Pub Date : 2014-07-03DOI: 10.1080/15487768.2014.935666
A. Kopelowicz, R. Zárate
Over the past 50 years, mental health professionals have come to recognize the enormous benefits that can be derived from involving the families of people with serious mental illness in the treatment enterprise. One of the earliest advocates for this perspective, Robert Liberman, has played a pivotal role in the development of evidence-based practices targeted to improving the outcomes for this population. From his early work starting in the 1970 s with Ian Falloon on behavioral family therapy for schizophrenia, through his influence as director of the UCLA Clinical Research Center in the 1980 s and ‘90 s on colleagues who applied family psychoeducation principles to the treatment of other mental disorders, to his most recent efforts designed to adapt these approaches to people of diverse cultural backgrounds, Liberman has steadfastly championed the value of teaching families the skills required to meet their needs and to enhance the social adjustment and quality of life of individuals with serious mental disorders.
{"title":"The Role of Robert Liberman in the Development of Family Psychoeducation","authors":"A. Kopelowicz, R. Zárate","doi":"10.1080/15487768.2014.935666","DOIUrl":"https://doi.org/10.1080/15487768.2014.935666","url":null,"abstract":"Over the past 50 years, mental health professionals have come to recognize the enormous benefits that can be derived from involving the families of people with serious mental illness in the treatment enterprise. One of the earliest advocates for this perspective, Robert Liberman, has played a pivotal role in the development of evidence-based practices targeted to improving the outcomes for this population. From his early work starting in the 1970 s with Ian Falloon on behavioral family therapy for schizophrenia, through his influence as director of the UCLA Clinical Research Center in the 1980 s and ‘90 s on colleagues who applied family psychoeducation principles to the treatment of other mental disorders, to his most recent efforts designed to adapt these approaches to people of diverse cultural backgrounds, Liberman has steadfastly championed the value of teaching families the skills required to meet their needs and to enhance the social adjustment and quality of life of individuals with serious mental disorders.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73033498","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 : 2014-07-03DOI: 10.1080/15487768.2014.935663
R. Drake, D. Becker
The authors have developed individual placement and support using many of the principles of psychiatric rehabilitation of Robert P. Liberman. These included respect for the individual, working in collaboration with the family, integrating skills and supports, using simple behavioral techniques to teach skills in a particular context, combining clinical and rehabilitative approaches, and insisting on rigorous research. As individual placement and support has become an evidence-based practice and has spread around the globe, Bob continues to be a tireless mentor, supporter, colleague, and friend.
{"title":"Robert Liberman's Influence on Supported Employment","authors":"R. Drake, D. Becker","doi":"10.1080/15487768.2014.935663","DOIUrl":"https://doi.org/10.1080/15487768.2014.935663","url":null,"abstract":"The authors have developed individual placement and support using many of the principles of psychiatric rehabilitation of Robert P. Liberman. These included respect for the individual, working in collaboration with the family, integrating skills and supports, using simple behavioral techniques to teach skills in a particular context, combining clinical and rehabilitative approaches, and insisting on rigorous research. As individual placement and support has become an evidence-based practice and has spread around the globe, Bob continues to be a tireless mentor, supporter, colleague, and friend.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83778951","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 : 2014-04-03DOI: 10.1080/15487768.2014.903875
Stephanie Rodrigues, B. Bokhour, Nora M Mueller, Natalie S. Dell, P. E. Osei-Bonsu, Shibei Zhao, M. Glickman, S. Eisen, A. Elwy
The Veterans Health Administration (VHA) mandates annual depression screening in primary care; however, veterans often delay seeking treatment after screening positive, which can increase the severity and impact of depression. This mixed-methods study examined the association between stigma and treatment utilization among veterans (N = 271) in primary care with a positive depression screen. A subsample of veterans (n = 23) participated in a semistructured interview to qualitatively explore the social and cultural contexts of treatment utilization for depression. Treatment utilization data based on Healthcare Effectiveness Data and Information Set (HEDIS) guidelines were obtained by chart review 3 months following the positive screen date. Logistic regression indicated a lack of evidence that stigma was associated with treatment utilization. However, grounded thematic analysis suggested that stigma negatively influenced perceptions of depression and treatment utilization for some veterans. Four themes emerged: (1) depression is weakness; (2) depression is an unwanted label; (3) depression is normal; and (4) overcoming stigma. Evidence from interviews suggests that stigma may play a larger role in decisions about treatment seeking, which was not quantitatively evident. Addressing the psychosocial ramifications of stigma for depression may help minimize treatment lapses and maximize treatment seeking among veterans who screen positive for depression in primary care.
{"title":"Impact of Stigma on Veteran Treatment Seeking for Depression","authors":"Stephanie Rodrigues, B. Bokhour, Nora M Mueller, Natalie S. Dell, P. E. Osei-Bonsu, Shibei Zhao, M. Glickman, S. Eisen, A. Elwy","doi":"10.1080/15487768.2014.903875","DOIUrl":"https://doi.org/10.1080/15487768.2014.903875","url":null,"abstract":"The Veterans Health Administration (VHA) mandates annual depression screening in primary care; however, veterans often delay seeking treatment after screening positive, which can increase the severity and impact of depression. This mixed-methods study examined the association between stigma and treatment utilization among veterans (N = 271) in primary care with a positive depression screen. A subsample of veterans (n = 23) participated in a semistructured interview to qualitatively explore the social and cultural contexts of treatment utilization for depression. Treatment utilization data based on Healthcare Effectiveness Data and Information Set (HEDIS) guidelines were obtained by chart review 3 months following the positive screen date. Logistic regression indicated a lack of evidence that stigma was associated with treatment utilization. However, grounded thematic analysis suggested that stigma negatively influenced perceptions of depression and treatment utilization for some veterans. Four themes emerged: (1) depression is weakness; (2) depression is an unwanted label; (3) depression is normal; and (4) overcoming stigma. Evidence from interviews suggests that stigma may play a larger role in decisions about treatment seeking, which was not quantitatively evident. Addressing the psychosocial ramifications of stigma for depression may help minimize treatment lapses and maximize treatment seeking among veterans who screen positive for depression in primary care.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80042689","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 : 2014-04-03DOI: 10.1080/15487768.2014.904695
Russell C. Smith
Daniel Carlat remembers the initial session he had with a woman who witnessed her father’s death in an auto accident. Her symptoms included nightmares, insomnia, poor concentration, and flashbacks that were recurrent in the last month since the accident. She also described how she avoided all situations that might remind her of the incident such as driving, listening to newscasts, and reading newspapers. When she mentioned that the worst thing about it was the guilt she felt, he started to realize this was more complex than ‘‘a simple case of posttraumatic stress disorder.’’ When he inquired about her statement, she explained that her father had been drinking while driving and that she had confronted him while riding with him. His reaction was to scream at her and push the gas pedal to the floor. ‘‘That’s when it happened,’’ she said. In the brief time remaining in the session, he talked about PTSD, the standard treatments involved, and the prognosis for recovery. He also prescribed Klonopin and Zoloft and recommended a therapist for her to see, telling her that the medication would be more effective if combined with therapy. The woman looked confused, and Dr. Carlat knew that she thought he was her therapist. He shook his head and said,
{"title":"Unhinged: The Trouble With Psychiatry: A Doctor's Revelation About a Profession in Crisis","authors":"Russell C. Smith","doi":"10.1080/15487768.2014.904695","DOIUrl":"https://doi.org/10.1080/15487768.2014.904695","url":null,"abstract":"Daniel Carlat remembers the initial session he had with a woman who witnessed her father’s death in an auto accident. Her symptoms included nightmares, insomnia, poor concentration, and flashbacks that were recurrent in the last month since the accident. She also described how she avoided all situations that might remind her of the incident such as driving, listening to newscasts, and reading newspapers. When she mentioned that the worst thing about it was the guilt she felt, he started to realize this was more complex than ‘‘a simple case of posttraumatic stress disorder.’’ When he inquired about her statement, she explained that her father had been drinking while driving and that she had confronted him while riding with him. His reaction was to scream at her and push the gas pedal to the floor. ‘‘That’s when it happened,’’ she said. In the brief time remaining in the session, he talked about PTSD, the standard treatments involved, and the prognosis for recovery. He also prescribed Klonopin and Zoloft and recommended a therapist for her to see, telling her that the medication would be more effective if combined with therapy. The woman looked confused, and Dr. Carlat knew that she thought he was her therapist. He shook his head and said,","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85407130","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 : 2014-04-03DOI: 10.1080/15487768.2014.903874
Bill Burns-Lynch, A. Murphy, K. Gill, George H Brice
The current study was undertaken to identify stakeholder perceptions of their experiences with mental health crisis services throughout this northeastern state for administrators to use for program planning and development. A semistructured survey of opinions regarding current and proposed crisis management services of consumers, family members, and staff was conducted in the northeastern United States. They report that individuals in psychiatric crisis continue to be offered primarily medication changes and hospitalization. They also reported they would prefer the availability of additional services including professional support in person, on the phone, and in their homes. Implications for systems transformation and program development are discussed.
{"title":"Persons in Recovery, Family Members, and Staff Perspectives of Psychiatric Crisis Needs","authors":"Bill Burns-Lynch, A. Murphy, K. Gill, George H Brice","doi":"10.1080/15487768.2014.903874","DOIUrl":"https://doi.org/10.1080/15487768.2014.903874","url":null,"abstract":"The current study was undertaken to identify stakeholder perceptions of their experiences with mental health crisis services throughout this northeastern state for administrators to use for program planning and development. A semistructured survey of opinions regarding current and proposed crisis management services of consumers, family members, and staff was conducted in the northeastern United States. They report that individuals in psychiatric crisis continue to be offered primarily medication changes and hospitalization. They also reported they would prefer the availability of additional services including professional support in person, on the phone, and in their homes. Implications for systems transformation and program development are discussed.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88900790","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 : 2014-04-03DOI: 10.1080/15487768.2013.877409
Y. Lim, M. Millington, E. Mpofu
The authors have conducted a thematic review of the literature on the evidence of, and enquiry into, individualized placement and support (IPS) efficacy as an intervention for people with schizophrenia or schizoaffective disorders. Eight studies were identified that met all inclusion criteria. Explicit themes in the research included (a) investigation of the impact of schizophrenia sequelae on IPS efficacy and the differential impact of neurocognitive enhancement therapy in minimizing psychiatric symptoms and improving IPS outcomes and (b) IPS as an alternative to treatment-as-usual in different age demographics (older and younger clients). Implicit themes coalesced around a general theme of dealing with change, in practice and research, that implementing IPS implies. Each theme represents a challenge or confound to the research corpus and included (a) vaguely defined rationale for the issue of return on investment, (b) practical burden of overstressed and unprepared service structures, (c) diffuse outcome measures, (d) poor attention to IPS fidelity, and (e) lack of standard practice assigned to control groups identified as “treatment as usual.” Seeing confounds as directions for improvement, these early studies open an important dialogue on best practice research in IPS application with workers with schizophrenia.
{"title":"The Evidentiary Basis for Supported Employment Practice for Workers with Schizophrenia: A Thematic Analysis","authors":"Y. Lim, M. Millington, E. Mpofu","doi":"10.1080/15487768.2013.877409","DOIUrl":"https://doi.org/10.1080/15487768.2013.877409","url":null,"abstract":"The authors have conducted a thematic review of the literature on the evidence of, and enquiry into, individualized placement and support (IPS) efficacy as an intervention for people with schizophrenia or schizoaffective disorders. Eight studies were identified that met all inclusion criteria. Explicit themes in the research included (a) investigation of the impact of schizophrenia sequelae on IPS efficacy and the differential impact of neurocognitive enhancement therapy in minimizing psychiatric symptoms and improving IPS outcomes and (b) IPS as an alternative to treatment-as-usual in different age demographics (older and younger clients). Implicit themes coalesced around a general theme of dealing with change, in practice and research, that implementing IPS implies. Each theme represents a challenge or confound to the research corpus and included (a) vaguely defined rationale for the issue of return on investment, (b) practical burden of overstressed and unprepared service structures, (c) diffuse outcome measures, (d) poor attention to IPS fidelity, and (e) lack of standard practice assigned to control groups identified as “treatment as usual.” Seeing confounds as directions for improvement, these early studies open an important dialogue on best practice research in IPS application with workers with schizophrenia.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79725549","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 : 2014-04-03DOI: 10.1080/15487768.2014.909683
Y. Iwasaki, C. Coyle, J. Shank, Emily S. Messina, Heather R. Porter, M. Salzer, D. Baron, Gretchen Kishbauch, Rocio Naveiras-Cabello, Lynda Mitchell, A. Ryan, Glenn Koons
Conceptually supported by recovery, positive psychology, and health promotion perspectives, this study explored the role of leisure in recovery and health among culturally diverse individuals with mental illness. One-on-one survey interviews were conducted with Black (n = 35), Hispanic/Latino (n = 28), White (n = 28), and Asian (n = 8) adults (aged between 23 and 78) with mental illness (N = 101). A variety of mental health diagnoses were represented in the sample (e.g., bipolar disorder, n = 32; major depression, n = 23; schizophrenia, n = 22). Regression analyses were performed to estimate the predictive effects of leisure variables on recovery, health, and psychiatric symptoms. The findings emphasize the importance of: (a) meanings that persons with mental illness gain from leisure (e.g., connection/belonging, identity, freedom/autonomy) (i.e., meaning making via leisure) and (b) leisure opportunities to fight against or reduce perceptions of boredom (i.e., boredom reduction in leisure) as both of these were significant predictors of recovery. Also, a greater perception of being actively engaged/involved (i.e., perceived active living) was a significant predictor of recovery and overall physical and mental health and less frequent psychiatric symptoms, whereby leisure potentially provides a key context for the pursuit of active living. Furthermore, the use of leisure both for coping with stress (i.e., stress coping via leisure) and reducing boredom significantly predicted fewer psychiatric symptoms. The findings highlight the need to consider the experiences, feelings/emotions, and meanings that people with mental illness gain from leisure beyond simply behavioral forms of leisure (i.e., leisure activities) per se by respectfully appreciating the cultural diversity of people with mental illness.
{"title":"Role of Leisure in Recovery From Mental Illness","authors":"Y. Iwasaki, C. Coyle, J. Shank, Emily S. Messina, Heather R. Porter, M. Salzer, D. Baron, Gretchen Kishbauch, Rocio Naveiras-Cabello, Lynda Mitchell, A. Ryan, Glenn Koons","doi":"10.1080/15487768.2014.909683","DOIUrl":"https://doi.org/10.1080/15487768.2014.909683","url":null,"abstract":"Conceptually supported by recovery, positive psychology, and health promotion perspectives, this study explored the role of leisure in recovery and health among culturally diverse individuals with mental illness. One-on-one survey interviews were conducted with Black (n = 35), Hispanic/Latino (n = 28), White (n = 28), and Asian (n = 8) adults (aged between 23 and 78) with mental illness (N = 101). A variety of mental health diagnoses were represented in the sample (e.g., bipolar disorder, n = 32; major depression, n = 23; schizophrenia, n = 22). Regression analyses were performed to estimate the predictive effects of leisure variables on recovery, health, and psychiatric symptoms. The findings emphasize the importance of: (a) meanings that persons with mental illness gain from leisure (e.g., connection/belonging, identity, freedom/autonomy) (i.e., meaning making via leisure) and (b) leisure opportunities to fight against or reduce perceptions of boredom (i.e., boredom reduction in leisure) as both of these were significant predictors of recovery. Also, a greater perception of being actively engaged/involved (i.e., perceived active living) was a significant predictor of recovery and overall physical and mental health and less frequent psychiatric symptoms, whereby leisure potentially provides a key context for the pursuit of active living. Furthermore, the use of leisure both for coping with stress (i.e., stress coping via leisure) and reducing boredom significantly predicted fewer psychiatric symptoms. The findings highlight the need to consider the experiences, feelings/emotions, and meanings that people with mental illness gain from leisure beyond simply behavioral forms of leisure (i.e., leisure activities) per se by respectfully appreciating the cultural diversity of people with mental illness.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79880932","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 : 2014-01-01DOI: 10.1080/15487768.2014.935681
Steven M Silverstein, Matthew W Roché, Zaynab Khan, Sarah J Carson, Igor Malinovsky, William A Newbill, Anthony A Menditto, Sandra M Wilkniss
The attentional impairments associated with schizophrenia are well-documented and profound. Psychopharmacological and most psychosocial interventions have been shown to have limited effect in improving attentional capacity. That said, one form of psychosocial treatment, attention shaping procedures (ASP), has been repeatedly demonstrated to produce significant and meaningful change in various aspects of participant attentiveness behaviors. To date, studies of ASP have been limited in that they have been conducted primarily with inpatients, have not assessed the generalizability of ASP's effects, and have not explored whether reinforcement is required to be contingent on performance of attentive behaviors. To address these limitations we conducted the first randomized clinical trial of ASP with people diagnosed with schizophrenia who are being treated in a partial hospital program. Our results indicate that ASP is effective in improving attention in people with schizophrenia in these types of programs, the effects of ASP generalize outside of the immediate treatment context to both other treatment groups and real world functioning, and contingent reinforcement is a critical ingredient of ASP. This project provides further evidence for the benefits of use of ASP in the recovery-oriented treatment of people diagnosed with schizophrenia who have significant attentional impairments.
{"title":"Enhancing and Promoting Recovery In Attentionally Impaired People Diagnosed With Schizophrenia: Results From A Randomized Controlled Trial Of Attention Shaping In A Partial Hospital Program.","authors":"Steven M Silverstein, Matthew W Roché, Zaynab Khan, Sarah J Carson, Igor Malinovsky, William A Newbill, Anthony A Menditto, Sandra M Wilkniss","doi":"10.1080/15487768.2014.935681","DOIUrl":"https://doi.org/10.1080/15487768.2014.935681","url":null,"abstract":"<p><p>The attentional impairments associated with schizophrenia are well-documented and profound. Psychopharmacological and most psychosocial interventions have been shown to have limited effect in improving attentional capacity. That said, one form of psychosocial treatment, attention shaping procedures (ASP), has been repeatedly demonstrated to produce significant and meaningful change in various aspects of participant attentiveness behaviors. To date, studies of ASP have been limited in that they have been conducted primarily with inpatients, have not assessed the generalizability of ASP's effects, and have not explored whether reinforcement is required to be contingent on performance of attentive behaviors. To address these limitations we conducted the first randomized clinical trial of ASP with people diagnosed with schizophrenia who are being treated in a partial hospital program. Our results indicate that ASP is effective in improving attention in people with schizophrenia in these types of programs, the effects of ASP generalize outside of the immediate treatment context to both other treatment groups and real world functioning, and contingent reinforcement is a critical ingredient of ASP. This project provides further evidence for the benefits of use of ASP in the recovery-oriented treatment of people diagnosed with schizophrenia who have significant attentional impairments.</p>","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15487768.2014.935681","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32703468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-01-01DOI: 10.1080/15487768.2013.876458
C. Dopke, C. Batscha
There is growing evidence that recovery in the presence of schizophrenia is achievable. Taken from the perspective of those experiencing this illness, recovery may or may not involve complete symptom relief and seems to occur in stages involving the restoration of stability, self-efficacy, self-esteem, and a sense of connectedness to the world. Cognitive-behavioral therapy (CBT) is now a well-established treatment for the positive symptoms of psychosis, and preliminary data suggest that it might be effective in aiding other aspects of recovery. In an effort to facilitate a more systematic approach to psychotherapy for individuals with schizophrenia, we present a framework that integrates specific recovery tasks and CBT techniques that are well suited for achieving them.
{"title":"Cognitive-Behavioral Therapy for Individuals with Schizophrenia: A Recovery Approach","authors":"C. Dopke, C. Batscha","doi":"10.1080/15487768.2013.876458","DOIUrl":"https://doi.org/10.1080/15487768.2013.876458","url":null,"abstract":"There is growing evidence that recovery in the presence of schizophrenia is achievable. Taken from the perspective of those experiencing this illness, recovery may or may not involve complete symptom relief and seems to occur in stages involving the restoration of stability, self-efficacy, self-esteem, and a sense of connectedness to the world. Cognitive-behavioral therapy (CBT) is now a well-established treatment for the positive symptoms of psychosis, and preliminary data suggest that it might be effective in aiding other aspects of recovery. In an effort to facilitate a more systematic approach to psychotherapy for individuals with schizophrenia, we present a framework that integrates specific recovery tasks and CBT techniques that are well suited for achieving them.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74963100","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 : 2014-01-01DOI: 10.1080/15487768.2013.873371
S. Kidd, Gursharan Virdee, S. Quinn, K. McKenzie, Lisa Toole, T. Krupa
This qualitative study employed an arts-based methodology to explore the intersection of gender and ethnicity with the recovery experiences of six racialized women with severe mental illness in a large and highly diverse Canadian urban centre. The study was designed to address a gap in the recovery literature, which has minimally accounted for gender and ethnicity, and much less the intersection of the two. The arts-based approach revealed experiences centered on the three main themes of power, self-worth, and determining a coherent identity, all of which were described as being negotiated in contexts of supportive relationships and community participation. Although these themes are evident in the recovery experiences of most people with severe mental illness, the intersections of gender, ethnicity and racialized identities comprise additional layers of complexity and negotiation.
{"title":"Racialized Women with Severe Mental Illness: An Arts-Based Approach to Locating Recovery in Intersections of Power, Self-Worth, and Identity","authors":"S. Kidd, Gursharan Virdee, S. Quinn, K. McKenzie, Lisa Toole, T. Krupa","doi":"10.1080/15487768.2013.873371","DOIUrl":"https://doi.org/10.1080/15487768.2013.873371","url":null,"abstract":"This qualitative study employed an arts-based methodology to explore the intersection of gender and ethnicity with the recovery experiences of six racialized women with severe mental illness in a large and highly diverse Canadian urban centre. The study was designed to address a gap in the recovery literature, which has minimally accounted for gender and ethnicity, and much less the intersection of the two. The arts-based approach revealed experiences centered on the three main themes of power, self-worth, and determining a coherent identity, all of which were described as being negotiated in contexts of supportive relationships and community participation. Although these themes are evident in the recovery experiences of most people with severe mental illness, the intersections of gender, ethnicity and racialized identities comprise additional layers of complexity and negotiation.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82479253","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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