Experiences of Schizophrenia: An Integration of the Personal, Scientific, and Therapeutic

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August 1993



The book interweaves an explication of the nature and treatment of schizophrenia, drawn from interlocking perspectives including organic, psychological, interpersonal, familial, and socio-cultural, with five of the most detailed case reports of treatment to be found in the literature.This book is basic reading for all human science professionals interested in the study and treatment of mental illness, in philosophical and practical questions about the relationships among the scientific disciplines, or in broad questions about the connections among the individual, the family, and social structure.


The Groundwork. Introduction. What is Schizophrenia? A Hierarchical Systems Model for Mental Illness. Data and Methodology. Part II: Cases I. The Extremes of Outcome. Case I: Emily: An Unusually Successful Treatment. Case 2: Edward: A Multi-System Failure. Part III: Viewpoints on Schizophrenia: A Pluralistic Model. The Perspective of Neuroscience. Constitutional Vulnerability and an Epigenetic Model. Introduction to a Psychoanalytic Systems Perspective. The Psychology System. The Family System. Society and Culture. Part IV: The Treatment of Schizophrenia. Evaluation and Treatment Planning from a Systems Perspective. Studies of the Efficacy of Psychological Treatment. Psychotherapeutic Technique and Process. The Psychological Perspective: Stages of Therapy. Treatment in the Mental Hospital. Illustrations of Crises in Hospital Treatment and Considerations of Family Treatment. Treatment of the Organism Under Stress. Part V: Cases II. The Middle Range of Outcome. Case 4: Joanna: A Positive Outcome. Case 3: Rachel: The Choice to Remain Ill. Case 5: Celia: Treatment of a Chronic Schizophrenic. Part VI: Conclusion. Systems and Interventions in Schizophrenia: A Reprise. References.


Michael Robbins, M.D., is Assistant Clinical Professor of Psychiatry at Harvard Medical School, and is a psychoanalyst affiliated with the Boston Psychoanalytic Society. He has applied his psychoanalytic knowledge to the understanding and treatment of seriously disturbed persons, both in an office setting and at McLean Hospital, Belmont, MA, where he is currently an Attending Psychiatrist. There he has also been in charge of treatment wards, was Director of Admissions, and has done much teaching and consulting. Dr. Robbins has published extensively in the psychoanalytic literature on the theory and treatment of seriously disturbed persons and on related issues of infant and child development. In 1983, he was awarded the Felix and Helene Deutsch Prize by the Boston Psychoanalytic Society for his paper, "Toward a New Mind Model for the Primitive Personalities."


"In a psychiatric era in which biological reductionism runs rampant, this impressive new volume by Michael Robbins demands attention. With erudition, grace, and sophistication, he reminds us that persons with schizophrenia live out their lives in an internal psychological world that cries out for understanding. Although a psychoanalyst, the author avoids the trap of privileging psychology over biology. With an extraordinary command of the literature and superb scholarship, he compellingly demonstrates the importance of thinking pluralistically about the treatment of schizophrenia. Robbins is one of a handful of clinicians who has devoted his professional career to the intensive psychotherapeutic treatment of severely disturbed patients. This book, the crowning achievement of his life's work, should be read and re-read by all clinicians who work with psychotically disturbed patients." --Glen O. Gabbard, M.D., Medical Director, C. F. Menninger Memorial Hospital
"In this very important and timely work, Michael Robbins offers us the harvest of a long, dedicated, and unusual career in the psychoanalytic treatment of schizophrenic patients. He candidly offers his failures and credibly presents his successes and shows his unusual gift for integrating a psychoanalytic model of understanding and treatment with neurobiological, social, and psychological perspectives. His work constitutes a clarion call to revive interest in an all but lost focus of treatment, and he offers his long, hard-won experience to support his message." --James Grotstein, M.D.
"Dr. Robbins documents his extraordinary experience in this therapeutic realm with engrossing narrative, gripping candor, and eloquent scholarly perspective. The data is timeless and provides an uncommon text for personal or group study in the assessment of psychotherapy's role in the long-term treatment of schizophrenia." --Sheldon Roth, M.D., Harvard Medical School
"At long last, we have a book integrati
EAN: 9780898629972
ISBN: 0898629977
Untertitel: New. Sprache: Englisch.
Erscheinungsdatum: August 1993
Seitenanzahl: 511 Seiten
Format: gebunden
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