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CLINICAL HANDBOOK OF SCHIZOPHRENIA
CLINICAL HANDBOOK OF SCHIZOPHRENIA
CLINICAL HANDBOOK OF SCHIZOPHRENIA
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PART IVPSYCHOSOCIAL TREATMENT
204 III. SOMATIC TREATMENT• The efficacy of acute ECT is high, with response rates that range from 70% to as high as80%.• The relapse rate within 6 months after acute ECT can range between 50 and 60%. For continuationtreatment, ECT may be enhanced by the addition of pharmacotherapy.REFERENCES AND RECOMMENDED READINGSAmerican Psychiatric Association. (2001). The practice of electroconvulsive therapy: Recommendationsfor treatment, training, and privileging: A Task Force Report of the American PsychiatricAssociation. Washington, DC: Author.American Psychiatric Association. (2004). Practice guideline for the treatment of patients with schizophrenia(2nd ed.). Arlington, VA: Author.Chanpattana, W., & Andrade, C. (2006). ECT for treatment-resistant schizophrenia: A response fromthe Far East to the UK NICE report. Journal of ECT, 22(1), 4–12.Chanpattana, W., Chakrabhand, M. L. S., Buppanharun, W., & Sackeim, H. A. (2000). Effects ofstimulus intensity of the efficacy of bilateral ECT in schizophrenia: A preliminary study. BiologicalPsychiatry, 48(3), 222–228.Coffey, C. E. (1993). Clinical science of electroconvulsive therapy. Washington, DC: American PsychiatricPublishing.Dodwell, D., & Goldberg, D. (1989). A study of factors associated with response to electroconvulsivetherapy in patients with schizophrenic symptoms. British Journal of Psychiatry, 154, 635–639.Fink, M., & Sackeim, H. A. (1996). Convulsive therapy in schizophrenia. Schizophrenia Bulletin,22(1), 27–39.Hoenig, J., & Chaulk, R. (1977). Delirium associated with lithium therapy and electroconvulsivetherapy. Canadian Medical Association Journal, 116, 837–838.Keuneman, R., Weerasundera, R., & Castle, D. J. (2002). The role of ECT in schizophrenia. AustralianPsychiatry, 10(4), 385–388.Letemendia, F. J., Delva, N. J., Rodenburg, M., Lawson, J. S., Inglis, J., Waldron, J. J., et al. (1993).Therapeutic advantage of bifrontal electrode placement in ECT. Psychological Medicine, 23,349–360.Lisanby, S. H. (2007). Electroconvulsive therapy for depression. New England Journal of Medicine,357, 1939–1945.McCall, V. W., Dunn, A., Rosenquist, P. B., & Hughes, D. (2002). Markedly suprathreshold right unilateralECT verse minimally suprathreshold bilateral ECT. Journal of ECT, 18, 126–129.Ottosson, J. O., & Fink, M. (2004). Ethics in electroconvulsive therapy. New York: Taylor & Francis.Zhengnian, D., & White, P. F. (2002). Anesthesia for electroconvulsive therapy. Anesthesia and Analgesia,94, 1351–1364.
PART IVPSYCHOSOCIAL TREATMENT
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CLINICAL HANDBOOK OF SCHIZOPHRENIA
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© 2008 The Guilford PressA Divisio
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CONTRIBUTORSDonald Addington, MD, D
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ContributorsixGillian Haddock, PhD,
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ContributorsxiRoger H. Peters, PhD,
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PREFACESchizophrenia is arguably th
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Prefacexvcorporation of environment
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CONTENTSI. CORE SCIENCE AND BACKGRO
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ContentsxixCHAPTER 27 Illness Self-
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ContentsxxiCHAPTER 59 Sexuality 604
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CHAPTER 1HISTORY OF SCHIZOPHRENIAAS
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1. History of Schizophrenia 5ularly
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1. History of Schizophrenia 7PSYCHO
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1. History of Schizophrenia 9The ne
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1. History of Schizophrenia 11Since
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1. History of Schizophrenia 13Belli
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2. Epidemiology 15al., 2006), which
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2. Epidemiology 17not generally fou
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2. Epidemiology 19• Intrauterine
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2. Epidemiology 21function in socia
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2. Epidemiology 23KEY POINTS• Sch
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CHAPTER 3BIOLOGICAL THEORIESJONATHA
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3. Biological Theories 27cortex (in
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3. Biological Theories 29unchanged
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3. Biological Theories 31raclopride
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3. Biological Theories 33drives, mo
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CHAPTER 4BRAIN IMAGINGLISA T. EYLER
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4. Brain Imaging 37yet to be strong
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4. Brain Imaging 39with neuroleptic
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4. Brain Imaging 41events. However,
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4. Brain Imaging 43KEY POINTS• On
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5. Neuropathology 45TABLE 5.1. Summ
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5. Neuropathology 47schizophrenia i
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5. Neuropathology 49has been report
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5. Neuropathology 51also been demon
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5. Neuropathology 53results, especi
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CHAPTER 6GENETICSSTEPHEN J. GLATTTh
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6. Genetics 57Question 2: What Are
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6. Genetics 59nia. Each individual
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6. Genetics 61degree relatives desp
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6. Genetics 632A receptor (HTR2A) a
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CHAPTER 7ENVIRONMENTAL PRE-AND PERI
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7. Environmental Pre- and Perinatal
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7. Environmental Pre- and Perinatal
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7. Environmental Pre- and Perinatal
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7. Environmental Pre- and Perinatal
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8. Psychosocial Factors 75Steinberg
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8. Psychosocial Factors 77in terms
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8. Psychosocial Factors 79This mode
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8. Psychosocial Factors 81KEY POINT
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9. Psychopathology 83ations; change
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9. Psychopathology 85sity School of
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9. Psychopathology 87or “loose as
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9. Psychopathology 89lished WHO. Th
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CHAPTER 10COGNITIVE FUNCTIONINGIN S
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10. Cognitive Functioning in Schizo
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10. Cognitive Functioning in Schizo
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10. Cognitive Functioning in Schizo
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10. Cognitive Functioning in Schizo
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11. Course and Outcome 101DIAGNOSIS
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11. Course and Outcome 103TABLE 11.
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11. Course and Outcome 105DOMAINS O
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11. Course and Outcome 107mation gi
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11. Course and Outcome 109quency of
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11. Course and Outcome 111to a smal
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11. Course and Outcome 113spectivel
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CHAPTER 12DIAGNOSTIC INTERVIEWINGAB
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12. Diagnostic Interviewing 119psyc
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12. Diagnostic Interviewing 121not
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12. Diagnostic Interviewing 123tual
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CHAPTER 13ASSESSMENT OFCO-OCCURRING
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Time-Line Follow-BackThe Time-Line
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Testing and Risk Assessment for Inf
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13. Co-Occurring Disorders 131test
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13. Co-Occurring Disorders 133can i
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CHAPTER 14ASSESSMENT OFPSYCHOSOCIAL
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14. Assessment of Psychosocial Func
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TABLE 14.1. Measures of Psychosocia
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14. Assessment of Psychosocial Func
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14. Assessment of Psychosocial Func
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CHAPTER 15TREATMENT PLANNINGALEXAND
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15. Treatment Planning 147WHAT DOES
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15. Treatment Planning 149TABLE 15.
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15. Treatment Planning 151Poor adhe
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- Page 193 and 194: 17. Side Effects of Antipsychotics
- Page 195 and 196: 17. Side Effects of Antipsychotics
- Page 197 and 198: 17. Side Effects of Antipsychotics
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- Page 201 and 202: 18. Clozapine 179Plasma concentrati
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- Page 209 and 210: 19. Other Medications 187agitation
- Page 211 and 212: 19. Other Medications 189Small, ope
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- Page 215 and 216: 19. Other Medications 193sation in
- Page 217 and 218: 19. Other Medications 195Citrome, L
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- Page 234 and 235: 212 IV. PSYCHOSOCIAL TREATMENTschiz
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- Page 248 and 249: CHAPTER 23COGNITIVE-BEHAVIORAL THER
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- Page 256 and 257: 234 IV. PSYCHOSOCIAL TREATMENTtion.
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254 IV. PSYCHOSOCIAL TREATMENT• I
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256 IV. PSYCHOSOCIAL TREATMENTnance
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258 IV. PSYCHOSOCIAL TREATMENTFIGUR
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260 IV. PSYCHOSOCIAL TREATMENTMcGur
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262 IV. PSYCHOSOCIAL TREATMENTalong
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264 IV. PSYCHOSOCIAL TREATMENTappro
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266 IV. PSYCHOSOCIAL TREATMENTKEY P
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CHAPTER 27ILLNESS SELF-MANAGEMENT T
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270 IV. PSYCHOSOCIAL TREATMENTensur
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272 IV. PSYCHOSOCIAL TREATMENTReduc
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274 IV. PSYCHOSOCIAL TREATMENTgage
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276 IV. PSYCHOSOCIAL TREATMENTTABLE
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278 IV. PSYCHOSOCIAL TREATMENTInnov
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280 IV. PSYCHOSOCIAL TREATMENTpredi
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282 IV. PSYCHOSOCIAL TREATMENTCogni
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284 IV. PSYCHOSOCIAL TREATMENTGoal
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286 IV. PSYCHOSOCIAL TREATMENTthey
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288 IV. PSYCHOSOCIAL TREATMENTas nu
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290 IV. PSYCHOSOCIAL TREATMENTway h
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292 IV. PSYCHOSOCIAL TREATMENTThe r
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294 IV. PSYCHOSOCIAL TREATMENT• T
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296 IV. PSYCHOSOCIAL TREATMENTsetti
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CHAPTER 30SELF-HELP ACTIVITIESFREDE
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300 IV. PSYCHOSOCIAL TREATMENThelp,
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302 IV. PSYCHOSOCIAL TREATMENTbeen
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304 IV. PSYCHOSOCIAL TREATMENTdiagn
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PART VSYSTEMS OF CARE
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310 V. SYSTEMS OF CAREcial to addre
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312 V. SYSTEMS OF CAREneeded servic
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314 V. SYSTEMS OF CAREformed by cas
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316 V. SYSTEMS OF CARE4. Conducting
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318 V. SYSTEMS OF CAREvere mental i
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320 V. SYSTEMS OF CAREents receivin
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322 V. SYSTEMS OF CAREculties in ge
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324 V. SYSTEMS OF CAREIn such a sit
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326 V. SYSTEMS OF CAREFIGURE 32.1.
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328 V. SYSTEMS OF CAREREFERENCES AN
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330 V. SYSTEMS OF CAREDESCRIPTION O
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332 V. SYSTEMS OF CAREfor ACT have
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334 V. SYSTEMS OF CAREvices compare
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336 V. SYSTEMS OF CAREA team leader
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338 V. SYSTEMS OF CAREof leverage t
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340 V. SYSTEMS OF CAREcare of thems
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342 V. SYSTEMS OF CAREframework for
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344 V. SYSTEMS OF CAREaccount the v
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346 V. SYSTEMS OF CAREthat deinstit
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348 V. SYSTEMS OF CARETypes of Resi
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350 V. SYSTEMS OF CARESupportive Ho
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352 V. SYSTEMS OF CAREate assistanc
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CHAPTER 35TREATMENT INJAILS AND PRI
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356 V. SYSTEMS OF CARElikely to rem
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358 V. SYSTEMS OF CAREtitled Effect
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360 V. SYSTEMS OF CAREgering, becau
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362 V. SYSTEMS OF CAREior problems.
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364 V. SYSTEMS OF CAREAmerican Psyc
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CHAPTER 36FIRST-EPISODE PSYCHOSISDO
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36. First-Episode Psychosis 369TABL
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36. First-Episode Psychosis 371have
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36. First-Episode Psychosis 373The
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36. First-Episode Psychosis 375divi
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36. First-Episode Psychosis 377Supp
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36. First-Episode Psychosis 379(200
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37. Treatment of the Schizophrenia
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37. Treatment of the Schizophrenia
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37. Treatment of the Schizophrenia
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37. Treatment of the Schizophrenia
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37. Treatment of the Schizophrenia
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38. Older Individuals 391TABLE 38.1
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38. Older Individuals 393answer, an
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38. Older Individuals 395rates (69%
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38. Older Individuals 397Patterson,
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39. Aggression, Violence, and Psych
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39. Aggression, Violence, and Psych
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39. Aggression, Violence, and Psych
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39. Aggression, Violence, and Psych
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39. Aggression, Violence, and Psych
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39. Aggression, Violence, and Psych
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CHAPTER 40HOUSING INSTABILITYAND HO
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40. Housing Instability and Homeles
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40. Housing Instability and Homeles
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40. Housing Instability and Homeles
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40. Housing Instability and Homeles
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40. Housing Instability and Homeles
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40. Housing Instability and Homeles
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41. Medical Comorbidity 425Medical
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41. Medical Comorbidity 427search s
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41. Medical Comorbidity 429TABLE 41
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41. Medical Comorbidity 431Caring f
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41. Medical Comorbidity 433Counseli
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41. Medical Comorbidity 435REFERENC
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CHAPTER 42INTELLECTUAL DISABILITYAN
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42. Intellectual Disability and Oth
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42. Intellectual Disability and Oth
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42. Intellectual Disability and Oth
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42. Intellectual Disability and Oth
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CHAPTER 43TRAUMA AND POSTTRAUMATICS
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43. Trauma and Posttraumatic Stress
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43. Trauma and Posttraumatic Stress
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43. Trauma and Posttraumatic Stress
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43. Trauma and Posttraumatic Stress
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43. Trauma and Posttraumatic Stress
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CHAPTER 44MANAGEMENT OFCO-OCCURRING
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44. Management of Co-Occurring Subs
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44. Management of Co-Occurring Subs
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44. Management of Co-Occurring Subs
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44. Management of Co-Occurring Subs
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44. Management of Co-Occurring Subs
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CHAPTER 45PARENTINGJOANNE NICHOLSON
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45. Parenting 473THE IMPACT OF PARE
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TABLE 45.1. Antipsychotic Medicatio
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Guidelines for Prescribing Antipsyc
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45. Parenting 479provide safe space
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CHAPTER 46CHILDREN AND ADOLESCENTSJ
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46. Children and Adolescents 483pri
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46. Children and Adolescents 485TRE
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46. Children and Adolescents 487Als
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46. Children and Adolescents 489KEY
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CHAPTER 47SUICIDEMARNIN J. HEISELSu
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TABLE 47.1. Selected Risk Factors f
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Clinical Course and Symptoms of Sch
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47. Suicide 497those with schizoaff
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47. Suicide 499assessment tools can
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47. Suicide 501yet focused on suici
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47. Suicide 503ACKNOWLEDGMENTSI gra
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PART VIIPOLICY, LEGAL,AND SOCIAL IS
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508 VII. POLICY, LEGAL, AND SOCIAL
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510 VII. POLICY, LEGAL, AND SOCIAL
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512 VII. POLICY, LEGAL, AND SOCIAL
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514 VII. POLICY, LEGAL, AND SOCIAL
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CHAPTER 49INVOLUNTARY COMMITMENTJON
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518 VII. POLICY, LEGAL, AND SOCIAL
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520 VII. POLICY, LEGAL, AND SOCIAL
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522 VII. POLICY, LEGAL, AND SOCIAL
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CHAPTER 50JAIL DIVERSIONJOSEPH P. M
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526 VII. POLICY, LEGAL, AND SOCIAL
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528 VII. POLICY, LEGAL, AND SOCIAL
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530 VII. POLICY, LEGAL, AND SOCIAL
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532 VII. POLICY, LEGAL, AND SOCIAL
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534 VII. POLICY, LEGAL, AND SOCIAL
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536 VII. POLICY, LEGAL, AND SOCIAL
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538 VII. POLICY, LEGAL, AND SOCIAL
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540 VII. POLICY, LEGAL, AND SOCIAL
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542 VII. POLICY, LEGAL, AND SOCIAL
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544 VII. POLICY, LEGAL, AND SOCIAL
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546 VII. POLICY, LEGAL, AND SOCIAL
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548 VII. POLICY, LEGAL, AND SOCIAL
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550 VII. POLICY, LEGAL, AND SOCIAL
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552 VII. POLICY, LEGAL, AND SOCIAL
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554 VII. POLICY, LEGAL, AND SOCIAL
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PART VIIISPECIAL TOPICS
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560 VIII. SPECIAL TOPICStion, restr
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562 VIII. SPECIAL TOPICSsion criter
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564 VIII. SPECIAL TOPICSbased on ev
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CHAPTER 55RECOVERYDAVID ROELARRY DA
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568 VIII. SPECIAL TOPICSatric disab
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570 VIII. SPECIAL TOPICSA RECOVERY
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572 VIII. SPECIAL TOPICSassumes fro
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574 VIII. SPECIAL TOPICSDeegan, P.
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576 VIII. SPECIAL TOPICSwhereas ado
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578 VIII. SPECIAL TOPICSalence of d
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580 VIII. SPECIAL TOPICS• Because
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582 VIII. SPECIAL TOPICScovering pa
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584 VIII. SPECIAL TOPICSGoldberg, 1
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586 VIII. SPECIAL TOPICSthe quality
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588 VIII. SPECIAL TOPICSof-life mea
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590 VIII. SPECIAL TOPICSBecker, M.,
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CHAPTER 58SPIRITUALITY AND RELIGION
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594 VIII. SPECIAL TOPICSbe related
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596 VIII. SPECIAL TOPICSmore or les
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598 VIII. SPECIAL TOPICSing with bo
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600 VIII. SPECIAL TOPICSExpressive
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602 VIII. SPECIAL TOPICSconsumer ab
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CHAPTER 59SEXUALITYALEX KOPELOWICZR
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606 VIII. SPECIAL TOPICSmay result
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608 VIII. SPECIAL TOPICSTABLE 59.1.
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610 VIII. SPECIAL TOPICSThis second
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612 VIII. SPECIAL TOPICSFIGURE 59.1
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614 VIII. SPECIAL TOPICSTo overcome
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CHAPTER 60SCHIZOPHRENIA INAFRICAN A
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618 VIII. SPECIAL TOPICSTABLE 60.1.
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620 VIII. SPECIAL TOPICSPHARMACOTHE
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622 VIII. SPECIAL TOPICSered a part
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CHAPTER 61ETHICSABRAHAM RUDNICKCHAR
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626 VIII. SPECIAL TOPICSinterests c
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628 VIII. SPECIAL TOPICSticipant re
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630 VIII. SPECIAL TOPICSvide an eth
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632 IndexAmerican CorrectionalAssoc
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634 IndexChildren/adolescents, 481-
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636 IndexDepressive symptoms, 106,
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638 IndexFirst-episode psychosis, 1
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640 IndexInformation technology, he
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642 IndexMotor symptoms, DSM-IV-TR,
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644 IndexPregnancydosing strategies
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646 IndexRisk factorsfor co-occurri
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648 IndexSTG. See Superior temporal
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650 IndexUrine testingfor nicotine
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