NOTES 335homelessness a mental health problem?;” Fischer, P.J., Shapiro, S., Breakey, W.R.et al., “Mental health and social characteristics of the homeless: A survey of missionusers,” American Journal of Public Health, 76:519–24, 1986; Sacks, J.M., Phillips, J.and Cappelletty, G., “Characteristics of the homeless population in Fresno County,”Community Mental Health Journal, 23:114–19, 1987; Gelberg, L., Linn, L.S. andLeake, B.D., “Mental health, alcohol and drug use, and criminal history amonghomeless adults,” American Journal of <strong>Psychiatry</strong>, 145:191–6, 1988; Koegel, P.,Burnam, A. and Farr, R.K., “The prevalence of specific psychiatric disorders amonghomeless individuals in the inner city of Los Angeles,” Archives of General <strong>Psychiatry</strong>,45:1085–92, 1988; Vernez, G., Burnam, M.A., McGlynn, E.A. et al., Review ofCalifornia’s program for the homeless mentally disabled, Santa Monica, California: RandCorporation, 1988; Susser, E., Struening, E.L. and Conover, S., “Psychiatricproblems in homeless men: Lifetime psychosis, substance use, and current distress innew arrivals at New York City shelters,” Archives of General <strong>Psychiatry</strong>, 46:845–50;Morse, “Mentally disturbed homeless people in St. Louis;” Breakey, W.R., Fischer,P.J., Kramer, M. et al., “Health and mental health problems of homeless men andwomen in Baltimore,” Journal of the American Medical Association, 262:1352–7, 1989;Toro, P.A. and Wall, D.D., “Research on homeless persons: Diagnostic comparisonsand practice implications,” Professional Psychology: Research and Practice, 22:479–88,1991; North, C.S. and Smith, E.M., “A systematic study of mental health servicesutilization by homeless men and women,” Social <strong>Psychiatry</strong> and PsychiatricEpidemiology, 28:77–83, 1992; Leda, C., Rosenheck, R. and Gallup, P., “Mentalillness among homeless female veterans,” Hospital and Community <strong>Psychiatry</strong>, 43:1026– 8, 1992; Culhane, D.P., Avery, J.M. and Hadley, T.R., “Prevalence oftreated behavioral disorders among adult shelter users: A longitudinal study,”American Journal of Orthopsychiatry, 68:63–72, 1998; Haugland, G., Siegel, C.,Hopper, K. and Alexander, M.J., “Mental illness among homeless individuals in asuburban county,” Psychiatric Services, 48:504–9, 1997; Reich, “The emergence ofthe Bowery as a psychiatric dumping ground;” Lodge Patch, I., “Homeless menin London. I. Demographic findings in a lodging house sample,” British Journal of<strong>Psychiatry</strong>, 118:313–17, 1971; Tidmarsh, D. and Wood, S., Psychiatric aspects ofdestitution: A study of the Camberwell reception centre, in Wing J.K. and Hailey,A.M., (eds.) Evaluating a Community <strong>Psychiatry</strong> Service: The Camberwell Register, 1964–1971, Oxford: Oxford University Press, 1972; Marshall, M.,” Collected andneglected: Are Oxford hostels for the homeless filling up with disabled psychiatricpatients?” British Medical Journal, 299:706–9, 1989; Weller, M., Tobiansky, R.I.,Hollander, D. and Ibrahimi, S., “Psychosis and destitution at Christmas 1985– 88,”Lancet, ii: 1509–11, 1989; Timms, P.W. and Fry, A.H., “Homelessness and mentalillness,” Health Trends, 21:70–1, 1989; Stark, C., Scott, J., Hill, M. et al., A Survey ofthe “Long-Stay” Users of DSS Ressettlement Units: A Research Report, London:Department of Social Security, 1989; Sclare, P.D., “Psychiatric disorder among thehomeless in Aberdeen,” Scottish Medical Journal, 42:173–7, 1997; Hamid, W.A.,Wykes, T. and Stansfeld, S., “The social disablement of men in hostels for homelesspeople. II. A comparison with patients from long-stay wards,” British Journal of<strong>Psychiatry</strong>, 166:809–12, 1995; Geddes, J.R., Newton, J.R., Bailey, S. et al,“Prevalence of psychiatric disorder, cognitive impairment and functional disabilityamong homeless people resident in hostels,” Health Bulletin, 54:276–9, 1996;Marshall, E.J. and Reed, J.L., “Psychiatric morbidity in homeless women,” British
336 NOTESJournal of <strong>Psychiatry</strong>, 160:761–8, 1992; Adams, C.E., Pantelis, C., Duke, P.J. andBarnes, T.R.E., “Psychopathology, social and cognitive functioning in a hostel forhomeless women,” British Journal of <strong>Psychiatry</strong>, 168: 82–6, 1996.17 Koegel, P. et al., “The Causes of Homelessness,” in Homelessness in America,Washington, DC: Oryx Press, 1996.18 Federal Task Force for the Homeless and Severe Mental Illness, Outcasts on MainStreet: A Report of the Federal Task Force on Homelessness and Severe Mental Illness,Washington, DC: Interagency Council on the Homeless, 1992.19 National Coalition for the Homeless, Fact Sheet Number 5, Washington, DC, 1999.20 Kaufman, T.L., Out of Reach: Rental Housing At What Cost? Washington, DC:National Low Income Housing Coalition, 1997.21 Tidmarsh, “Psychiatric aspects of destitution.”22 Lodge Patch, I., “Homeless men in London.”23 Priest, R.G., “The Edinburgh homeless: A psychiatric survey,” American Journal ofPsychotherapy, 25:191–213, 1971.24 Lim, M.H., “A psychiatric emergency clinic: A study of attendances over sixmonths,” British Journal of <strong>Psychiatry</strong>, 143:460–1, 1983.25 Medical Campaign Project, A Paper Outlining Good Practice on Discharge of SingleHomeless People with Particular Reference to Mental Health Units, London: PolicyStudies Institute, 1990.26 Sclare, “Psychiatric disorder among the homeless in Aberdeen;” Hamid, “The socialdisablement of men in hostels for homeless people;” Geddes, “Prevalence ofpsychiatric disorder among homeless people.”27 Adams, “Psychopathology, social and cognitive functioning in a hostel for homelesswomen.”28 Bolton, A., A Study of the Need for and Availability of Mental Health Services forMentally Disordered Jail Inmates and Juveniles in Detention Facilities, Boston: ArthurBolton Associates, 1976; Swank, G.E. and Winer, D., “Occurrence of psychiatricdisorder in a county jail population,” American Journal of <strong>Psychiatry</strong>, 133:1331–3,1976; Schuckit, M.A., Herrman, G. and Schuckit, J.J., “The importance ofpsychiatric illness in newly arrested prisoners,” Journal of Nervous and Mental Disease,165:118–25, 1977; Krefft, K.M. and Brittain, T.H., “A prisoner assessment survey:Screenings of a municipal prison population,” International Journal of Law and<strong>Psychiatry</strong>, 6:113–24, 1983; Teplin, L.A., “The prevalence of severe mental disorderamong male urban jail detainees: Comparison with the Epidemiologic CatchmentArea Program,” American Journal of Public Health, 80: 663–9, 1990; Guy, E., Platt,J.J., Zwerling, I. and Bullock, S., “Mental health status of prisoners in an urban jail,”Criminal Justice and Behavior, 12:29–53, 1985; Chiles, J.A., Von Cleve, E., Jemelka,R.P. and Trupin, E.W., “Substance abuse and psychiatric disorder in prisoninmates,” Hospital and Community <strong>Psychiatry</strong>, 41: 1132–4, 1990; Teplin, L.A., Abram,K.M. and McClelland, G.M., “Prevalence of psychiatric disorders amongincarcerated women. I. Pretrial jail detainees,” Archives of General <strong>Psychiatry</strong>, 53:505–12, 1996; Powell, T.A., Holt, J.C. and Fondacaro, K.M., “The prevalence of mentalillness among inmates in a rural state,” Law and Human Behavior, 21:427–38, 1997;Gibbens, T.C.N., Aspects of After-care. Annual Report, London: Royal LondonPrisoners’ Aid Society, 1996, pp. 8–11; Blugrass, R., A Psychiatric Study of ScottishConvicted Prisoners, MD thesis, University of St <strong>And</strong>rews, Scotland, 1996; Gunn, J.,Robertson, G., Dell, S. and Way, C, Psychiatric Aspects of Imprisonment, London:
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Recovery from SchizophreniaRecovery
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First edition published 1985by Rout
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ContentsAcknowledgments viIntroduct
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devotion to excellence in creating
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ixA NOTE ON THEORYThe materialist t
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Part IBackground
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WHAT IS SCHIZOPHRENIA? 3WHAT IS SCH
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WHAT IS SCHIZOPHRENIA? 5syphilis, n
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WHAT IS SCHIZOPHRENIA? 7Table 1.1-c
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WHAT IS SCHIZOPHRENIA? 9complete sy
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WHAT IS SCHIZOPHRENIA? 13publicatio
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WHAT IS SCHIZOPHRENIA? 17intrusiven
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WHAT IS SCHIZOPHRENIA? 19Figure 1.3
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WHAT IS SCHIZOPHRENIA? 21Brain stru
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WHAT IS SCHIZOPHRENIA? 27of worth,
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Chapter 2Health, illness and the ec
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HEALTH, ILLNESS AND THE ECONOMY 31a
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HEALTH, ILLNESS AND THE ECONOMY 51A
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Part IIThe political economy of sch
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RECOVERY FROM SCHIZOPHRENIA 55impro
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RECOVERY FROM SCHIZOPHRENIA 73Figur
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Table 3.3 Recovery rates in the USA
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RECOVERY FROM SCHIZOPHRENIA 77the l
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RECOVERY FROM SCHIZOPHRENIA 79Table
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MADNESS AND THE INDUSTRIAL REVOLUTI
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25 patients, and on the more distur
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MADNESS AND THE INDUSTRIAL REVOLUTI
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Chapter 6Labor, poverty and schizop
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THE POLITICAL ECONOMY OF SCHIZOPHRE
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Chapter 9The incidence of schizophr
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Part IIITreatment
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ANTIPSYCHOTIC DRUGS: USE, ABUSE AND
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ANTIPSYCHOTIC DRUGS: USE, ABUSE AND
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ANTIPSYCHOTIC DRUGS: USE, ABUSE AND
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TREATMENT 247indicated, unemploymen
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TREATMENT 249success, for the lodge
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TREATMENT 251vocational programming
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TREATMENT 253the job is permanent.
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TREATMENT 255Social enterprises in
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TREATMENT 257pharmacy technicians a
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TREATMENT 261Though these results a
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TREATMENT 263• raise the minimum
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TREATMENT 265• Social policy inno
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TREATMENT 267Table 12.1 Living situ
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TREATMENT 269A JAIL DIVERSION PROGR
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TREATMENT 271the office work and th
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TREATMENT 273One might imagine that
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TREATMENT 275studies may be the res
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TREATMENT 277established for some o
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TREATMENT 279Another residential pr
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TREATMENT 281interest loans and gra
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TREATMENT 283individual’s goals s
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- Page 312 and 313: NotesINTRODUCTION1 Harris, M., Cult
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- Page 322 and 323: NOTES 311unemployment cause the dea
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- Page 348 and 349: NOTES 337Academic Press, 1978; Faul
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- Page 356 and 357: NOTES 345“Schizophrenia is not di
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- Page 380 and 381: BibliographySTUDIES OF THE OUTCOME
- Page 382 and 383: BIBLIOGRAPHY 371Horowitz, W.A. and
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- Page 386 and 387: AUTHOR INDEX 375Dunham, Warren 31Du
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SUBJECT INDEX 385diagnosis of 148;d
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SUBJECT INDEX 387Isle of Wight 33is
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SUBJECT INDEX 389Middlesex, Hanwell
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SUBJECT INDEX 391PACE see Personal
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SUBJECT INDEX 393economic condition
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SUBJECT INDEX 395self-employment 15
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SUBJECT INDEX 397symbolic thinking
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SUBJECT INDEX 399volition disturban