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Recovery from Schizophrenia
  

Recovery from Schizophrenia (Hardcover)

by Richard Warner (Author) "Schizophrenia is an illness which is shaped, to a large extent, by political economy ..." (more)
5.0 out of 5 stars See all reviews (2 customer reviews)

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Product details

  • Hardcover: 384 pages
  • Publisher: Routledge; 2nd Revised edition edition (30 Jun 1994)
  • Language English
  • ISBN-10: 0415092604
  • ISBN-13: 978-0415092609
  • Product Dimensions: 25.4 x 20.3 x 5.1 cm
  • Average Customer Review: 5.0 out of 5 stars See all reviews (2 customer reviews)
  • Amazon.co.uk Sales Rank: 2,461,576 in Books (See Bestsellers in Books)
  • See Complete Table of Contents

Product Description

Product Description
The first edition of this work demonstrated how political, economic and labour market forces shape social responses to the mentally ill, mould psychiatric treatment philosophy, and influence the onset and course of schizoprenia, one of the most common forms of mental illness. In this revised and updated edition, Dr Warner examines recent changes in approach to schizophrenia and analyzes new research to answer the question: "Are they advances or not?"

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Schizophrenia is an illness which is shaped, to a large extent, by political economy. Read the first page
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5 of 5 people found the following review helpful:
5.0 out of 5 stars The best book written about Schizophrenia bar none, 13 Aug 2006
By Peter Hurst "peter hurst" (wigan, england) - See all my reviews
(REAL NAME)   
The central theme of this book is that the COURSE (as opposed to the CAUSE) of a Schizophrenic illness, the OUTCOME, the PROGNOSIS, is influenced by the environment in which a person diagnosed with Schizophrenia finds themselves in and also by the care they receive.

To some this may seem a truism, but the history of mental health services on both sides of the Atlantic have been marked by what Warner describes as 'therapeutic nihilism,' whereby the original conception of Schizophrenia as 'Dementia Praecox' - in other words as a form of 'Premature Dementia' - has come to determine the way those diagnosed 'Schizophrenic' have been perceived and treated.

It has been taken for granted amongst those delivering mental health services Warner contends that the prognosis for Schizophrenia by definition is poor and therefore no widespread and consistent attempt has been made to genuinely rehabilitate sufferers. A self-fulfilling prophecy has then ensued.

Warner's key insight is that what he describes as the 'political economy' has shaped the treatment that Schizophrenics have received. Simplified this means that in periods of full employment and a concomitant shortage of labour attempts have been made at rehabilitation, attempts that have produced results.

Warner cites two periods in history where this has happened. The first being what has come to be known as the 'Moral Movement' in the 19th century which prefigured the era of the large-scale County Asylums. The second came in the aftermath of WWII in this country during the same labour shortage that brought immigrants from the Commonwealth to these shores. Warner demonstrates that better outcomes for those dioagnosed as 'Schizophrenic' have resulted in these times.

When unemployment has been high, on the other hand, there has been little attempt to genuinely rehabilitate those with serious mental illness and it has been heriditary, rather than environmental factors, that have been emphasised in Schizophrenia's conceptualisation. Warner shows that economic and political considerations have taken precedence over therapeutic ones when it comes to the care of those suffering from serious mental illness.

What Warner calls for is a radical reconceptualisation of the illness, he does not doubt that the CAUSE of Schizophrenia is in some way biological in origin, but he does show that the psycho-social environment of those diagnosed as 'Schizophrenic' does influence the COURSE of their illness.

Written in a style so as to to encourage wider readership with helpful bullet points at the end of each chapter summarising the main points discussed in the previous chapter 'Recovery from Schizophrenia' should be read by anyone interested in the subject of Schizophrenia and Psychosocial interventions in particular.
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1 of 2 people found the following review helpful:
5.0 out of 5 stars Comprehensive, invaluable reference on schizophrenia., 1 Jul 2007
By conjunction - See all my reviews
(TOP 1000 REVIEWER)   
I haven't read every word of this book but scanned it carefully. I am a social worker not a doctor and I was particularly interested in the chapter on medication which suggests that for many patients its use, while helpful in controlling symptoms, acts against their long term interests. This is at least partly because while antipsychotic medication seems to act by limiting dopamine reactions in the brain the long term effect of this is to make the brain extra sensitive to dopamine (because it is 'starved' of dopamine by the medication). Therefore when people stop their medication they're likely to have a rough time.

As the other reviewer explains this book has a lot to say about the influence of stress on schizophrenia, especially stress imposed by social conditions. In particular he brings a lot of evidence to suggest that outcomes for schizophrenia are far better in third world countries. This sppears to be to do with issues of stigma and the fact that those ill are less likely to be withdrawn from the community, more likely to carry on a normal life.

In general this book appears to act as a summary of research on schizophrenia, especially the effects of treatment in different environments, and if you are really interested in outcomes and treatment of schizophrenia I would suggest this book is invaluable.
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