الفهرس | Only 14 pages are availabe for public view |
Abstract Schizophrenia does not seem to know boundaries. The syndrome that characterizes it has been seen and well described in vastly varying settings and cultures (Sartorius. 2001). People with schizophrenia should have the same right to hiiih standards of treatment, and as good a quality of life, as people with other chronic recurrent illnesses. Sadly, they do not often receive the former or achieve the latter (Liebennan & Murray. 2001). Schizophrenia is the most common serious menial illness It imposes a burden not only on the patient, but also on families, the health services, and wider society. It is certainly an expensive illness to treat (Knapp, 1997). People with schizophrenia are people, not merely a collection of psychiatric symptoms, and adequate treatment of schizophrenia must focus not only on symptom management but also on helping the ill person, as far as possible, to live a happy, socially connected, and fulfilling life (Cancro & Meyerscm, 1999). A treatment approach that is confined to only the biological or only the environmental factors in schizophrenia cannot encompass the complexity of the i”:-:;r,s and will fail to provide the maximum possible benefit to the patient (Lefi. 1994). Good clinical management of schizophrenia usually requires close collaboration with families (Halford, 1992). Three factors, all sequelae to the deinstitutionalization movement, were particularly salient in prompting the shift toward viewing family members as an important resource in the management and social rehabilitation of schizophrenia patients: (1) research documenting that negative family affect toward the patient is predictive of symptom relapses; (2) recognition of the heavy burden on family members of caring for the ill relative. |