Photographs and Illustrations | p. xvii |
Preface to the Seventh Edition | p. xix |
Acknowledgments | p. xxi |
1 The Inner World of Madness: View from the Inside | p. 1 |
Alterations of the Senses | p. 4 |
Inability to Interpret and Respond | p. 13 |
Delusions and Hallucinations | p. 24 |
Altered Sense of Self | p. 35 |
Changes in Emotions | p. 37 |
Changes in Movements | p. 42 |
Changes in Behavior | p. 44 |
Decreased Awareness of Illness: Anosognosia | p. 47 |
The Black-Red Disease | p. 49 |
Recommended Further Reading | p. 52 |
2 Defining Schizophrenia: View from the Outside | p. 54 |
Official Criteria for Diagnosis | p. 55 |
Subtypes of Schizophrenia | p. 58 |
The Schizophrenia Spectrum: Do We All Have a Little? | p. 60 |
Schizoaffective Disorder and Bipolar Disorder | p. 64 |
Recommended Further Reading | p. 69 |
3 Conditions Sometimes Confused with Schizophrenia | p. 70 |
A "Split Personality" | p. 70 |
Psychosis Caused by Street Drugs: Can Marijuana Use Cause Schizophrenia? | p. 71 |
Psychosis Caused by Prescription Drugs | p. 74 |
Psychosis Caused by Other Diseases | p. 74 |
Psychosis Caused by Head Trauma | p. 78 |
Psychosis with Mental Retardation | p. 79 |
Infantile Autism | p. 80 |
Antisocial Personality Disorders and Sexual Predators | p. 82 |
Culturally Sanctioned Psychotic Behavior | p. 83 |
Recommended Further Reading | p. 83 |
4 Onset, Course, and Prognosis | p. 85 |
Childhood Precursors | p. 86 |
Onset and Early Symptoms | p. 87 |
Childhood Schizophrenia | p. 90 |
Postpartum Schizophrenia | p. 91 |
Late-Onset Schizophrenia | p. 92 |
Predictors of Outcome | p. 93 |
Male-Female Differences | p. 95 |
Possible Courses: Ten Years Later | p. 96 |
Possible Courses: Thirty Years Later | p. 101 |
Do People with Schizophrenia in Developing Countries Really Have a Better Outcome? | p. 104 |
The Recovery Model | p. 105 |
Successful Schizophrenia | p. 107 |
Causes of Death: Why Do People with Schizophrenia Die at a Younger Age? | p. 110 |
Recommended Further Reading | p. 113 |
5 The Causes of Schizophrenia | p. 115 |
The Normal Brain | p. 116 |
How Do We Know That Schizophrenia Is a Brain Disease? | p. 118 |
Structural and Neuropathological Changes | p. 118 |
Neuropsychological Deficits | p. 119 |
Neurological Abnormalities | p. 120 |
Electrical Abnormalities | p. 121 |
Known Risk Factors | p. 122 |
Brain Disease Deniers | p. 125 |
What Parts of the Brain Are Affected? | p. 127 |
When Does the Disease Process Begin? | p. 128 |
Theories About the Causes of Schizophrenia | p. 129 |
Genetic Theories | p. 131 |
Inflammatory, Infectious, and Immunological Theories | p. 133 |
Neurochemical Theories | p. 135 |
Developmental Theories | p. 136 |
Nutritional Theories | p. 138 |
Endocrine Theories | p. 139 |
Childhood Trauma and Stress Theories | p. 140 |
Obsolete Theories | p. 142 |
Recommended Further Reading | p. 144 |
6 The Treatment of Schizophrenia: Getting Started | p. 147 |
How to Find a Good Doctor | p. 148 |
What Is an Adequate Diagnostic Workup? | p. 153 |
Hospitalization: Voluntary and Involuntary | p. 158 |
Alternatives to Hospitalization | p. 167 |
Payment for Treatment, Insurance Parity, and Health Care Reform | p. 168 |
Recommended Further Reading | p. 170 |
7 The Treatment of Schizophrenia: Medication and Other | p. 171 |
Do Antipsychotics Work? | p. 172 |
Whose Information Can You Trust? | p. 173 |
Which Antipsychotic Should You Use? | p. 174 |
A Treatment Plan for First-Break Psychosis | p. 181 |
Dose and Duration | p. 184 |
Clozapine: The Most Effective Antipsychotic | p. 186 |
Monitoring: Is the Person Taking the Antipsychotic? | p. 188 |
Long-Acting Antipsychotic Injections | p. 189 |
Medications to Try When All Else Fails | p. 190 |
Drug Costs and the Use of Generics | p. 193 |
Criticism of Antipsychotics | p. 194 |
Electroconvulsive Therapy (ECT) and Repetitive Transcranial Magnetic Stimulation (rTMS) | p. 196 |
Herbal Treatments | p. 197 |
Psychotherapy and Cognitive-Behavioral Therapy | p. 198 |
RAISE and the Early Treatment of Schizophrenia | p. 201 |
Recommended Further Reading | p. 203 |
8 The Rehabilitation of Schizophrenia | p. 205 |
Money and Food | p. 206 |
Housing | p. 210 |
Employment | p. 214 |
Friendship and Social Skills Training | p. 217 |
Medical and Dental Care | p. 220 |
Exercise | p. 221 |
Peer Support Groups but Not the Hearing Voices Network | p. 221 |
Recommended Further Reading | p. 223 |
9 What Good Services Should Look Like | p. 225 |
Psychiatric Inpatient Beds | p. 226 |
The Need for Asylum | p. 227 |
Outpatient Services | p. 229 |
Rehabilitation | p. 234 |
Quality of Life Measures | p. 235 |
Recommended Further Reading | p. 236 |
10 Ten Major Problems | p. 238 |
Cigarettes and Coffee | p. 239 |
Alcohol and Street Drugs | p. 242 |
Sex, Pregnancy, and AIDS | p. 246 |
Victimization | p. 252 |
Confidentiality | p. 254 |
Medication Noncompliance | p. 258 |
Assisted Treatment | p. 264 |
Assaultive and Violent Behavior | p. 273 |
Arrest and Jail | p. 277 |
Suicide | p. 279 |
Recommended Further Reading | p. 282 |
11 How Can Patients and Families Survive Schizophrenia? | p. 284 |
The Right Attitude | p. 285 |
The Importance of Education | p. 294 |
Survival Strategies for Patients | p. 294 |
Survival Strategies for Families | p. 297 |
Effects of Schizophrenia on Siblings, Children, and Spouses | p. 308 |
Minimizing Relapses | p. 312 |
Recommended Further Reading | p. 315 |
12 Commonly Asked Questions | p. 322 |
Does Schizophrenia Change the Underlying Personality? | p. 322 |
Are People with Schizophrenia Responsible for Their Behavior? | p. 324 |
Does Schizophrenia Affect the Person's IQ? | p. 327 |
Should People with Schizophrenia Drive Vehicles? | p. 328 |
How Do Religious Issues Affect People with Schizophrenia? | p. 329 |
Should You Tell People That Von Have Schizophrenia? | p. 331 |
Genetic Counseling: What Are the Chances of Getting Schizophrenia? | p. 332 |
Why Do Some Adopted Children Develop Schizophrenia? | p. 334 |
What Will Happen When the Parents Die? | p. 335 |
Recommended Further Reading | p. 337 |
13 Schizophrenia in the Public Eye | p. 339 |
Schizophrenia in the Movies | p. 340 |
Schizophrenia in Literature | p. 348 |
Schizophrenia, Creativity, and Famous People | p. 355 |
The Problem of Stigma | p. 360 |
Recommended Further Reading | p. 363 |
14 Dimensions of the Disaster | p. 364 |
How Many People Have Schizophrenia in the United States? | p. 369 |
Do Some Groups Have More Schizophrenia Than Others? | p. 371 |
Is Schizophrenia Increasing or Decreasing? | p. 375 |
Is Schizophrenia of Recent Origin? | p. 376 |
Deinstitutionalization: A Cradle for Catastrophe | p. 379 |
What Is the Cost of Schizophrenia? | p. 385 |
Recommended Further Reading | p. 389 |
15 Issues for Advocates | p. 390 |
Advocacy Organizations | p. 391 |
NIMH and SAMHSA | p. 394 |
Educating the Public | p. 396 |
Decreasing Stigma | p. 398 |
How to Organize for Advocacy | p. 399 |
Recommended Further Reading | p. 401 |
Appendix A An Annotated List of the Best and the Worst Books on Schizophrenia | p. 403 |
Appendix B Useful Online Resources on Schizophrenia (by D.J. Jaffe) | p. 421 |
Notes | p. 429 |
Index | p. 461 |