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In the late 1960s, the World Health Organization initiated a series
of international studies of the incidence, characteristics, course,
and consequences of schizophrenia. Those studies - the largest ever
in the history of psychiatry - provided important data about the
disorder in groups of patients living in different countries and
cultures, and first focused attention on the differences in
short-term prognosis for schizophrenia between the third world and
industrialized countries. In the 1990s, the International Study of
Schizophrenia (ISoS) set out to relocate those subjects and to
determine their clinical and social status some 15 to 25 years
later.
Recovery from Schizophrenia is a comprehensive account of what
ISoS found, reporting follow-up results for over 1000 subjects
examined in the earlier WHO studies (and in several local studies
as well). The body of this volume consists of detailed descriptions
of the long-term course and outcome of schizophrenia, together with
portraits of the field research sites in 14 countries. Introductory
and synoptic chapters lay out the origin and design of the WHO
studies culminating in ISoS, and synthesize the study's main
findings. ISoS shows that, with appropriate treatment,
schizophrenia has a favorable outcome for a substantial portion of
those afflicted. The surprising finding of the short-term follow-up
studies - that outcome was better in the developing than in the
developed countries - is confirmed here for long-term course. Yet
while prognosis continues to favor subjects in developing
countries, the varied outcomes for those in developed nations still
offers ample reason for hope.
This book is the first of its kind. The massivemultinational
investigations upon which it is based are unique in psychiatry and
cross-cultural epidemiology. Recovery from Schizophrenia will be a
valuable resource for researchers, epidemiologists, policymakers,
and mental health professionals worldwide, providing evidence that
supports investment in the care of persons with schizophrenia.
Medically unexplained somatic symptoms are problematic in
psychiatry, primary care settings, and other clinical areas. The
burden they impose on health-care systems constitutes a significant
public health problem. At the international symposium "Rethinking
Somatoform Disorders," this problem was addressed by specialists
working in somatoform disorders, psychiatric nosology,
epidemiology, and biological and cross-cultural psychiatry. The
meeting was the third of the Keio University International Symposia
for Life Sciences and Medicine, in collaboration with the World
Health Organization and the World Psychiatric Association.
The diagnosis and assessment of personality disorders has lagged
considerably behind that of most other mental disorders. However,
the IPDE is an instrument which is compatible, through two modules,
with both ICD-10 and DSM-IV criteria. In the form of a
semi-structured clinical interview, it provides a means of
measuring major categories of personality disorders which have been
previously ignored. It is also unique in that it seeks to secure
reliable and uniform diagnosis which is both internationally and
cross-culturally acceptable. Written by leading international
authorities, this volume forms an invaluable reference manual to
the IPDE instrument and its development. Its first section includes
an overview of the worldwide field trials of the interview and
aspects of epidemiology which affect the current status of
diagnosis and assessment research. The second section detailing the
full interview schedule and scoring system for the instrument will
further facilitate its use by both clinician and researcher.
Medically unexplained somatic symptoms are problematic in
psychiatry, primary care settings, and other clinical areas. The
burden they impose on health-care systems constitutes a significant
public health problem. At the international symposium "Rethinking
Somatoform Disorders," this problem was addressed by specialists
working in somatoform disorders, psychiatric nosology,
epidemiology, and biological and cross-cultural psychiatry. The
meeting was the third of the Keio University International Symposia
for Life Sciences and Medicine, in collaboration with the World
Health Organization and the World Psychiatric Association.
The diagnosis and assessment of personality disorders has lagged
considerably behind that of most other mental disorders. However,
the IPDE is an instrument which is compatible, through two modules,
with both ICD-10 and DSM-IV criteria. In the form of a
semi-structured clinical interview, it provides a means of
measuring major categories of personality disorders which have been
previously ignored. It is also unique in that it seeks to secure
reliable and uniform diagnosis which is both internationally and
cross-culturally acceptable. Written by leading international
authorities, this volume forms an invaluable reference manual to
the IPDE instrument and its development. Its first section includes
an overview of the worldwide field trials of the interview and
aspects of epidemiology which affect the current status of
diagnosis and assessment research. The second section detailing the
full interview schedule and scoring system for the instrument will
further facilitate its use by both clinician and researcher.
Foundations of Clinical Psychiatry is the trusted introductory text
for students of medicine and other health professions, including
psychiatric nursing, psychology, social work and occupational
therapy. It has also been the essential reference for family
doctors for over quarter of a century. Foundations of Clinical
Psychiatry: Fourth Edition has been revised and updated by five
editors, leaders in their fields, in collaboration with a new
generation of expert psychiatrists. The four-part structure—an
introduction to clinical psychiatry; conditions encountered;
specific patient groups and clinical settings; and principles and
details of typical clinical services, and of biological and
psychological treatments—provides a clear overview of clinical
practice. It also explores the causes of mental illness and the
ethical aspects of its treatment, and covers the full range of
psychiatric disorders encountered by health practitioners. The
fourth edition emphasises biological, psychological and social
factors in assessing and treating patients, includes the integrated
use of DSM-5 classification, and provides further reading
suggestions. It is richly illustrated with dozens of clinical
stories.
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