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Efficacy of Psychotherapy for Schizophrenia

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Handbook of Effective Psychotherapy

Part of the book series: The Plenum Behavior Therapy Series ((PBTS))

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Abstract

Schizophrenia is one of the most debilitating adult mental illnesses. More psychiatric hospital beds are occupied by persons with schizophrenia than any other psychiatric disorder, and the illness accounts for the majority of admissions to psychiatric hospitals. Over the past 35 years, significant gains have been made in both the pharmacological and psychosocial treatment of schizophrenia. Despite these gains, the effects of the illness continue to be pervasive and chronic. The limited efficacy of currently available treatments for schizophrenia is illustrated by the high rate of relapse for outpatients living in the community and the poor social functioning of most patients. Because schizophrenia tends to be a socially impairing and chronic illness, even in patients who receive optimal treatment, distinguishing effective from ineffective treatments can be difficult in clinical practice. For this reason, it is vital for clinical decision making to be guided by the results of appropriately controlled and executed outcome studies that examine the efficacy of various treatment approaches. The present chapter evaluates the evidence supporting the effectiveness of different types of psychotherapeutic treatment for schizophrenia in order to aid clinicians in selecting interventions with the most promise. Prior to reviewing the treatment outcome research on schizophrenia, an overview of the illness is provided and a conceptual model for guiding treatment is described.

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Authors and Affiliations

  1. Department of Psychiatry, Medical College of Pennsylvania at Eastern Pennsylvanis Psychiatric Institute, Philadelphia, Pennsylvania, 19129, USA

    Kim T. Mueser

  2. West Los Angeles VA Medical Center (Brentwood Division), University of California, Los Angeles, Los Angeles, California, 90073, USA

    Shirley M. Glynn

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  1. Kim T. Mueser
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  1. Associates in Managed Care, 10200 East Girard Avenue, Suite C-356, Denver, Colorado, 80231, USA

    Thomas R. Giles

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Mueser, K.T., Glynn, S.M. (1993). Efficacy of Psychotherapy for Schizophrenia. In: Giles, T.R. (eds) Handbook of Effective Psychotherapy. The Plenum Behavior Therapy Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2914-9_14

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