1.

Record Nr.

UNINA9910734096303321

Titolo

Recovery and major mental disorders / / Bernardo Carpiniello, Antonio Vita and Claudio Mencacci, editors

Pubbl/distr/stampa

Cham, Switzerland : , : Springer, , [2022]

©2022

ISBN

3-030-98301-3

Descrizione fisica

1 online resource (264 pages)

Collana

Comprehensive approach to psychiatry ; ; Volume 2

Disciplina

616.898

Soggetti

Schizophrenia - Treatment

Affective disorders - Treatment

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references.

Nota di contenuto

Intro -- Foreword -- Introductory Remarks. The Recovery Model in Mental Health -- Contents -- Part I: Recovery in Schizophrenia and Related Disorders -- 1: Dimensions and Course of Clinical Recovery in Schizophrenia and Related Disorders -- 1.1  Introduction -- 1.2  Clinical Recovery -- 1.2.1  Conceptual Heterogeneity of Clinical Recovery -- 1.2.2  Prevalence of Clinical Recovery -- 1.2.2.1  Methodological Issues -- 1.2.2.2  Data from Studies Based on Prevalent Cases -- 1.2.2.3  Data from Studies Based on Incident Cases -- 1.2.2.4  Data from Meta-analytical Studies -- 1.2.3  Time Course of Recovery -- 1.2.4  Recovery Beyond Schizophrenia -- 1.2.5  Recovery in the Elderly -- 1.3  Clinical and Personal Recovery -- 1.3.1  Personal Recovery -- Definitions, Characteristics, Processes, Stages -- 1.3.2  Clinical vs. Personal Recovery -- 1.4  Concluding Remarks -- References -- 2: Determinants of Clinical Recovery in Schizophrenia -- 2.1  Introduction -- 2.2  Cross-Sectional Assessment of Determinants of Clinical Recovery -- 2.2.1  Neurocognitive Deficits -- 2.2.2  Deficits of Functional Capacity -- 2.2.3  Deficits of Social Cognition -- 2.2.4  Negative Symptoms -- 2.2.5  Other Potential Predictors or Mediators of Clinical Recovery -- 2.3  Longitudinal Assessment of Determinants of Clinical Recovery -- 2.3.1  Neurocognitive Deficits -- 2.3.2  Deficits of Functional Capacity and Social Cognition -- 2.3.3  Negative Symptoms -- 2.4  Conclusions -- References -- 3: Personal Recovery



in Schizophrenia: A Narrative Review -- 3.1  Introduction -- 3.2  From Remission to Recovery -- 3.3  How Many Types of Recovery -- 3.4  The Content of Personal Recovery -- 3.5  Consumer Models of Recovery -- 3.6  Stigma and Resilience -- 3.7  From Values to Recovery -- 3.8  A Pragmatic View About Personal Recovery -- 3.9  Conclusions -- References.

4: Personal Recovery Within Forensic Settings -- 4.1  Introduction -- 4.2  Personal Recovery -- 4.3  Forensic Settings and Practice -- 4.4  Forensic Recovery -- 4.5  Particular Issues -- 4.5.1  Ethics -- 4.5.2  Complexity, Co-morbidity and Personality Disruption -- 4.5.3  Offending Behaviour -- 4.6  Future Work and Directions -- References -- 5: Stigma and Attitude Towards Personal Recovery from Mental Illness Among Italian Mental Health Professionals -- 5.1  Introduction -- 5.2  Attitudes and Stigma Displayed by Mental Health Professionals Towards the Mentally Ill: Selected Studies Conducted in Italian Facilities -- 5.3  Assessment of Staff Knowledge and Attitudes Towards Recovery Principles -- 5.3.1  Quantitative Methods -- 5.4  Measures of Recovery Orientation in Mental Health Services -- 5.5  Italian Study of the Knowledge of and Attitudes Displayed Towards Personal Recovery from Mental Illness by Mental Health Operators -- 5.6  Conclusions -- References -- 6: Psychosocial Recovery-Oriented Interventions in Schizophrenia -- 6.1  Background -- 6.1.1  Evidence-Based Psychosocial Practices -- 6.1.2  Psychoeducation and Family Interventions -- 6.1.3  Cognitive Behavioural Therapy for Psychosis -- 6.1.4  Social Skills Training -- 6.1.5  Vocational Rehabilitation: Supported Employment and Prevocational Training -- 6.1.6  Cognitive Remediation -- 6.1.7  Social Cognitive Training -- 6.1.8  Metacognitive Training -- 6.1.9  Healthy Lifestyle Interventions and Physical Exercise -- 6.1.10  Assertive Community Treatment -- 6.1.11  Illness Self-Management Training -- 6.1.12  Integrated Interventions -- 6.1.13  Integrated Early Intervention for Psychosis -- 6.1.14  Integrated Interventions for Co-occurring Substance Use Disorder -- 6.2  Critical Issues and Future Challenges -- References.

7: Recovery from Psychosis: Emerging Definitions, Research and Select Clinical Application -- 7.1  Introduction -- 7.2  Historical Views of Outcome from Psychosis and the Emergence of the Concept of Recovery -- 7.2.1  The Challenge of Defining Recovery -- 7.2.2  Objective and Subjective Domains of Recovery -- 7.2.3  Recovery, the Self, and Metacognition -- 7.3  General Implications for Recovery-Oriented Practice -- 7.4  Four Emerging Forms of Recovery Oriented Treatments -- 7.5  Reflections, Limitations, and Future Directions -- References -- 8: Treatments and Recovery to Enhance Employment Outcomes for People with Schizophrenia and Other Major Mental Disorders: An Innovative Clinical and Organisational Model of Work Inclusion in Milan and Surrounding Area -- 8.1  Introduction -- 8.2  How to Improve Employment Outcomes for People with Schizophrenia and Other Major Mental Disorders. A Brief Introduction to the Main Models and Issues -- 8.3  Supporting Employment in an Advanced Welfare Context. Treatments, Recovery, Regulatory Changes and Methodological and Organisational Issues in the City of Milan -- 8.4  The Development of Regional Innovative Programme TR-106 Between 2009 and 2019 and Its Impact -- 8.5  Sample Description and Outcome -- 8.6  Perspectives, Critical Issues and Conclusions -- References -- 9: Recovery-Oriented Psychopharmacological Interventions in Schizophrenia -- 9.1  Introduction -- 9.1.1  Historical Aspects: From Chemical Contention to Remission and Recovery -- 9.1.2  Clinical Recovery May Not Be Patient Recovery -- 9.1.3  Psychopharmacological Interventions Among Other Factors of Recovery



-- 9.1.4  How to Assess Functional Remission -- 9.1.5  The Place of Functional Remission/Recovery in Pharmacological Trials -- 9.2  The Impact of Psychopharmacological Interventions on Recovery.

9.2.1  The Positive Impact of Psychopharmacological Interventions -- 9.2.2  The Problem of Adherence -- 9.2.2.1  The Impact of Side Effects on Adherence and Well-Being -- 9.2.2.2  Using Different Pharmacological Approaches to Diminish Side Effects -- 9.2.2.3  Using Long-Acting Injectable Antipsychotics to Enhance the Potential for Recovery -- 9.2.3  Using Antipsychotic Polypharmacy to Diminish the Risk of Hospitalization -- 9.2.4  Shared Decision-Making to Improve Adherence and Empowerment -- 9.2.5  Recent Pharmacological Advances -- 9.2.5.1  Partial Agonists at the D2 Receptor -- 9.2.5.2  Anti-inflammatory Strategies -- 9.2.5.3  Other Promising Pharmacological Agents -- 9.3  Conclusion -- References -- Part II: Recovery in Mood Disorders -- 10: Predictors of Clinical Recovery in Bipolar Disorders -- 10.1  Introduction -- 10.2  Remission in Bipolar Disorders -- 10.2.1  Definition of Remission -- 10.2.2  Treatment Strategies for Remission -- 10.2.2.1  Acute Mania -- 10.2.2.2  Acute Bipolar Depression -- 10.2.2.3  Mixed States -- 10.3  From Symptomatic to Functional Recovery -- 10.3.1  Maintenance Treatment of Bipolar Disorder -- 10.3.2  Residual Symptoms -- 10.4  Functional Recovery -- 10.4.1  The Pathway to Recovery in Bipolar Disorder: Functional Remediation -- 10.5  Conclusions -- References -- 11: Psychosocial Recovery-Oriented Treatments in Bipolar Disorders -- 11.1  Psychosocial Functioning in Bipolar Disorder -- 11.2  Defining and Measuring Psychosocial Functioning -- 11.3  Variables Related with Psychosocial Functioning -- 11.4  Restoring Psychosocial Functioning -- 11.4.1  Pharmacological Interventions -- 11.4.2  Psychological Interventions -- 11.5  Preventing Functional Decline -- 11.5.1  Addressing Subthreshold Depressive Symptoms -- 11.5.2  Enhancing Cognitive Reserve -- 11.5.3  Diet and Physical Exercise -- 11.5.4  Multicomponent Programs.

11.6  Personal Recovery: Well-Being and QoL -- 11.6.1  Pharmacological Interventions -- 11.6.2  Psychological Interventions -- 11.7  Conclusions -- References -- 12: Psychopharmacological Recovery-Oriented Treatments in Bipolar Disorders -- 12.1  Introduction -- 12.2  Psychopharmacological Treatment of Bipolar Phases -- 12.2.1  Acute Mania in Bipolar Disorder -- 12.2.2  Rapid Cycling Bipolar Disorder -- 12.2.3  Bipolar Depression -- 12.2.4  Mixed States in Bipolar Disorder -- 12.3  Treatment-Resistant Bipolar Disorder (Augmentation Strategies) -- 12.4  Special Populations -- 12.4.1  Pregnancy -- 12.4.2  Breastfeeding -- 12.5  Maintenance of Bipolar Disorder -- 12.6  Prophylaxis of Bipolar Disorder -- 12.6.1  Antipsychotic Long-Acting Injections in Bipolar Disorder -- 12.7  Conclusions -- References -- 13: Dimensions and Predictors of Personal Recovery in Major Depression -- 13.1  Introduction -- 13.2  From Response to Full Functional Recovery in MDD: History of Outcome Definitions in the Treatment for MDD -- 13.3  Dimensions of Personal Recovery in Severe Mental Disorders -- 13.4  Personal Recovery in Major Depression -- 13.5  The Way Forward -- 13.6  Conclusions -- References -- 14: Recovery-Oriented Treatments in Major Depressive Disorder -- 14.1  Toward a Recovery-Oriented Model of Major Depression -- 14.2  Toward Full Functional Recovery: How to Improve Patients' Outcome with Personalized and Precision Interventions -- 14.3  Recovery-Oriented Pharmacological Treatments -- 14.4  Psychotherapies and the Role of Combination Therapies -- 14.5  Psychosocial Interventions -- 14.6  Conclusions -- References.