Towards Need-Specific Treatment of Schizophrenic Psychoses
A Study of the Development and the Results of a Global Psychotherapeutic Approach to Psychoses of the Schizophrenia Group in Turku, Finland
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1 Background and Goals of the Study.- 1.1 Illness Models of Schizophrenia.- 1.2 The Goals of the Study and Their Connection with the Local Health Care System.- 2 Prognosis of Schizophrenia and the Research on Psychosocial Modes of Therapy.- 2.1 General View of the Prognosis and Factors Contributing to It.- 2.2 Effect of Neuroleptic Medication on the Prognosis.- 2.3 Studies on the Effect of Psychotherapy and Other Psychosocial Modes of Treatment.- 3 Study Project, Material and Methods.- 3.1 Beginning of the Project and the Patient Series.- 3.2 Course of the Project.- 3.3 Data Analysis and Stati...
1 Background and Goals of the Study.- 1.1 Illness Models of Schizophrenia.- 1.2 The Goals of the Study and Their Connection with the Local Health Care System.- 2 Prognosis of Schizophrenia and the Research on Psychosocial Modes of Therapy.- 2.1 General View of the Prognosis and Factors Contributing to It.- 2.2 Effect of Neuroleptic Medication on the Prognosis.- 2.3 Studies on the Effect of Psychotherapy and Other Psychosocial Modes of Treatment.- 3 Study Project, Material and Methods.- 3.1 Beginning of the Project and the Patient Series.- 3.2 Course of the Project.- 3.3 Data Analysis and Statistical Methods.- 4 Findings of Psychiatric Basic Examination. Indications of Therapeutic Plans.- 4.1 Psychosocial Background of Patients.- 4.2 Admission for Treatment and the Clinical Background Variables.- 4.3 Case-Specific Therapeutic Plans.- 4.4 Summary and Discussion.- 5 Implementation of Therapies and Factors Influencing It.- 5.1 Use of In-Patient and Out-Patient Treatment.- 5.2 Implementation of Psychotherapeutic Treatments.- 5.3 Somatic Treatments.- 5.4 Social and Rehabilitative Measures.- 5.5 Selection of the Mode of Therapy in the Light of the Psychologic Basic Examination.- 5.6 Summary and Discussion.- 6 Prognosis and the Effect of Therapies on It.- 6.1 How Was the Prognosis Measured?.- 6.2 Clinical Prognosis.- 6.3 Psychodynamic Prognosis.- 6.4 Psychosocial Prognosis.- 6.5 Prognosis in the Light of Hospital Treatments.- 6.6 Development of Families and Family Relationships.- 6.7 Effects of Psychotherapy and Medication on Prognosis: Statistical Analysis.- 6.8 Prognosis and the Factors Affecting It: Summary and Discussion.- 7 Development of Need-Specific Treatment of Schizophrenic Psychoses.- 7.1 Need-Specificity of Treatment As Concept.- 7.2 Implementation of Need-SpecificTreatment in Our Project and the Factors Affecting It.- 7.3 Need-Specificity and Prognosis of Treatment.- 7.4 Indications of Psychotherapeutic Treatments: Five Patient Groups Differentiated on the Basis of Primary Therapeutic Concern.- 7.5 Prerequisites for Developing Need-Specific Treatment.- 8 Towards Need-Specific Treatment of Schizophrenic Psychoses: Summary.- 8.1 Goals of the Study and Methodologic Planning.- 8.2 Findings of the Initial Psychiatric Examination.- 8.3 Implementation of Treatments.- 8.4 Prognosis and Factors Contributing to It.- 8.5 Development of Need-Specific Treatment of Schizophrenic Psychoses.- Appendices 1 - 10.- References.
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