Recovery from Schizophrenia

Evidence, History, and Hope

Courtenay M. Harding (Autor)

Buch | Hardcover

392 Seiten

2024
Oxford University Press Inc (Verlag)
978-0-19-538009-5 (ISBN)

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Evidence from two highly regarded three-decade NIMH follow-up studies of schizophrenia and other psychoses, conducted by Courtenay Harding and her research team, have revealed that one half to two-thirds of even the most disabled schizophrenia patients achieved significant improvement, and even recovery, over time. These findings are consistent with those from nine other decades'-long studies from across the world, as well as many shorter-term investigations as well. But the field of psychiatry has nevertheless largely failed to accept that recovery is possible for most psychotic patients.

Recovery from Schizophrenia provides numerous examples of patients becoming productive citizens, overcoming difficult starts in early life, alongside exciting program strategies and additional research evidence - evidence that provides a blueprint for both how to build new and successful mental health systems, and how to significantly improve clinical training programs. Unfortunately, most service systems still provide primarily stabilization, maintenance, medications, and entitlements under the new guise of rehabilitation. Critical changes need to occur in public policy, funding mechanisms, program design, and new clinical expectations to improve patient care-all of which will promote much more significant improvement and recovery. Discussion of these critical issues is presented here in accessible prose, allowing readers from a range of backgrounds - families, clinicians, and researchers alike - to experience the ups and downs of an entire field trying to solve the puzzle of recovery from schizophrenia in the usual settings. Recovery from Schizophrenia is the remarkable story of these patients and the scientists and caring professionals who refused to let go of hope for better outcomes.

Courtenay Harding has spent nearly 40 years as a professor of psychiatry. She has presented this evidence at least 550 times at international and national meetings, academic Grand Rounds, providers, families, patients, and government entities. She has received 47 awards and honors for her work.

Foreword
Introduction

PART ONE: EVOLUTION OF A REVOLUTION
Chapter 1 Shocking Treatment in Colonial Vermont
Chapter 2 The Evolution of a Vermont Country Doctor
Chapter 3 A Puzzled Psychiatrist Became a Revolutionary with the Help of His Patients
Chapter 4 More Ingredients in the Early Vermont Program
Chapter 5 Phase II: The Five-Year Follow-Up in 1965 and the Demise of Vermont State Hospital

PART TWO: NEW TEAM, NEW STUDY, SAME SAMPLE, YEARS LATER
Chapter 6 The Implausibility of a Housewife Who Became a NIMH Principal Investigator
Chapter 7 Learning about Research, the Generosity of the Field, and Politics in Science
Chapter 8 How We Measured a Life Lived: Preparation Is Worth all The Effort
Chapter 9 Tough Questions from The Chief of Medical Biostatistics

PART THREE: SURPRISES
Chapter 10 Surprise Discoveries Out in the Field
Chapter 11 "A Whole Bunch of People Got Better"
Chapter 12 "I Don't Believe a Word She Just Said!"
Chapter 13 Did Rediagnosis for Contemporary Schizophrenia Make a Difference in the Rates of Improvement and Recovery?
Chapter 14 Vermont Data Supported the DSM-5 Deletion of Subtypes in Schizophrenia
Chapter 15 The Role of Rehabilitation, Neural Plasticity, and Public Policy in Long-term Outcome--The Maine-Vermont Comparison Study
Chapter 16 Northern New England: Perfect Environments for Longitudinal Research

PART FOUR: NINE OTHER VERY LONG-TERM STUDIES FROM ACROSS THE WORLD AND THEIR IMPLICATIONS
Chapter 17 World Wide Evidence of Recovery
Chapter 18 Eating Humble Pie

PART FIVE: SAMPLE OF REHABILITATION PROGRAMS HELPING PEOPLE IMPROVE AND RECOVER
Chapter 19 World Programs
Chapter 20 US Programs

ACKNOWLEDGMENTS
NOTES
INDEX

Erscheinungsdatum	25.07.2024
Verlagsort	New York
Sprache	englisch
Maße	152 x 221 mm
Gewicht	748 g
Themenwelt	Geisteswissenschaften ► Psychologie ► Klinische Psychologie
	Medizin / Pharmazie ► Gesundheitswesen
	Medizin / Pharmazie ► Medizinische Fachgebiete ► Psychiatrie / Psychotherapie
ISBN-10	0-19-538009-6 / 0195380096
ISBN-13	978-0-19-538009-5 / 9780195380095
Zustand	Neuware