Surviving Schizophrenia or Diabetes Meal Planning Made Easy

Surviving Schizophrenia: A Manual for Families, Patients and Providers

Author: E Fuller Torrey

Since its first publication in 1983, Surviving Schizophrenia has become the standard reference book on the disease and has helped thousands of patients, their families and mental health professionals. In clear language, this much–praised and important book describes the nature, causes, symptoms, treatment and course of schizophrenia and also explores living with it from both the patient and the family's point of view. This new, completely updated fifth edition includes the latest research findings on what causes the disease as well as information about the newest drugs for treatment and answers to the questions most often asked by families, consumers and providers.

Table of Contents:

	Illustrations	xvii
	Preface to the Fifth Edition	xix
	Preface to the First Edition, 1983	xxi
	Acknowledgments	xxiii
1	The Inner World of Madness: View from the Inside
	Alterations of the Senses	4
	Inability to Interpret and Respond	13
	Delusions and Hallucinations	25
	Altered Sense of Self	37
	Changes in Emotions	40
	Changes in Movements	45
	Changes in Behavior	46
	Decreased Awareness of Illness	50
	The Black-Red Disease	52
	Recommended Further Reading	59
2	Defining Schizophrenia: View from the Outside
	Official Criteria for Diagnosis	62
	Subtypes of Schizophrenia	66
	Delusional Disorders	67
	Schizotypal, Schizoid, Paranoid, and Borderline Personality Disorders	68
	Schizoaffective Disorder and Manic-Depressive Illness	71
	"Manicdephrenia"	74
	Recommended Further Reading	77
3	Conditions Sometimes Confused with Schizophrenia
	A "Split Personality"	79
	Psychosis Caused by Street Drugs	80
	Psychosis Caused by Prescription Drugs	82
	Psychosis Caused by Other Diseases	84
	Psychosis Caused by Head Trauma	87
	Psychosis with Mental Retardation	88
	Infantile Autism	89
	Antisocial Personality Disorders and Sexual Predators	91
	Culturally Sanctioned Psychotic Behavior	92
	Recommended Further Reading	93
4	Onset, Course, and Prognosis
	Childhood Precursors	95
	Onset and Early Symptoms	96
	Childhood Schizophrenia	99
	Postpartum Schizophrenia	100
	Late-Onset Schizophrenia	101
	Predictors of Outcome	102
	Male-Female Differences	104
	Possible Courses: Ten Years Later	105
	Possible Courses: Thirty Years Later	109
	The "Recovery Model"	113
	Causes of Death: Why Do People with Schizophrenia Die at a Younger Age?	114
	Recommended Further Reading	116
5	Research Findings on the Causes of Schizophrenia
	The Normal Brain	119
	The Brain with Schizophrenia	121
	The disease is familial	121
	There may be neurochemical changes	122
	There are structural and neuropathological changes	123
	There are neuropsychological deficits	124
	There are neurological abnormalities	125
	There are electrical abnormalities	126
	There are immunological and inflammatory abnormalities	127
	Individuals with schizophrenia are born disproportionately in the winter and spring	127
	Individuals with schizophrenia are born and/or raised disproportionately in urban areas	128
	Other abnormalities: pregnancy and birth complications, minor physical anomalies, and an absence of rheumatoid arthritis	128
	What Parts of the Brain Are Affected?	130
	When Does the Brain Damage Begin?	133
	Recommended Further Reading	134
6	Theories About the Causes of Schizophrenia
	Genetic Theories	138
	Neurochemical Theories	140
	Developmental Theories	141
	Infectious and Immune Theories	142
	Nutritional Theories	144
	Endocrine Theories	146
	Stress Theories	147
	Obsolete Theories	149
	Masturbation and Demons	149
	Bad Mothers	149
	Bad Families	150
	Bad Cultures	152
	Thomas Szasz	153
	Ronald Laing	153
	Recommended Further Reading	154
7	The Treatment of Schizophrenia: Non-Medication Aspects
	How to Find a Good Doctor	157
	What Is an Adequate Diagnostic Workup?	162
	Hospitalization: Voluntary and Involuntary	166
	Alternatives to Hospitalization	175
	Payment for Treatment and Insurance Parity	176
	Outpatient Treatment and Managed Care	178
	Services for Children	181
	Services in Rural Areas	183
	Counseling, or Supportive "Psychotherapy"	184
	Insight-oriented Psychotherapy	187
	Cognitive Behavioral Therapy	189
	Electroconvulsive Therapy (ECT)	191
	Dietary Treatments	192
	Herbal Treatments	193
	Experimental Treatments: TMS and VNS	194
	Recommended Further Reading	195
8	The Treatment of Schizophrenia: Medications
	First-Generation Antipsychotics	197
	Adverse Effects	206
	Second-Generation Antipsychotics	214
	Adverse Effects	217
	Clozapine (Clozaril, Leponex)	219
	Olanzapine (Zyprexa)	222
	Risperidone (Risperdal)	223
	Quetiapine (Seroquel)	223
	Ziprasidone (Geodon)	224
	Aripiprazole (Abilify)	227
	Which Antipsychotic Should You Try? The Influence of the Pharmaceutical Industry on Prescribing Patterns	227
	Which Antipsychotic Should You Try? The Bottom Line	229
	Interactions of Antipsychotics with Other Medications	232
	Other Drugs to Try If Antipsychotics Fail	235
	New Medications on the Horizon	239
	Drug Prices and the Use of Generics	242
	Medications for Early Treatment or Prevention	245
	The Medication-Savvy Consumer and Family	246
	Recommended Further Reading	248
9	The Rehabilitation of Schizophrenia
	Money and Food	251
	Housing	255
	Employment	259
	Friendship and Social Skills Training	262
	Medical and Dental Care	265
	Quality of Life Measures	267
	The Need for Asylum	268
	Recommended Further Reading	270
10	Ten Major Problems
	Cigarettes and Coffee	273
	Alcohol and Street Drugs	277
	Sex, Pregnancy, and AIDS	281
	Victimization	287
	Confidentiality	289
	Medication Noncompliance	293
	Assisted Treatment	298
	Assaultive and Violent Behavior	306
	Arrest and Jail	309
	Suicide	311
	Recommended Further Reading	314
11	How Can Patients and Families Survive Schizophrenia?
	The Right Attitude	318
	The Importance of Education	327
	Survival Strategies for Patients	329
	Survival Strategies for Families	332
	Effects of Schizophrenia on Siblings, Children, and Spouses	341
	Minimizing Relapses	345
	Recommended Further Reading	348
12	Commonly Asked Questions
	Does Schizophrenia Change the Underlying Personality?	355
	Are People with Schizophrenia Responsible for Their Behavior?	357
	Does Schizophrenia Affect the Person's IQ?	360
	Should People with Schizophrenia Drive Vehicles?	361
	How Do Religious Issues Affect People with Schizophrenia?	362
	Should You Tell People That You Have Schizophrenia?	364
	Genetic Counseling: What Are the Chances of Getting Schizophrenia?	365
	Why Do Some Adopted Children Develop Schizophrenia?	367
	What Will Happen When the Parents Die?	368
	Recommended Further Reading	370
13	Schizophrenia in the Public Eye
	Schizophrenia in the Movies	373
	Schizophrenia in Literature	382
	Schizophrenia, Creativity, and Famous People	389
	The Problem of Stigma	394
	Recommended Further Reading	397
14	Dimensions of the Disaster
	How Many People Have Schizophrenia in the United States?	404
	Where Are They?	405
	Do Some Groups Have More Schizophrenia Than Others?	410
	Is Schizophrenia Increasing or Decreasing?	414
	Is Schizophrenia of Recent Origin?	415
	Deinstitutionalization: A Cradle for Catastrophe	417
	What Is the Cost of Schizophrenia?	424
	Recommended Further Reading	429
15	Issues for Advocates
	Congress, State Government, and the Politics of Neglect	431
	Scientologists, Anti-Psychiatrists, and "Consumer Survivors"	435
	NIMH and Research Funding	439
	Educating the Public	440
	Decreasing Stigma	442
	Improving Services	444
	How to Organize for Advocacy	450
	Recommended Further Reading	452
Appendix A	An Annotated List of the Best and the Worst Books on Schizophrenia	453
Appendix B	Useful Web sites on Schizophrenia	474
Appendix C	Other Useful Resources on Schizophrenia	480
	Notes	484
	Index	521

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