In 1895 there was not a single case of dementia praecox reported in the United States. By 1912 there were tens of thousands of people with this diagnosis locked up in asylums, hospitals, and jails. By 1927 it was fading away . How could such a terrible disease be discovered, affect so many lives, and then turn out to be something else?

In vivid detail, Richard Noll describes how the discovery of this mysterious disorder gave hope to the overworked asylum doctors that they could at last explain—though they could not cure—the miserable patients surrounding them. The story of dementia praecox, and its eventual replacement by the new concept of schizophrenia, also reveals how asylum physicians fought for their own respectability. If what they were observing was a disease, then this biological reality was amenable to scientific research. In the early twentieth century, dementia praecox was psychiatry’s key into an increasingly science-focused medical profession.

But for the moment, nothing could be done to help the sufferers. When the concept of schizophrenia offered a fresh understanding of this disorder, and hope for a cure, psychiatry abandoned the old disease for the new. In this dramatic story of a vanished diagnosis, Noll shows the co-dependency between a disease and the scientific status of the profession that treats it. The ghost of dementia praecox haunts today’s debates about the latest generation of psychiatric disorders.

How does a parent make sense of a child’s severe mental illness? How does a father meet the daily challenges of caring for his gifted but delusional son, while seeking to overcome the stigma of madness and the limits of psychiatry?  W. J. T. Mitchell’s memoir tells the story—at once representative and unique—of one family’s encounter with mental illness and bears witness to the life of the talented young man who was his son.

 Gabriel Mitchell was diagnosed with schizophrenia at age twenty-one and died by suicide eighteen years later. He left behind a remarkable archive of creative work and a father determined to honor his son’s attempts to conquer his own illness. Before his death, Gabe had been working on a film that would show madness from inside and out, as media stereotype and spectacle, symptom and stigma, malady and minority status, disability and gateway to insight. He was convinced that madness is an extreme form of subjective experience that we all endure at some point in our lives, whether in moments of ecstasy or melancholy, or in the enduring trauma of a broken heart. Gabe’s declared ambition was to transform schizophrenia from a death sentence to a learning experience, and madness from a curse to a critical perspective.    

Shot through with love and pain, Mental Traveler shows how Gabe drew his father into his quest for enlightenment within madness. It is a book that will touch anyone struggling to cope with mental illness, and especially for parents and caregivers of those caught in its grasp.
 

The Psyche and Schizophrenia offers a remarkably clear and comprehensive treatment of biopsychosocial development and psychotic processes. This extraordinary work lays the theoretical foundation for understanding the relationships between feeling and thinking (affect and logic) in normal as well as in pathological conditions, especially schizophrenia. Ciompi's affective-cognitive theory integrates interpersonal, familial, and social interactions with intrapsychic mental structures and yields startling new insights into the origins of "schizophrenic alienation." While Ciompi acknowledges the important role that genetic and biological models play in schizophrenia, he maintains that it is largely the psychosocial factors that determine long-term prognosis. Thus, The Psyche and Schizophrenia elaborates a number of new therapeutic approaches to the management of biological as well as environmental influences.

Drawing upon Piaget, Freud, and systems theory, as well as advanced current research, Ciompi develops a new model of the normal and pathological functioning of the psyche. This model presents cognition and emotion, the structure of logic and the dynamics of affects, as a complementary system governed by "ubiquitous laws of equilibrium."

In this brilliant synthesis of theoretical and empirical research, Ciompi proposes his novel theory of an "affectlogic" that probes the affective structures of logic as well as the logical structures of the emotions. Original in its conception and elegantly written, The Psyche and Schizophrenia is a major contribution to research on schizophrenia, and its penetrating insights and thorough analysis are sure to enrich the field of psychiatry for years to come.

Explores how the scientific concepts of information and representation can be used to understand subjective mental phenomena and integrate them in empathic clinical dialogues during interactions with patients.

Psychopathology: An Empathic Representational Approach retraces the foundations of classical phenomenological psychopathology and integrates them with modern ideas drawn from anthropology, cognitive neuroscience, computational science, and evolutionary biology to synthesize a comprehensive framework and provide fresh insights. It explores key issues in clinical psychopathology coherently and systematically, illustrates advanced topics in an accessible manner using clinical case examples, metaphors, and clarifying diagrams, and directly links advanced conceptual frameworks with pragmatic skills in the clinical dialogue process.

This volume is aimed at a broad audience of mental health professionals, researchers, and students in psychiatry, psychology, and social work. Its interdisciplinary treatment of the subject will also interest biologists, anthropologists, cognitive psychologists, neuroscientists, and philosophers.

Fills a gap in research by focusing psychosis studies on those affected in Hong Kong.

Psychosis and Schizophrenia in Hong Kong covers some of the most serious mental health conditions that top the global disease burden and affect three percent of the general population. However, most research on psychotic disorders is undertaken in the West, and few studies have been systematically carried out in Asia despite global interest in regional differences. This work offers a unique and coherent account of these disorders and their treatment in Hong Kong over the last thirty years.

Chen and his research program’s pioneering work has ranged from the impact of early intervention on outcomes and relapse prevention to the renaming of psychosis to reduce stigma. The studies have contributed to wider international debates on the optimal management of the condition. Their investigations in semantics and cognition, as well as cognition-enhancing exercise interventions, have provided novel insights into deficits encountered in the treatment of psychotic disorders and how they might be ameliorated. The research has also explored subjective experiences of psychosis and elicited unique perspectives in patients of Asian origin.

Each topic is divided into three sections: a global background of the challenges encountered; research findings from Hong Kong; and reflections that place the data in scientific and clinical contexts and offer future directions.

Schizophrenia: Science and Practice brings together the work of many of today's most distinguished authorities in psychiatry. From diverse perspectives, these specialists review what is presently known—and unknown—about schizophrenia. The conceptual underpinnings of the diagnosis of schizophrenic illness, recent elaborations of psychosocial and developmental theories, current genetic and biochemical research, and traditional as well as newer treatment approaches are among the topics discussed in this unusually clear and lively account.

How effective are contemporary psychotherapeutic approaches to schizophrenia? What drug therapies are being used or proposed, and why? What about the treatment milieu and the difficult strategic questions surrounding the recent movement toward the “deinstitutionalization” of schizophrenic patients? Ultimately, should schizophrenia be defined as a toxic illness or as a way of life? In attempting to answer these and other questions, Dr. Shershow is joined by contributors Irwin Savodnik, Seymour Kety, Theodore Udz, Gerald Klerman, Ian Creese, Solomon Snyder, Leo Hollister, Jonathan Borus, Daniel Schwartz, and Loren Mosher, among others.

All the issues confronting psychiatry as a self-conscious discipline within contemporary medicine converge on the problem of schizophrenia. The important hope Schizophrenia: Science and Practice raises is that a fruitful pluralism among the variety of approaches to schizophrehia, and to psychiatric problems in general, can be sustained.