Description
(Table of content)
1 Background and Goals of the Study.- 1.1 Illness Models of Schizophrenia.- 1.2 The Goals of the Study and Their Connection with the Local Health Care System.- 2 Prognosis of Schizophrenia and the Research on Psychosocial Modes of Therapy.- 2.1 General View of the Prognosis and Factors Contributing to It.- 2.2 Effect of Neuroleptic Medication on the Prognosis.- 2.3 Studies on the Effect of Psychotherapy and Other Psychosocial Modes of Treatment.- 3 Study Project, Material and Methods.- 3.1 Beginning of the Project and the Patient Series.- 3.2 Course of the Project.- 3.3 Data Analysis and Statistical Methods.- 4 Findings of Psychiatric Basic Examination. Indications of Therapeutic Plans.- 4.1 Psychosocial Background of Patients.- 4.2 Admission for Treatment and the Clinical Background Variables.- 4.3 Case-Specific Therapeutic Plans.- 4.4 Summary and Discussion.- 5 Implementation of Therapies and Factors Influencing It.- 5.1 Use of In-Patient and Out-Patient Treatment.- 5.2 Implementation of Psychotherapeutic Treatments.- 5.3 Somatic Treatments.- 5.4 Social and Rehabilitative Measures.- 5.5 Selection of the Mode of Therapy in the Light of the Psychologic Basic Examination.- 5.6 Summary and Discussion.- 6 Prognosis and the Effect of Therapies on It.- 6.1 How Was the Prognosis Measured?.- 6.2 Clinical Prognosis.- 6.3 Psychodynamic Prognosis.- 6.4 Psychosocial Prognosis.- 6.5 Prognosis in the Light of Hospital Treatments.- 6.6 Development of Families and Family Relationships.- 6.7 Effects of Psychotherapy and Medication on Prognosis: Statistical Analysis.- 6.8 Prognosis and the Factors Affecting It: Summary and Discussion.- 7 Development of Need-Specific Treatment of Schizophrenic Psychoses.- 7.1 Need-Specificity of Treatment As Concept.- 7.2 Implementation of Need-SpecificTreatment in Our Project and the Factors Affecting It.- 7.3 Need-Specificity and Prognosis of Treatment.- 7.4 Indications of Psychotherapeutic Treatments: Five Patient Groups Differentiated on the Basis of Primary Therapeutic Concern.- 7.5 Prerequisites for Developing Need-Specific Treatment.- 8 Towards Need-Specific Treatment of Schizophrenic Psychoses: Summary.- 8.1 Goals of the Study and Methodologic Planning.- 8.2 Findings of the Initial Psychiatric Examination.- 8.3 Implementation of Treatments.- 8.4 Prognosis and Factors Contributing to It.- 8.5 Development of Need-Specific Treatment of Schizophrenic Psychoses.- Appendices 1 - 10.- References.
(Author portrait)
Yrjö A. Alanen ist emeritierter Professor an der Psychiatrischen Klinik der Universität Turku und gilt weltweit als einer der erfahrensten Forscher im Bereich der Schizophrenie.
(Table of content)
ummary and Discussion.- 6 Prognosis and the Effect of Therapies on It.- 6.1 How Was the Prognosis Measured?.- 6.1.1 Implementation of the Prognostic Study.- 6.1.2 Sub-Areas of the Prognostic Study.- 6.1.3 Credibility of the Prognostic Findings: Comparison of the Two-Year Follow-up Findings Made By the Team and the Independent Examiner.- 6.2 Clinical Prognosis.- 6.2.1 Patients Who Died Or Were Not Reached for the Follow-up Examination.- 6.2.2 Occurrence of Psychotic Symptoms.- 6.2.3 Occurrence of Nuclear Symptoms of Schizophrenia.- 6.2.4 Suicidal Tendencies and Violence.- 6.2.5 Other Observations on the Patient's Clinical Status. Phenomenon of Defencelessness.- 6.2.6 Summary and Discussion.- 6.3 Psychodynamic Prognosis.- 6.3.1 Psychosexual Development.- 6.3.2 Development of Interpersonal Relationships.- 6.3.3 Insight and Sense of Illness.- 6.3.4 Summary and Discussion.- 6.4 Psychosocial Prognosis.- 6.4.1 Working Capacity.- 6.4.2 Social Role and Disability Pensions.- 6.4.3 Dwelling
Contents
1 Background and Goals of the Study.- 1.1 Illness Models of Schizophrenia.- 1.2 The Goals of the Study and Their Connection with the Local Health Care System.- 2 Prognosis of Schizophrenia and the Research on Psychosocial Modes of Therapy.- 2.1 General View of the Prognosis and Factors Contributing to It.- 2.2 Effect of Neuroleptic Medication on the Prognosis.- 2.3 Studies on the Effect of Psychotherapy and Other Psychosocial Modes of Treatment.- 3 Study Project, Material and Methods.- 3.1 Beginning of the Project and the Patient Series.- 3.2 Course of the Project.- 3.3 Data Analysis and Statistical Methods.- 4 Findings of Psychiatric Basic Examination. Indications of Therapeutic Plans.- 4.1 Psychosocial Background of Patients.- 4.2 Admission for Treatment and the Clinical Background Variables.- 4.3 Case-Specific Therapeutic Plans.- 4.4 Summary and Discussion.- 5 Implementation of Therapies and Factors Influencing It.- 5.1 Use of In-Patient and Out-Patient Treatment.- 5.2 Implementation of Psychotherapeutic Treatments.- 5.3 Somatic Treatments.- 5.4 Social and Rehabilitative Measures.- 5.5 Selection of the Mode of Therapy in the Light of the Psychologic Basic Examination.- 5.6 Summary and Discussion.- 6 Prognosis and the Effect of Therapies on It.- 6.1 How Was the Prognosis Measured?.- 6.2 Clinical Prognosis.- 6.3 Psychodynamic Prognosis.- 6.4 Psychosocial Prognosis.- 6.5 Prognosis in the Light of Hospital Treatments.- 6.6 Development of Families and Family Relationships.- 6.7 Effects of Psychotherapy and Medication on Prognosis: Statistical Analysis.- 6.8 Prognosis and the Factors Affecting It: Summary and Discussion.- 7 Development of Need-Specific Treatment of Schizophrenic Psychoses.- 7.1 Need-Specificity of Treatment As Concept.- 7.2 Implementation of Need-SpecificTreatment in Our Project and the Factors Affecting It.- 7.3 Need-Specificity and Prognosis of Treatment.- 7.4 Indications of Psychotherapeutic Treatments: Five Patient Groups Differentiated on the Basis of Primary Therapeutic Concern.- 7.5 Prerequisites for Developing Need-Specific Treatment.- 8 Towards Need-Specific Treatment of Schizophrenic Psychoses: Summary.- 8.1 Goals of the Study and Methodologic Planning.- 8.2 Findings of the Initial Psychiatric Examination.- 8.3 Implementation of Treatments.- 8.4 Prognosis and Factors Contributing to It.- 8.5 Development of Need-Specific Treatment of Schizophrenic Psychoses.- Appendices 1 - 10.- References.
