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Training life skills

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Schizophrenia

Abstract

Our conceptualizations of schizophrenia and other major psychiatric disorders have gone through revolutionary changes in the past 40 years. Prior to the advent of anti-psychotic medications in the mid-1950s, patients suffering with schizophrenia were thought to be caught in an unremitting downward spiral, with little hope for recovery or rehabilitation (Kraepelin, 1919, 1921). In light of this poor prognosis, it is not surprising that treatment efforts typically involved trying to keep patients comfortable, calm, and occupied while they were sequestered away from the stresses and strains of everyday living situations. Persons suffering from schizophrenia frequently resided in asylums or institutions for many years, or lived sheltered lives at a relative’s or friend’s home.

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Note

  1. More information on the Modules can be obtained by writing to the Training Dissemination Co-ordinator, Camarillo-UCLA Research Center, Camarillo State Hospital, Box 6022, Camarillo, CA 93011.

    Google Scholar 

References

  • Alexander, J.M. and MacKain, S.J. (1987) Module Fidelity Measure. Unpublished manuscript. UCLA-NPI Clinical Research Center for Psychiatric Rehabilitation and the Study for Schizophrenia, Los Angeles.

    Google Scholar 

  • Anthony, W.A., Cohen, M.R. and Vitalo, R. (1978) The Measurement of Rehabilitation Outcome. Schizophr. Bull., 4, 365–83.

    Article  Google Scholar 

  • Anthony, W.A. and Liberman, R.P. (1986) The Practice of Psychiatric Rehabilitation. Schizophr. Bull., 12, 542–59.

    Article  PubMed  CAS  Google Scholar 

  • Atthowe, J.M. and Krasner, L. (1968) Preliminary report on the application of contingent reinforcement procedures (token economy) on a ‘chronic’ psychiatric ward. 7. Abnorm. Psychol., 73, 37–43.

    Article  Google Scholar 

  • Ayllon, T. and Azrin, N. (1965) The measurement and reinforcement of behavior of psychotics. J. Exp. Anal. Behav., 8, 357–83.

    Article  PubMed  CAS  Google Scholar 

  • Ayllon, T. and Azrin, N. (1968) The Token Economy: A Motivation System for Therapy and Rehabilitation. Appleton-Century-Crofts, New York

    Google Scholar 

  • Azrin, N.H. and Besalel, V.A. (1980) Job Club Counselor’s Manual. University Park Press, Baltimore

    Google Scholar 

  • Bachrach, L.L. (1983) An overview of deinstitutionalization. In New Directions for Mental Health Services: Deinstitutionalization. L. Bachrach (ed), Jossey-Bass, San Francisco, pp. 5–14.

    Google Scholar 

  • Beard, J.H., Malamud, T.J. and Rossman, E. (1978) Psychiatric rehabilitation and long-term rehospitalization rates: The findings of two research studies. Schizophr. Bull., 4, 622–35.

    Article  PubMed  CAS  Google Scholar 

  • Bellack, A.S. and Mueser, K.T. (1986) A comprehensive treatment programme for schizophrenia and chronic mental illness. Community Ment. Health J., 22, 175–89.

    Article  PubMed  CAS  Google Scholar 

  • Brewin, C.R., Wing, J.K., Mangen, S.P., Brugha, T.S., McCarthy, B. and Lesage, A. (1988) Needs for care among the long-term mentally ill: Report from the Camberwell high contact survey. Psychol. Med., 18, 457–68.

    Article  PubMed  CAS  Google Scholar 

  • Butler, R.J. (1979) An analysis of individual treatment on a token economy for chronic schizophrenic patients. Br. J. Med. Psychol., 52, 235–43.

    Article  PubMed  CAS  Google Scholar 

  • Carlson, C.G., Hersen, M. and Eisler, R.M. (1972) Token economy programmes in the treatment of hospitalized adult psychiatric patients. J. Nerv. Ment. Dis., 155, 192–204.

    Article  PubMed  CAS  Google Scholar 

  • Curran, J.P., Faraone, S.V. and Dow, M.G. (1985) Schizophrenia and other psychotic disorders. In Practice of Inpatient Behaviour Therapy: A Clinical Guide. M. Hersen (ed), Grune & Stratton, New York, pp. 113–39.

    Google Scholar 

  • Dawson, M.E. and Nuechterlein, K.H. (1984) Psychophysiological dysfunctions in the developmental course of schizophrenic disorders. Schizophr. Bull., 10, 204–32.

    Article  PubMed  CAS  Google Scholar 

  • Drake, R.E. and Sederer, L.I. (1986) The adverse effects of intensive treatment of chronic schizophrenia. Compr. Psychiatry, 27, 313–26.

    Article  PubMed  CAS  Google Scholar 

  • Eckman, T.A., Liberman, R.P., Phipps, C.C. and Blair, K.E. (1990) Teaching medication management skills to schizophrenic patients. J. Clin. Psychopharmacol., 10, 33–8.

    Article  PubMed  CAS  Google Scholar 

  • Falloon, I.R.H., Boyd, J.L., McGill, C.W. et al. (1982) Family management in the prevention of exacerbation of schizophrenia: A controlled study. N. Eng. J. Med, 306, 1437–40.

    Article  CAS  Google Scholar 

  • Gardos, G. and Cole, J.O. (1976) Maintenance antipsychotic therapy: Is the cure worse than the disease? Am. J. Psychiatry, 133, 32–6.

    PubMed  CAS  Google Scholar 

  • Hogarty, G.E., Anderson, CM., Reiss, D.J. et al. (1986) Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia: I. One-year effects of a controlled study on relapse and expressed emotion. Arch. Gen. Psychiatry, 43, 633–42.

    Article  PubMed  CAS  Google Scholar 

  • Jacobs, H.E., Kardashian, S., Kreinbring, R.K., Ponder, R. and Simpson, A.S. (1984) A skills oriented model for facilitating employment among psychiatrically disabled persons. Rehabilitation Couns. Bull., 28, 87–96.

    Google Scholar 

  • Kane, J.M. and Mayerhoff, D. (1989) Do negative symptoms respond to pharmacological treatment? Br. J. Psychiatry, 155, 115–8.

    Google Scholar 

  • Kazdin, A.E. (1977) The Token Economy: A Review and Evaluation. Plenum, New York.

    Book  Google Scholar 

  • Kazdin, A.E. (1982) The token economy: A decade later. J. Appl. Behav. Anal, 15, 431–45.

    Article  PubMed  CAS  Google Scholar 

  • Kazdin, A.E. (1985) The token economy. In Evaluating Behavior Therapy Outcome. R. Turner and L.M. Asher (eds), Spring Publishing Co, New York, pp. 225–53.

    Google Scholar 

  • Kraepelin, E. (1919) Dementia Praecox and Paraphrenia. Translated and edited by R.M. Barclay and G.M. Robertson, E. and S. Livingstone, Edinburgh.

    Google Scholar 

  • Kraepelin, E. (1921) Manic Depressive Insanity and Paranoia. Translated and edited by R.M. Barclay and G.M. Robertson., E. and S. Livingstone, Edinburgh.

    Google Scholar 

  • Liberman, R.P., Falloon, I.R.H., and Wallace, C.J. (1984) Drug-psychosocial interactions in the treatment of schizophrenia. In The Chronically Mentally Ill: Research and Services. M. Marabi (ed), Spectrum, New York, pp. 175–212.

    Chapter  Google Scholar 

  • Lindsley, O.R. (1954) Opérant conditioning methods applied to research in chronic schizophrenia. Psychiatry Res. Rep., 5, 118–53.

    Google Scholar 

  • Lindsley, O.R. (1960) Characteristics of the behavior of chronic psychotics as revealed by free-operant conditioning methods. Dis. Nerv. System, 21, 66–78.

    Google Scholar 

  • Lindsley, O.R. and Skinner, B.F. (1954) A method for the experimental analysis of psychotic patients. Am. Psychol., 9, 419–20.

    Google Scholar 

  • MacKain, S. and Wallace C.J. (1988) Evaluation of Social and Independent Living Skills. Unpublished manuscript. UCLA-NPI Clinical Research Center for Psychiatric Rehabilitation and the Study of Schizophrenia, Los Angeles.

    Google Scholar 

  • Marder, S.R., Van Putten, T., Eckman, T. et al. (1989) Low dose pharmacotherapy and skills training. Schizophr. Res., 2, 211.

    Article  Google Scholar 

  • Mueser, K.T. and Berenbaum, H. (1990) Editorial: Psychodynamic treatment of schizophrenia: Is there a future? Psychol. Med., 20, 253–62.

    Article  PubMed  CAS  Google Scholar 

  • Nuechterlein, K. and Dawson, M. (1984) Information processing and attentional functioning in the developmental course of schizophrenic disorders. Schizophr. Bull., 10, 160–203.

    Article  PubMed  CAS  Google Scholar 

  • Pattison, E.M., Llamas, R. and Hurd, G. (1979) Social network mediation of anxiety. Psychiatr. Ann., 9, 474–82.

    Google Scholar 

  • Paul, G.L. and Lentz, R.J. (1977) Psychosocial Treatment of Chronic Mental Patients: Milieu Versus Social-Learning Programs. Harvard University Press, Cambridge, MA.

    Google Scholar 

  • Presley, A.S., Grubb, A.B. and Semple, D. (1982) Predictors of successful rehabilitation in longstay patients. Acta Psychiatr. Scand., 66, 83–8.

    Article  Google Scholar 

  • Prudo, R. and Blum, H.M. (1987) Five-year outcome and prognosis in schizophrenia: A report from the London Field Research Centre of the International Pilot Study of Schizophrenia. Br. J. Psychiatry, 150, 345–54.

    Article  PubMed  CAS  Google Scholar 

  • Rosen, A.J., Sussman, S.Y., Mueser, K.T., Lyons, J.S. and Davis, J.M. (1981) Behavioural assessment of psychiatric inpatients and normal controls across different environmental contexts. J. Behav. Assess., 3, 25–36.

    Article  Google Scholar 

  • Stein, L.I. and Test, M.A. (1980) An alternative to mental hospital treatment I: Conceptual model treatment programme, and clinical evaluation. Arch. Gen. Psychiatry, 37, 392–7.

    Article  PubMed  CAS  Google Scholar 

  • Stein, I. and Test, M.A. (eds) (1985) The Training in Community Living Model: A Decade of Experience. Jossey-Bass Inc., San Francisco.

    Google Scholar 

  • Stephens, J.H. (1978) Long-term prognosis and follow-up in schizophrenia. Schizophr. Bull., 4, 25–47.

    Article  PubMed  CAS  Google Scholar 

  • Sylph, J.A., Ross, H.E. and Kedward, H.B. (1977) Social disability in chronic psychiatric patients. Am. J. Psychiatry, 134, 1391–4.

    PubMed  CAS  Google Scholar 

  • Tessler, R.C. and Manderscheid, R.W. (1982) Factors affecting adjustment to community living. Hosp. Community Psychiatry, 33, 203–7.

    PubMed  CAS  Google Scholar 

  • Test, M.A., Knoedler, W.H. and Allness, D.J. (1985) The long-term treatment of young schizophrenics in a community support program. In The Training in Community Living Model: A Decade of Experience. L.I. Stein and M.A. Test (eds), Jossey-Bass Inc., San Francisco, pp. 17–27.

    Google Scholar 

  • Test, M.A., Knoedler, W.H. and Allness, D.J. (1989) Long-term community care through an assertive continuous treatment team. Schizophr. Res., 2, 230.

    Article  Google Scholar 

  • Van Putten, T. (1974) Why do schizophrenic patients refuse to take their drugs? Arch. Gen. Psychiatry, 31, 67–72.

    Article  PubMed  Google Scholar 

  • Wallace, C.J. (1988) Adoption of Innovations in Mental Health: Progress Report to the Department of Mental Hygiene, State of California. UCLA-NPI Clinical Research Center for Psychiatric Rehabilitation and the Study of Schizophrenia, Los Angeles.

    Google Scholar 

  • Wallace, C.J. and Liberman, R.P. (1985) Social skills training for patients with schizophrenia: A controlled clinical trial. Psychiatry Res., 15, 239–47.

    Article  PubMed  CAS  Google Scholar 

  • Witheridge, T.F. and Dincin, J. (1985) The bridge: An assertive outreach program in an urban setting. In The Training in Community Living Model: A Decade of Experience. L.I. Stein and M.A. Test (eds), Jossey-Bass, San Francisco, pp. 65–76.

    Google Scholar 

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Authors
  1. Shirley M. Glynn
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  2. Sally MacKain
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Editor information

Editors and Affiliations

  1. Department of Psychology, University of Sydney, Australia

    David J. Kavanagh Dip.Psychol. PhD (Senior Lecturer in Psychology) (Senior Lecturer in Psychology)

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© 1992 Springer Science+Business Media Dordrecht

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Glynn, S.M., MacKain, S. (1992). Training life skills. In: Kavanagh, D.J. (eds) Schizophrenia. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-4457-3_26

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  • DOI: https://doi.org/10.1007/978-1-4899-4457-3_26

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-38900-9

  • Online ISBN: 978-1-4899-4457-3

  • eBook Packages: Springer Book Archive

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