Pub Date : 2000-12-01DOI: 10.1080/10973430008408633
Jean Risman
Abstract For most of us, sexual abuse of a child is an abhorrent thought. Yet, this is the root cause of the struggles and emotional trauma for many people being “treated” in the mental health system. Many mental health providers do not recognize this, and the questions that would bring this cause to light are never asked. Thus providers cannot and do not provide appropriate assistance, the emotional trauma continues and may be exacerbated by the “treatment,” and deterioration often takes place. This paper clearly describes the consequences of childhood sexual abuse and provides descriptions of some efforts to treat it that have been successful.
{"title":"The Consequences of Childhood Sexual Abuse","authors":"Jean Risman","doi":"10.1080/10973430008408633","DOIUrl":"https://doi.org/10.1080/10973430008408633","url":null,"abstract":"Abstract For most of us, sexual abuse of a child is an abhorrent thought. Yet, this is the root cause of the struggles and emotional trauma for many people being “treated” in the mental health system. Many mental health providers do not recognize this, and the questions that would bring this cause to light are never asked. Thus providers cannot and do not provide appropriate assistance, the emotional trauma continues and may be exacerbated by the “treatment,” and deterioration often takes place. This paper clearly describes the consequences of childhood sexual abuse and provides descriptions of some efforts to treat it that have been successful.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114305317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-12-01DOI: 10.1080/10973430008408628
H. Goldman
{"title":"Consumer Contributions to Mental Health: A Report of the Surgeon General","authors":"H. Goldman","doi":"10.1080/10973430008408628","DOIUrl":"https://doi.org/10.1080/10973430008408628","url":null,"abstract":"","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130645412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-12-01DOI: 10.1080/10973430008408629
R. Ralph
{"title":"Consumer Contributions to Mental Health: A Report of the Surgeon General","authors":"R. Ralph","doi":"10.1080/10973430008408629","DOIUrl":"https://doi.org/10.1080/10973430008408629","url":null,"abstract":"","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134441582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-12-01DOI: 10.1080/10973430008408630
Laura Van Tosh, R. Ralph, Jean Campbell
Abstract Consumerism in mental health began in protest against inhuman treatment received in psychiatric hospitals. It continues today in consumer involvement in a wide array of venues. Consumers are still involved in advocating against inhuman and harmful treatment and in advocating for effective mental health services that are provided with dignity and respect. Consumers are also involved in providing support and sustenance for each other in both informal and formal ways: in mutual self-help and in the provision of consumer-operated services. They are also involved in designing, conducting, and participating in research; and in participating in policy making bodies at the local, state, and federal levels. This paper outlines the many ways in which consumers have been and continue to be involved in impacting mental health treatment, research, and policy.
{"title":"The Rise of Consumerism","authors":"Laura Van Tosh, R. Ralph, Jean Campbell","doi":"10.1080/10973430008408630","DOIUrl":"https://doi.org/10.1080/10973430008408630","url":null,"abstract":"Abstract Consumerism in mental health began in protest against inhuman treatment received in psychiatric hospitals. It continues today in consumer involvement in a wide array of venues. Consumers are still involved in advocating against inhuman and harmful treatment and in advocating for effective mental health services that are provided with dignity and respect. Consumers are also involved in providing support and sustenance for each other in both informal and formal ways: in mutual self-help and in the provision of consumer-operated services. They are also involved in designing, conducting, and participating in research; and in participating in policy making bodies at the local, state, and federal levels. This paper outlines the many ways in which consumers have been and continue to be involved in impacting mental health treatment, research, and policy.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114183908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-12-01DOI: 10.1080/10973430008408635
J. Calabrese
Abstract by Charles Stangor March 2000, Psychology Press Philadelphia, Pennsylvania 464 pages, Cloth $64.95, Paperback $29.95
2000年3月，心理学出版社费城，宾夕法尼亚州464页，布面64.95美元，平装本29.95美元
{"title":"A Book Review of “Stereotypes and Prejudice: Essential Readings”","authors":"J. Calabrese","doi":"10.1080/10973430008408635","DOIUrl":"https://doi.org/10.1080/10973430008408635","url":null,"abstract":"Abstract by Charles Stangor March 2000, Psychology Press Philadelphia, Pennsylvania 464 pages, Cloth $64.95, Paperback $29.95","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123664044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-06-01DOI: 10.1080/10973430008408406
D. Fowler
Abstract Recent randomized controlled trials carried out in the UK suggest that there is now strong evidence for the efficacy of cognitive behavioral therapy in the management of people with chronic treatment resistant psychosis. At the core of this approach is a focus on the subjective needs of people with psychosis (in particular the experience of voices, paranoia, delusions, and depression) and an attempt to understand or make sense of these problems from the individual's perspective. The cognitive behavioral offers both a new set of therapeutic skills, which may be utilized by psychiatric rehabilitation practitioners (see Kuipers and Turkington), and a new way of thinking about the needs of people with psychosis. The implications of the cognitive behavioral model of people with chronic psychosis can therefore inform an approach to psychiatric rehabilitation in which goals of rehabilitation genuinely reflect the concerns of the individual with mental illness. In this paper we outline the clinical implication of recent research findings and illustrate the application of cognitive behavioral formulation and therapy to the management of complex cases of psychosis.
{"title":"Cognitive Behavior Therapy for Psychosis: From Understanding to Treatment","authors":"D. Fowler","doi":"10.1080/10973430008408406","DOIUrl":"https://doi.org/10.1080/10973430008408406","url":null,"abstract":"Abstract Recent randomized controlled trials carried out in the UK suggest that there is now strong evidence for the efficacy of cognitive behavioral therapy in the management of people with chronic treatment resistant psychosis. At the core of this approach is a focus on the subjective needs of people with psychosis (in particular the experience of voices, paranoia, delusions, and depression) and an attempt to understand or make sense of these problems from the individual's perspective. The cognitive behavioral offers both a new set of therapeutic skills, which may be utilized by psychiatric rehabilitation practitioners (see Kuipers and Turkington), and a new way of thinking about the needs of people with psychosis. The implications of the cognitive behavioral model of people with chronic psychosis can therefore inform an approach to psychiatric rehabilitation in which goals of rehabilitation genuinely reflect the concerns of the individual with mental illness. In this paper we outline the clinical implication of recent research findings and illustrate the application of cognitive behavioral formulation and therapy to the management of complex cases of psychosis.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115623279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-06-01DOI: 10.1080/10973430008408405
M. Birchwood, A. Fiorillo
Abstract Therapeutic intervention in psychotic disorders has been evolving steadily in recent years with notable changes in the content of treatment (e.g., atypical neuroleptics and the cognitive/psychosocial interventions) and the locus of care. While the therapeutic focus continues to emphasize acute and treatment symptoms, and longer-term interventions, for example assertive community treatment, the primary and secondary prevention of psychosis has received little attention since Cameron's (1938) pioneering work. It is now believed that the variables influencing the early phase of psychosis are sufficiently well developed to begin exploring their therapeutic implications. More speculatively, the early phase of psychosis is believed to be formative in biological, psychological, and social terms, thus affording major opportunities for secondary prevention. Three key elements of an early intervention strategy are proposed: early detection of “at-risk” mental states; early treatment of first psychotic episode; and interventions targeted during the early phase of psychosis (the “critical period”).
{"title":"The Critical Period for Early Intervention","authors":"M. Birchwood, A. Fiorillo","doi":"10.1080/10973430008408405","DOIUrl":"https://doi.org/10.1080/10973430008408405","url":null,"abstract":"Abstract Therapeutic intervention in psychotic disorders has been evolving steadily in recent years with notable changes in the content of treatment (e.g., atypical neuroleptics and the cognitive/psychosocial interventions) and the locus of care. While the therapeutic focus continues to emphasize acute and treatment symptoms, and longer-term interventions, for example assertive community treatment, the primary and secondary prevention of psychosis has received little attention since Cameron's (1938) pioneering work. It is now believed that the variables influencing the early phase of psychosis are sufficiently well developed to begin exploring their therapeutic implications. More speculatively, the early phase of psychosis is believed to be formative in biological, psychological, and social terms, thus affording major opportunities for secondary prevention. Three key elements of an early intervention strategy are proposed: early detection of “at-risk” mental states; early treatment of first psychotic episode; and interventions targeted during the early phase of psychosis (the “critical period”).","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"164 8 Pt 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127535003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-06-01DOI: 10.1080/10973430008408408
T. Wykes
Abstract There is now a recognition of the importance of cognition to rehabilitation outcome for people with schizophrenia. Although the possibility of implementing a program to provide rehabilitation directly for poor information processing has attracted enthusiastic support from mental health professionals, the evidence for its effectiveness is slim. This paper describes the evidence in favor of different forms of cognitive rehabilitation, but counsels against the wholesale investment of resources until more data is available on its efficacy. However, some programs are available which do have empirical support, and one of these is described in more detail in this paper.
{"title":"The Rehabilitation of Cognitive Deficits","authors":"T. Wykes","doi":"10.1080/10973430008408408","DOIUrl":"https://doi.org/10.1080/10973430008408408","url":null,"abstract":"Abstract There is now a recognition of the importance of cognition to rehabilitation outcome for people with schizophrenia. Although the possibility of implementing a program to provide rehabilitation directly for poor information processing has attracted enthusiastic support from mental health professionals, the evidence for its effectiveness is slim. This paper describes the evidence in favor of different forms of cognitive rehabilitation, but counsels against the wholesale investment of resources until more data is available on its efficacy. However, some programs are available which do have empirical support, and one of these is described in more detail in this paper.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130017972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-06-01DOI: 10.1080/10973430008408412
D. Turkington, R. Siddle
Abstract In order to have a chance of coping and developing a reasonable quality of life, the individual suffering from the symptoms of schizophrenia will very often need to change lifelong attitudes towards psychiatric illness and medication. Deeply held personal attitudes towards achievement, approval, and control will often need to be developed to facilitate optimal understanding of the emergence of psychosis, its maintenance, and to optimize symptom control. This paper describes viable approaches to changing attitudes in schizophrenia within a CCOR1 framework, which should facilitate optimal adherence and coping.
{"title":"Improving Understanding and Coping in People with Schizophrenia by Changing Attitudes","authors":"D. Turkington, R. Siddle","doi":"10.1080/10973430008408412","DOIUrl":"https://doi.org/10.1080/10973430008408412","url":null,"abstract":"Abstract In order to have a chance of coping and developing a reasonable quality of life, the individual suffering from the symptoms of schizophrenia will very often need to change lifelong attitudes towards psychiatric illness and medication. Deeply held personal attitudes towards achievement, approval, and control will often need to be developed to facilitate optimal understanding of the emergence of psychosis, its maintenance, and to optimize symptom control. This paper describes viable approaches to changing attitudes in schizophrenia within a CCOR1 framework, which should facilitate optimal adherence and coping.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114884866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-06-01DOI: 10.1080/10973430008408407
C. Barrowclough, G. Haddock, N. Tarrier, J. Moring, S. Lewis
Abstract There have been considerable advances in the use of psychological treatments for individuals with psychosis in the last 20 years or so. This paper describes an ongoing study in which these treatment approaches are being modified and combined for use with a particularly challenging client group–those with a diagnosis of schizophrenia who have a comorbid drug or alcohol problem. Prevalence rates for such individuals with “dual diagnosis” are high, with surveys indicating that from 20%-60% of clients with schizophrenia may have a substance use problem. More importantly, there is evidence that clinical outcomes are worse for this group and that persons in treatment present many difficulties for services, for example, frequent hospital admissions, violence, engagement problems, and noncompliance. Although there are accounts and evaluations of integrated treatment strategies in the U.S. (Drake et al., 1989; 1991), there is little published work from the UK demonstrating an integration of treatments targeted at both the mental health and substance use problems.
在过去20年左右的时间里，在精神病患者的心理治疗方面取得了相当大的进展。这篇论文描述了一项正在进行的研究，在这项研究中，这些治疗方法正在被修改，并结合起来用于一个特别具有挑战性的客户群体——那些被诊断为精神分裂症并伴有药物或酒精问题的人。这类“双重诊断”患者的患病率很高，调查显示，20%-60%的精神分裂症患者可能存在药物使用问题。更重要的是，有证据表明，这一群体的临床结果更差，接受治疗的人对服务存在许多困难，例如，频繁住院、暴力、参与问题和不遵守规定。尽管在美国有关于综合治疗策略的描述和评估(Drake et al.， 1989;1991年)，英国发表的作品很少表明针对精神健康和药物使用问题的综合治疗。
{"title":"Cognitive Behavioral Intervention for Individuals with Severe Mental Illness Who Have a Substance Misuse Problem","authors":"C. Barrowclough, G. Haddock, N. Tarrier, J. Moring, S. Lewis","doi":"10.1080/10973430008408407","DOIUrl":"https://doi.org/10.1080/10973430008408407","url":null,"abstract":"Abstract There have been considerable advances in the use of psychological treatments for individuals with psychosis in the last 20 years or so. This paper describes an ongoing study in which these treatment approaches are being modified and combined for use with a particularly challenging client group–those with a diagnosis of schizophrenia who have a comorbid drug or alcohol problem. Prevalence rates for such individuals with “dual diagnosis” are high, with surveys indicating that from 20%-60% of clients with schizophrenia may have a substance use problem. More importantly, there is evidence that clinical outcomes are worse for this group and that persons in treatment present many difficulties for services, for example, frequent hospital admissions, violence, engagement problems, and noncompliance. Although there are accounts and evaluations of integrated treatment strategies in the U.S. (Drake et al., 1989; 1991), there is little published work from the UK demonstrating an integration of treatments targeted at both the mental health and substance use problems.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132309000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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