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When Ifirst read this manuscript, Iexclaimed to a colleague: "This
is the most important and clinically relevant book on schizophrenia
since Bleuler " Time has not altered my initial enthusiastic
evaluation. Drs. Strauss and Carpenter are among the most
distinguished researchers in the field ofschizophrenia, butthey are
also clinicians ofgreat experience, breadth, sensitivity, and
flexibility. It is from this expertise, as well as theirwide
familiarity with the world literature, thattheyhavebeenable to
distill the essence of an exceedingly practical and comprehensive
approach to the understanding, evaluation, diagnosis, and treatment
of schizophrenia. They begin by unequivocally stating the
inadequacy and futility of approaching schizophrenia via a single
model. Standingalone, neither a biomedical, a social, nor a
psychological model can adequately account for the complexities of
this illness with regard to etiology, phenomenol ogy, course, or
optimum treatment. While the advent of psychophar
macologicalinterventionhas made a profound impact on both
individual treatment and the responsive support systems, and is an
important aspect ofmosttreatmentplans, to view schizophrenia as a
phenothiazine deficiency disease is not only bad science but bad
therapeutics. Their conceptualization of an "interactive
developmental systems model" provides a framework upon which to
build a broad medical approach to schizophrenia. This model relates
variables drawn from different systems, interactive with one
another, and contributing to a pathogenetic process across time.
Within this bio-social-psychological matrix, one can then organize
information relative to vulnerability, the manifest illness per se,
the course of the disorder, and the multiplicity of factors
relative to treatment planning."
This volume is dedicated to Theodore Lidz and Ruth W. Lidz, as was
the conference on the Psychotherapy of Schizophrenia held on April
9 and 10, 1979, at which the materials here published were
presented. This 1979 sym posium replicated in some respects the one
held at Yale University thirty years earlier, at a time when
psychotherapy with schizophrenic patients was viewed with much
optimism and enthusiasm. Ruth and Ted Lidz contributed to this
earlier symposium also, emphasizing in their paper the intense
mother-patient bond as a therapeutic issue. Since then,
considerable strides have been made in the treatment of
schizophrenic patients. The introduction of psychopharmacologic
agents, the development of family therapy, and more sophisticated
methods in com munity-based care for such patients, all have had
important impacts. Psychotherapy with schizophrenics as such has
remained a rather limited practice, partly because it is difficult
and demanding of therapists' time and personal investment, and
partly because documenting its effectiveness on a statistically or
epidemiologically valid plane has eluded us."
When Ifirst read this manuscript, Iexclaimed to a colleague: "This
is the most important and clinically relevant book on schizophrenia
since Bleuler " Time has not altered my initial enthusiastic
evaluation. Drs. Strauss and Carpenter are among the most
distinguished researchers in the field ofschizophrenia, butthey are
also clinicians ofgreat experience, breadth, sensitivity, and
flexibility. It is from this expertise, as well as theirwide
familiarity with the world literature, thattheyhavebeenable to
distill the essence of an exceedingly practical and comprehensive
approach to the understanding, evaluation, diagnosis, and treatment
of schizophrenia. They begin by unequivocally stating the
inadequacy and futility of approaching schizophrenia via a single
model. Standingalone, neither a biomedical, a social, nor a
psychological model can adequately account for the complexities of
this illness with regard to etiology, phenomenol ogy, course, or
optimum treatment. While the advent of psychophar
macologicalinterventionhas made a profound impact on both
individual treatment and the responsive support systems, and is an
important aspect ofmosttreatmentplans, to view schizophrenia as a
phenothiazine deficiency disease is not only bad science but bad
therapeutics. Their conceptualization of an "interactive
developmental systems model" provides a framework upon which to
build a broad medical approach to schizophrenia. This model relates
variables drawn from different systems, interactive with one
another, and contributing to a pathogenetic process across time.
Within this bio-social-psychological matrix, one can then organize
information relative to vulnerability, the manifest illness per se,
the course of the disorder, and the multiplicity of factors
relative to treatment planning."
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