Volume 3 Num. 2 - December 2003
Psychiatric Rehabilitation for Schizophrenia [Rehabilitaci?n Psiqui?trica de la Esquizofrenia]
Volume 3 Num. 2 - December 2003 - Pages 283-298
Authors:
Alex Kopelowicz, Robert Paul Liberman and Charles J. Wallace , ,
Abstract:
Schizophrenia is a stress-related, neurobiological disorder characterized by disturbances in the form and content of an individual's thought and perceptual processes, affect and social and instrumental role behavior. The pervasive impact of schizophrenia across perceptual, cognitive, emotional and behavioral domains, as well as the heterogeneity within those domains require a multimodal and comprehensive approach to treatment and rehabilitation which involves the individual and his or her environment. A multidimensional and interactive model that includes stress, vulnerability, and protective factors best guides the types of interventions for treating and rehabilitating persons with schizophrenia. The practical significance of the stress-vulnerability-protective factors model of schizophrenia lies in the guidelines it offers to clinicians. Medications buffer the psychobiological vulnerability and underlying biochemical disturbance; training in problem solving and social and independent living skills promotes the development of personal competence and thereby strengthens the individual's protection against stress and vulnerability; supportive services (e.g., case management, housing, social service entitlements, supported employment) compensate for the individual's residual symptoms and deficits in functioning independently. An integrated approach that incorporates early detection and treatment of schizophrenia symptoms, collaboration between patients and caregivers in managing treatment, family and social supports, and training in social, instrumental and coping skills has been documented to improve the course and outcome of schizophrenia as measured by symptom recurrence, social functioning, and quality of life.
Key words:
schizophrenia, psychiatric rehabilitation, social skills training, vocational rehabilitation.
Full Article
More articles in this volume
- [111-140] Schizophrenia: A Conceptual History [Esquizofrenia: Una Historia Conceptual]
- [141-152] The Diagnosis of Schizophrenia: Old Wine in New Bottles [El Diagn?stico de la Esquizofrenia: Vino Viejo en Botellas Nuevas]
- [153-180] ?Negative Symptoms?, Schizophrenia, and the Self ["S?ntomas Negativos", Esquizofrenia, y el Yo]
- [181-194] The Schizoid Personality of Our Time [La Personalidad Esquizoide de Nuestro Tiempo]
- [195-208] Social and Personality Variables Related to the Origin of Auditory Hallucinations [Variables Sociales y de Personalidad Relacionadas con el Origen de las Alucinaciones Auditivas]
- [209-234] Consciousness Disorders in Schizophrenia: A Forgotten Land for Psychopathology [Trastornos de Conciencia en Esquizofrenia: Una Tierra Olvidad para la Psicopatolog?a]
- [251-266] Latent Inhibition as a Model of Schizophrenia: From Learning to Psychopathology [La Inhibici?n Latente Como Modelo de la Esquizofrenia: Del Aprendizaje a la Psicopatolog?a]
- [267-281] Early Intervention in Schizophrenia [Intervenci?n Temprana en Esquizofrenia]
- [299-310] Application of the IPT in a Spanish Sample: Evaluation of the ?Social Perception Subprogramme" [Aplicaci?n del IPT en una Muestra Espa?ola: Evaluaci?n del "Subprograma de Percepci?n Social"]
- [311-328] Acceptance and Commitment Therapy for Psychosis [Terapia de Aceptaci?n y Compromiso en Psicosis]
