Full Description
Using the authors' over thirteen years of experience at the psychosis-risk clinic at Yale University School of Medicine, The Psychosis-Risk Syndrome presents a concise handbook that details the diagnostic tools and building blocks that comprise the Structural Interview for Psychosis-Risk Syndromes, or SIPS. Clear and to the point, this volume provides an in-depth description of this new clinical high-risk population, along with instructions on how to use the SIPS to evaluate persons for psychosis-risk.
The handbook's main section takes the reader step-by-step through the SIPS evaluation, tracking how patients and families find their way to the clinic, the initial interview, the evaluation process, and the summary session consisting of findings and future options. The core diagnostic symptoms of the SIPS and psychosis-risk states are illustrated with dozens of symptom and case examples drawn from real but disguised patients from the Yale clinic. With an emphasis on clinical usefulness, the handbook finishes with "practice cases" for the reader to test his or her new skills at evaluating clinical populations for psychosis-risk.
Contents
PART A: Psychosis-Risk Syndromes for First Psychosis: Background 1
1. Psychosis-Risk Syndromes for First Psychosis: A History of the Concept 3
2. Development of the Structured Interview for Psychosis-Risk Syndromes (SIPS) 10
3. Reliability and Validity of the SIPS 17
4. Symptom Classes and Factors in the SIPS 21
5. Psychosis-Risk Syndromes and Psychosis in the SIPS 24
6. The "Other" Symptoms of the Risk Syndromes: Negative, Disorganization, and General 33
7. Characteristics of SIPS Psychosis-Risk Samples 36
PART B: Psychosis-Risk Syndromes: SIPS and SOPS Evaluation 45
8. Pathways to the Risk Syndrome Clinic 47
9. Initial Interview: The SIPS and SOPS Evaluation 49
10. Initial Evaluation: Informing Patients and Families of Risk Status and Options 59
11. Rating Positive and Other Psychosis-Risk Symptoms with the SOPS 63
12. Rating Actual Cases, Baseline Assessment 78
13. Differential Diagnosis of the Psychosis-Risk Syndrome 109
14. Psychosis-Risk Patients over Time 120
15. Rating Baseline Cases for Practice 139
PART C: The PRIME Clinic: Psychosis-Risk Patients Face-to-Face 161
Bibliography 169
Appendixes
A. Risk Syndrome Phone Screen 174
B. SIPS/SOPS 5.0 179
C. Informed Consent 237
