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The "epigenetic puzzle" which is schizophrenia, forms the focus of
this Monograph, But The Authors Do Not Sit Comfortably With The
Notion That this is an entity. Rather, they approach the
non-affective psychoses on a broad epidemiological base,
ascertaining cases of so-called "functional" psychoses over a
quarter of a century. They examine admission policies, showing that
patients are admitted to hospital on the grounds of their
particular presentation, rather than their diagnosis. They explore
Differences Between Males And Females With Psychotic Disorders, And
Show that gender is a more powerful influence than diagnosis. They
investigate trends over time, and find that demography is the major
influence. Looking at criminality, they show that the factors
predicting criminal Behaviour In Individuals With Psychotic Illness
Are Much The Same In those without psychotic illness. And they
trace the longitudinal course of illness, putting paid to the
schizophrenia/manic depression dichotomy.; This monograph is an
overview of the ideas and many of the findings generated by a
highly productive group of researchers. It has a good chance to
become one of the standard references in several of the key aspects
of schizophrenia.
The "epigenetic puzzle" which is schizophrenia, forms the focus of
this Monograph, but the authors do not sit comfortably with the
notion that this is an entity. Rather, they approach the
non-affective psychoses on a broad epidemiological base,
ascertaining cases of so-called "functional" psychosis over a
quarter of a century. They examine admission policies, showing that
patients are admitted to hospital on the grounds of their
particular presentation, rather than their diagnosis. They explore
differences between males and females with psychotic disorders, and
show that gender is a more powerful influence than diagnosis. They
investigate trends over time, and find that demography is the major
influence. Looking at criminality, they show that the factors
predicting criminal behavior in individuals with psychotic illness
are much the same in those without psychotic illness. And they
trace the longitudinal course of illness, putting paid to the
schizophrenia/manic depression dichotomy. Their powerful message
isthat diagnostic criteria are spurious, complacent constructs,
which lull us into a false sense of security, and which should be
challenged. They suggest that it is epidemiology which can place
the current vogue for diagnostic conformity in its correct
perspective.
Epidemiology has a vital role to play by exploring the attributes
of the clinical concept of schizophrenia and their correlates in
relation to the population base from which cases are drawn. While
many clinical and biological studies still operate with truncated
distributions of such attributes because of unsystematic or
opportunity sampling, an epidemiological sample is less likely to
be affected by such bias andmore likely to be representative of the
entire spectrum of manifestations of the notional disease. The
study of epidemiologically defined samples of schizophrenia cases
should therefore lead to more precise questions about syndrome
boundaries, clinical heterogeneity, and associations with possible
risk factors.
To mention some of the highlights of the monograph, the analyses of
crime and schizophrenia, and of the comparative incidence of
disorders in Afro-Caribbean and African immigrants, are
methodologically ingenious and lead to well supported conclusions.
The description of the clinical profile of late onset schizophrenia
is a timely contribution to a topic which attracts less attention
in the current literature than is warranted by its critical
importance for any aetiological theories about the disorder.
This monograph is an excellent overview of the ideas and many of
the findings generated by a highly productive group of researchers.
It has a good chance to become one of the standard references on
several of the key aspects of schizophrenia.
Psychiatric comorbidities such as depression, anxiety and substance
use are extremely common amongst people with schizophrenia. They
add to poor clinical outcomes and disability, yet are often not at
the forefront of the minds of clinicians, who tend to concentrate
on assessing and treating the core symptoms of schizophrenia,
notably delusions and hallucinations. There is an imperative to
assess every patient with schizophrenia for psychiatric
comorbidities, as they might masquerade as core psychotic symptoms
and also because they warrant treatment in their own right. This
volume addresses these issues using a clinical lens informed by the
current literature. Published as part of the Oxford Psychiatry
Library series, the book serves as a concise and practical
reference for busy clinicians.
This is a comprehensive, up-to-date and evidence-based review of
women's mental health. It starts by considering the social and
cultural contexts of women's lives today before addressing how
developmental aspects pertain to mental health, exploring
biological, evolutionary and psychosocial parameters. The heart of
the book contains a series of chapters with a clinical emphasis.
These aim to elucidate causal mechanisms for gender differences in
mental disorder considering hormonal and environmental influences.
The therapeutic implications of gender are then addressed in some
detail, with a focus on inter-partner and other forms of violence,
substance misuse, personality disorder and post-traumatic stress
disorder. The book concludes with a detailed section considering
psychosis and its sequelae in women and their families. The book's
scope is intended to be broad, and it is aimed at a clinical
audience including psychiatrists and general physicians, as well as
mental health nurses, psychologists, social workers and
occupational therapists.
This is a major international textbook for psychiatrists and other
professionals working in the field of mental healthcare. With
contributions from opinion-leaders from around the globe, this book
will appeal to those in training as well as to those further along
the career path seeking a comprehensive and up-to-date overview of
effective clinical practice backed by research evidence. The book
is divided into cohesive sections moving from coverage of the tools
and skills of the trade, through descriptions of the major
psychiatric disorders and on to consider special topics and issues
surrounding service organization. The final important section
provides a comprehensive review of treatments covering all of the
major modalities. Previously established as the Essentials of
Postgraduate Psychiatry, this new and completely revised edition is
the only book to provide this depth and breadth of coverage in an
accessible, yet authoritative manner.
Gender impacts significantly on the onset and nature of schizophrenia suffered by women: the female brain develops more rapidly than the male; estrogens produce antipsychotic effects; the female brain ages differently from the male, with a massive preponderance of female very-late-onset schizophrenia that may be related to a relative excess of dopamine D2 receptors. This comprehensive review is as much about women as it is about schizophrenia, encompassing the biological, endocrinological, epidemiological, reproductive, psychological, and social aspects of schizophrenia as experienced by women. An international, multidisciplinary team of clinicians and mental health researchers review past and current literature, and also assess sex-specific issues and evaluate their therapeutic, clinical, and social implications for more appropriate and effective treatments of schizophrenia in women now and in the future. This volume is essential reading for all clinicians, practitioners, and researchers involved with mental health and with women's health.
This is a comprehensive, up-to-date and evidence-based review of
women's mental health. It starts by considering the social and
cultural contexts of women's lives today before addressing how
developmental aspects pertain to mental health, exploring
biological, evolutionary and psychosocial parameters. The heart of
the book contains a series of chapters with a clinical emphasis.
These aim to elucidate causal mechanisms for gender differences in
mental disorder considering hormonal and environmental influences.
The therapeutic implications of gender are then addressed in some
detail, with a focus on inter-partner and other forms of violence,
substance misuse, personality disorder and post-traumatic stress
disorder. The book concludes with a detailed section considering
psychosis and its sequelae in women and their families. The book's
scope is intended to be broad, and it is aimed at a clinical
audience including psychiatrists and general physicians, as well as
mental health nurses, psychologists, social workers and
occupational therapists.
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