Early Symptoms. 121
Childhood Schizophrenia. 123
Postpartum Schizophrenia. 125
Late-Onset Schizophrenia. 125
Predictors of Outcome. 126
Male-Female Differences. 128
Possible Courses: 10 Years Later. 129
Possible Courses: 30 Years Later. 133
Causes of Death: Why Do People with Schizophrenia Die at a Younger Age?. 136
6. RESEARCH FINDINGS ON THE CAUSES OF SCHIZOPHRENIA. 140
The Normal Brain. 141
The Brain with Schizophrenia. 143
The disease is familial. 143
There may be neurochemical changes. 144
There are structural and neuropathological changes. 144
There are neuropsychological deficits. 145
There are neurological abnormalities. 147
There are electrical abnormalities. 148
There are immunological and inflammatory abnormalities. 149
Individuals with schizophrenia are born disproportionately in the winter and spring. 149
Individuals with schizophrenia are born and/or raised disproportionately in urban areas. 150
Other abnormalities: pregnancy and birth complications, minor physical anomalies, and an absence of rheumatoid arthritis. 150
What Parts of the Brain Are Affected?. 152
When Does the Brain Damage Begin?. 155
7. THEORIES ABOUT THE CAUSES OF SCHIZOPHRENIA. 158
Genetic Theories. 159
Neurochemical Theories. 161
Developmental Theories. 161
Infectious and Immune Theories. 163
Nutritional Theories. 165
Endocrine Theories. 165
Stress Theories. 166
Obsolete Theories. 167
Masturbation. 168
Bad mothers. 168
Bad families. 169
Bad cultures. 170
Thomas Szasz. 171
Ronald Laing. 171
8. THE TREATMENT OF SCHIZOPHRENIA: NONMEDICATION ASPECTS. 174
How to Find a Good Doctor. 175
What Is an Adequate Diagnostic Workup?. 179
Hospitalization: Voluntary and Involuntary. 183
Alternatives to Hospitalization. 192
Payment for Treatment and Insurance Parity. 193
Outpatient Treatment and Managed Care. 194
Services for Children. 197
Services in Rural Areas. 199
Counseling, or Supportive “Psychotherapy”. 201
Insight-Oriented Psychotherapy. 203
Cognitive Behavioral Therapy. 205
Electroconvulsive Therapy (ECT). 206
Nutritional Treatments. 207
Experimental Treatments. 208
9. THE TREATMENT OF SCHIZOPHRENIA: MEDICATIONS. 210
First-Generation Antipsychotics. 211
Adverse Effects. 219
Second-Generation Antipsychotics. 227
Adverse Effects. 230
Clozapine (Clozaril, Leponex). 231
Olanzapine (Zyprexa). 233
Risperidone (Risperdal). 234
Quetiapine (Seroquel). 235
Ziprasidone (Zeldox). 236
The Bottom Line: Which Antipsychotic Should You Try?. 238
Interactions of Antipsychotics with Other Medications. 240
Other Drugs to Try If Antipsychotics Fail. 242
New Antipsychotics on the Horizon. 247
Drug Prices and the Use of Generics. 249
Medications for Early Treatment or Prevention. 252
The Medication-Savvy Consumer and Family. 253
10. THE REHABILITATION OF SCHIZOPHRENIA. 256
Money and Food. 257
Housing. 260
Employment. 264
Friendship and Social Skills Training. 267
Medical Care. 270
Quality of Life Measures. 271
The Need for Asylum. 273
11. TEN MAJOR PROBLEMS. 276
Cigarettes and Coffee. 277
Alcohol and Street Drugs. 281
Sex, Pregnancy, and AIDS. 284
Victimization. 290
Confidentiality. 291
Medication Noncompliance. 294
Assisted Treatment. 299
Assaultive and Violent Behavior. 307
Arrest and Jail. 310
Suicide. 312
12. HOW CAN CONSUMERS AND FAMILIES SURVIVE SCHIZOPHRENIA?. 317
The Right Attitude. 318
The Importance of Education. 326
Survival Strategies for Consumers. 328
Survival Strategies for Families. 330
The Rise and Fall of Expressed Emotion. 339
Effects of Schizophrenis on Siblings, Children, and Spouses. 342
Minimizing Relapses. 345
13. COMMONLY ASKED QUESTIONS. 354
Does Schizophrenia Change the Underlying Personality?. 354
Are People with Schizophrenia Responsible for Their Behavior. 356
Does Schizophrenia Affect the Person's IQ?. 359
Should People with Schizophrenia Drive Vehicles?. 360
How Do Religious Issues Affect People with Schizophrenia?. 361
Should You Tell People That You Have Schizophrenia?. 362
Genetic Counseling: What Are the Chances of Getting Schizophrenia?. 363
What Will Happen When the Parents Die?. 365
14. SCHIZOPHRENIA IN THE PUBLIC EYE. 368
Schizophrenia in the Movies. 369
Schizophrenia in Literature. 374
Schizophrenia, Creativity, and Famous People. 382
The Problem of Stigma. 387
15. ISSUES FOR ADVOCATES. 390
Congress, State Government, and the Politics of Neglect. 391
Scientologists, Antipsychiatrists, and “Consumer Survivors”. 395
NIMH and Research Funding. 398
Educating the Public. 399
Decreasing Stigma. 402
Improving Services. 403
How to Organize for Advocacy. 409
Appendix A: 50 of the Best and 15 of the Worst Books on Schizophrenia. 412
Appendix B: Useful Websites on Schizophrenia. 432
Appendix C: Useful Videotapes on Schizophrenia (by Katie Petray). 439
Appendix D: Other Useful Resources on Schizophrenia. 445
Notes. 448
Index. 485
About the Author. 513
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