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Deficits in social cognition and metacognition in schizophrenics
makes it difficult for them to understand the speech, facial
expressions and hence emotion and intention of others, as well as
allowing little insight into their own mental state. These deficits
are associated with poor social skills, fewer social relationships,
and are predictive of poorer performance in a work setting. Social
Cognition and Metacognition in Schizophrenia reviews recent
research advances focusing on the precise nature of these deficits,
when and how they manifest themselves, what their effect is on the
course of schizophrenia, and how each can be treated. These
deficits may themselves be why schizophrenia is so difficult to
resolve; by focusing on the deficits, recovery may be quicker and
long lasting. This book discusses such deficits in early onset,
first episode, and prolonged schizophrenia; how the deficits relate
to each other and to other forms of psychopathology; how the
deficits affect social, psychological, and vocational functioning;
and how best to treat the deficits in either individual or group
settings.
With advances in medical technology and with many large scale,
longitudinal studies now underway, social and biological science
have built a convincing case that the varieties of madness subsumed
by the label schizophrenia are created, fueled, and sustained by
genetic, biochemical and environmental factors. However, with the
ever more detailed models of the neurobiological and social systems
out of which schizophrenia is born, it is possible to overlook how
suffering persons actually experience their symptoms and navigate
their way through life. This book is unique in focusing on the
experiences of those who have schizophrenia, and who must make
sense of and live with this condition. It explores how
schizophrenia disrupts person's experiences of themselves as beings
in the world and how that disruption poses enduring barriers to
recovery - barriers not reducible to issues of social justice or
biology. After presenting a model of how disturbances in
self-experience are related to but not identical with symptoms and
dysfunction, it looks at the implications for the development of
therapies that might provide greater opportunities for recovery.
The book provides a highly readable and humane examination of this
common condition.
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