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Titolo:
The American Psychiatric Association practice guidelines for schizophrenia: Scientific base and relevance for behavior therapy
Autore:
Bellack, AS; Buchanan, RW; Gold, JM;
Indirizzi:
Univ Maryland, Sch Med, VA Capitol Hlth Care Network MIRECC, College Pk, MD 20742 USA Univ Maryland College Pk MD USA 20742 rk MIRECC, College Pk, MD 20742 USA
Titolo Testata:
BEHAVIOR THERAPY
fascicolo: 2, volume: 32, anno: 2001,
pagine: 283 - 308
SICI:
0005-7894(200121)32:2<283:TAPAPG>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; SEVERE MENTAL-ILLNESS; SOCIAL SKILLS; SUPPORTED EMPLOYMENT; FAMILY PSYCHOEDUCATION; PSYCHOSOCIAL TREATMENT; INDIVIDUAL PLACEMENT; EXPRESSED EMOTION; DOUBLE-BLIND; MAINTENANCE CHEMOTHERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
92
Recensione:
Indirizzi per estratti:
Indirizzo: Bellack, AS ABPP, 737 W Lombard St,Suite 551, Baltimore, MD 21201 USA ABPP737 W Lombard St,Suite 551 Baltimore MD USA 21201 201 USA
Citazione:
A.S. Bellack et al., "The American Psychiatric Association practice guidelines for schizophrenia: Scientific base and relevance for behavior therapy", BEHAV THER, 32(2), 2001, pp. 283-308

Abstract

The American Psychiatric Association's practice guidelines for schizophrenia provide a general blueprint for treating people with the illness. They are primarily oriented toward psychiatrists and pharmacological management. However, the guidelines also discuss the importance of psychosocial treatments, including behavioral therapy techniques. We provide an overview of thetreatment guidelines and their empirical base. The pharmacological recommendations are generally consonant with the literature, albeit they have become somewhat dated due to the rapid progress in studies of the effects of new generation antipsychotics. We next review recommendations concerning social skills training, cognitive therapy and rehabilitation. behavioral familytherapy, and vocational rehabilitation. Overall, the guidelines are quite positive about the potential benefit of these interventions, but they are appropriately conservative in interpreting the literature. There are promising data to support the efficacy of each of these approaches, but effectiveness data are lacking and questions remain about their actual impact on community functioning. Schizophrenia has not received sufficient attention frombehavior therapists since the early successes achieved by operant programs. The optimistic stance taken by the guidelines should, if anything, encourage students to pursue careers working with this very needy population.

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Documento generato il 17/02/20 alle ore 17:15:38