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Ethical and Clinical Complexities in the Treatment of Schizophrenia. Liberty or Life

SKU: 9781009587754
ISBN: 9781009587754
Εκδόσεις:
Διαστάσεις 25 × 18 cm
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Ημ. Έκδοσης

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Κύριος Συγγραφέας

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Περιγραφή

This unique book offers a methodical exploration of biological, social, and ethical topics on the treatment (or lack thereof) of psychotic brain disease. Part I provides an empirical engagement with neuroscience and covers the neurobiology and pharmacology of schizophrenia, providing the reader with a current understanding of the disease. Topic areas include anosognosia, community treatments, and early intervention. Part II looks at international policy approaches to schizophrenia featuring topics such as the policy, funding, and historical elements contributing to frequently misguided approaches to severe brain disease, and it explains why some societies won’t/can’t support human beings with psychotic disease. Part III focuses on neuroethics and asks: ‘What is right?’ through chapters discussing the concepts of consciousness and free will, as well as the principles of nonmaleficence, beneficence, autonomy, and justice. Collectively the comprehensive approach of this book allows the reader to gain a full understanding of the ethical and clinical complexities in treating schizophrenia.

  • Presents an international comparison of policy related to the treatment of schizophrenia which examines diverse policies and their subsequent outcomes to help inform global best practice
  • An all-star list of experts summarizes the most current science in neuroscience, psychopharmacology, and other evidence bases treatments for the treatment of schizophrenia in a straightforward format that allows non-physicians to digest what is known about this disease
  • Examines functional outcomes resulting from treating, or not treating, psychosis by looking beyond the typical rating scales to illuminate how treatment can mitigate homelessness, incarceration, and brain damage
  • Utilizes a framework of neuroethics to examine current international policy and outcomes for schizophrenia, demystifying the associated ethical dilemmas for mental health professionals and policy makers using generally accepted ethical principles

Περιεχόμενα

Part I. Neuroscience:

1. The story of schizophrenia: liberty over life

2. What is the neurobiology of schizophrenia?

3. What is schizophrenia – symptomatology

4. Assessment and treatment of anosognosia in schizophrenia

5. Anosognosia in schizophrenia

6. ‘How antipsychotics work in schizophrenia: a primer on mechanisms’

7. Do antipsychotics work in people with schizophrenia? A review of outcomes and effect sizes

8. Do antipsychotic medications work: an exploration using competency to stand trial as the functional outcome

9. When do psychiatric interventions work? An argument for using functional outcomes when evaluating the effectiveness of treating schizophrenia

10. Medications for psychosis in people with Schizophrenia: what happens if you take them and what happens if you don’t?

11. Assisted outpatient treatment: are court ordered antipsychotic medications effective?

12. Forensic assertive community treatment: an emerging best practice

13. Does compulsory community treatment for discharged forensic hospital patients work? The recent evidence base

14. Early intervention for schizophrenia: a pathway to improved clinical outcomes

15. ‘Cardiometabolic disorders in persons living with schizophrenia: the right to equality’

Part II. International Policy Perspectives:

16. Failure to treat: an American policy perspective

17. The Italian general psychiatry and forensic psychiatry treatment model: a unique story

18. Liberty or life: mental health care in Australia

19. Liberty or life: the Aotearoa New Zealand perspective

20. Autonomy and compulsory care in the Netherlands

21. Canadian mental health laws: a review of involuntary admission and treatment pending appeal

22. The current situation of treatment for patients suffering from schizophrenia in the Austrian forensic system

23. Interventions for the unhoused individual with schizophrenia: a civilized plan

24. What role did serious mental illness play in Jackson Pollock’s drip paintings? Abstract expressionism and possible links to serious mental illness and to encrypted images (Polloglyphs)

25. The behavioral healthcare continuum in the United States: what should it look like and how we can pay for it

Part III. Neuroethics:

26. A unified understanding of the human mind-a neuroethical perspective: tracing the evolution in western thought and the integration with neuroscience, psychology, psychiatry, and relational dimensions

27. A neuroethical approach to human life, identity, and liberty of schizophrenic patients

28. Neuroethics and treatment without consent

29. Advance directives in patients with schizophrenia

30. Dignity restored: the power of treatment first

31. Four principles of bioethics in cases of anosognosia

32. Complexities of competency and informed consent as applied to individuals with symptoms of Anosognosia

33. Evidence-based treatment for schizophrenia: a personal perspective

34. Inmate mental health assistants: an emerging best practice for carceral settings

35. Remarks of father Alberto Carrara to the American Psychiatry Association – May 2025 Father.