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“Social aspects of
schizophrenia patients’ life”
The book's contents
Introduction. Causal
beliefs of schizophrenic patients.
I.
Diagnostic system. Schizophrenia and schizophrenic syndrome.
1. Intriguing
differences. A family history of mental illness.
2.
Socio-demographic status. Age, gender, race, educational level, physical
functioning.
3. The
origins of disease.
4. Onset
of schizophrenia and social functioning. Level of social
development at illness onset. The most frequent initial symptoms.
Synopsis;
references –Part I
II Influence of clinical factors on social aspects of schizophrenia patients’
life.
1. The
pain, suffering or impact on quality of life.
2.
Clinical and psychological aspects.
Deficit syndrome schizophrenia diagnosis. Negative
symptoms. Positive symptoms. Deficit
of cognitive function. Extra pyramidal side- effects.
Depressive symptoms. The risk of
suicide. Problem with drugs, alcohol and current
smoking. Symptom reduction. Prognosis.
3.
Ego-pathology. Lack of energy. Self-image
changes. Life expectancy. Social
adjustment. Satisfaction. Self-care.
Social skills. Social cognition.
Synopsis;
references –Part II
III
Environmental factors are significant.
1. Cost
of schizophrenia.
2.
Cultural influences.
3. Influence of social factors on schizophrenia
patients’ life. Relationships and family communication.
Accommodation and homeless.
4. Stigma
and social exclusion.
5. Labour
markets. Rate of employment, comparison between countries.
Functioning in a subsistence economy. Benefits of
employment.
6.
Premorbid social and work competence. Occupational profiles
and professional skills. Employed and unemployed
patient. Employment earnings and disability payments.
Risk of mortality.
7. Barriers
to social participation. The barriers associated with the illness itself –
clinical and psychological. Social and economic barriers.
Employer concerns, stigma toward the illness and discrimination. Predictors of job retention.
Synopsis
–Part III Associations: Social contacts - employment - symptom severity;
Hospitalisation
- social contacts – employment - symptom severity; Marital status - independent
housing – work - social contacts - social functioning –employment;
Employment – clinical benefits; Employment status - global wellbeing -
job satisfaction.
References
- Part III
IV
Measures of outcome of psychiatric services.
1.
Barriers to social participation associated with services. The
association between employment and rehabilitation services.
2.
Management of patients with schizophrenia. Hospitalisations.
Traditional antipsychotics and rehabilitation programs.
Diet. Day community services.
Work-treatment. Case rehabilitation.
Family intervention. Psychosocial
rehabilitation. Supported employment.
3.
Outcomes.
Synopsis;
references –Part IV
V Practical solutions to the barriers. Recommendations.
1.
Rehabilitation services – new programs. Rehabilitation services -
multidisciplinary teams. Assessing the Quality of Psychiatric Hospital and
Out-patent Care.
2.
Flexible employment programmes in vocational rehabilitation. Support.
3.
Education. Educational influence on the Environment. Personal training.
4.
Treatment - development of antipsychotic medication.
Synopsis;
References –Part V
V.
Discussion.
November, 2006
Copyright © 2007 Dr Olga Randles.
All Rights Reserved.
NHS London
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