Skip to main content
SpringerLink
Log in

Schizophrenia, Psychiatric Rehabilitation, and Healthy Development: A Theoretical Framework

  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

This paper makes an initial attempt to present a theoretical model for psychiatric rehabilitation based upon the principles of healthy development. The model emphasizes mastery, attachment, and meaning, three aspects of healthy development that have strong empirical support. A discussion of the impairments of schizophrenia related to these three areas is presented, and a rehabilitation model, The Psychiatric Rehabilitation Integrated Service Model, PRISM, is outlined as an example of a rehabilitation program based upon the principles of normal, healthy development.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  1. Anthony, W., Cohen, M., and Farkas, M.: Psychiatric Rehabilitation. Center for Psychiatric Rehabilitation. Boston, Ma., 1990.

    Google Scholar 

  2. Liberman, R.P. (Ed.): Psychiatric Rehabilitation of Chronic Mental Patients. American Psychiatric Press, Washington, D.C., 1988.

    Google Scholar 

  3. Craig, T., Peer, S. and Ross, M. Psychiatric rehabilitation in a state hospital transitional residence: the cottage program at Greystone Park Psychiatric Hospital. In Psychiatric Rehabilitation Programs, Farkas, M. and Anthony, W. (Eds.), The Johns Hopkins University Press, 1989.

  4. Corrigan, P.W., Silverman, R., Stephenson, J. et.al.: Situational familiarity and feature recognition in schizophrenia. Schizophrenia Bulletin, vol.22, no. 1, 153-161, 1996.

    Google Scholar 

  5. Liberman, R.P., Social and Independent Living Skills, Basic Conversation Skills Module, Copyright 1990.

  6. Bellak, A. and Meuser, K.: Psychosocial Treatment of Schizophrenia. Schizophrenia Bulletin, 19, 2, 317-336.

  7. Hogarty, G.E., Anderson, C.M., Reiss, D.J. et.al.: Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia:I. One-year effects of a controlled study on relapse and expressed emotion. Archives of General Psychiatry, 131, 633-642.

  8. Lehman, A.F.: Vocational rehabilitation in schizophrenia. Schizophrenia Bulletin, 21, 4., 645-656, 1995.

    Google Scholar 

  9. Fabian, E.S.: Longitudinal outcomes in supported employment: a serial analysis. Rehabilitation Psychiatry, 37: 23-35, 1992.

    Google Scholar 

  10. Green, M.F. What are the functional consequences of neurocognitive deficits in schizophrenia? American Journal of Psychiatry, 153:3, 321-330, March 1996.

    Google Scholar 

  11. Flannery, R.B., Jr.: Becoming Stress Resistant through the Project Smart Program. Crossroad Press, New York, 1994.

    Google Scholar 

  12. Quoted in R.B. Flannery above, p. 21.

    Google Scholar 

  13. Kagan, J. Galen's Prophecy: Temperament in Human Nature. Basic Books, New York, 1994, pp. 2-6.

    Google Scholar 

  14. Hinkle, L.E., Jr., and Wolfe, H.G.: Ecological investigation of the relationship between illness, life experience, and the social environment. Annals of Internal Medicine, 49, 1373-1378, 1958.

    Google Scholar 

  15. Kobasa, S.C.: Personality and resistance to illness. American Journal of Community Psychiatry, 7, 413-423, 1979.

    Google Scholar 

  16. Maddi, S.R. and Kobasa, S.C. The Hardy Executive: Health Under Stress. Dow-Jones-Irwin, Homewood, Illinois, 1984.

    Google Scholar 

  17. Meissner, W.W.: The Paranoid Process. Jason Aronson, Inc, New York, London, 1978.

    Google Scholar 

  18. Hatfield, A.: Patients' accounts of stress and coping in schizophrenia. Hospital and Community Psychiatry, 40, 1141-1145, 1989.

    Google Scholar 

  19. Strauss, M.E.: Relations of symptoms to cognitive deficits in schizophrenia. Schizophrenia Bulletin, 19, 2, pp. 215-232, 1993.

    Google Scholar 

  20. Braff, D.L.: Information processing and attention dysfunctions in schizophrenia. Schizophrenia Bulletin, 19, 2, pp. 233-260, 1993.

    Google Scholar 

  21. Liberman, R. P., DeRisi, W.J., and Mueser, K.T.: Social Skills Training for Psychiatric Patients, Pergamon Press, New York, pp. 6-10, 1989.

    Google Scholar 

  22. Goffman, I.: Asylums: Essays on the Social Situation of Mental Patients and Other Inmates, Harmondsworth: Penguin, 1968.

    Google Scholar 

  23. Anderson, C.: Schizophrenia and the Family. New York, Guilford Press, 1986.

    Google Scholar 

  24. Blanchard, J.J.: Flat affect in schizophrenia: a test of neuropsychological models. Schizophrenia Bulletin, 20, 2, pp. 311-326, 1994.

    Google Scholar 

  25. Winefield, H.R.: Needs of family caregivers in chronic schizophrenia. Schizophrenia Bulletin, 20, 3, pp. 557-566, 1994.

    Google Scholar 

  26. Gottesman, Irving.: Schizophrenia Genesis. W.H. Freeman and Company, New York, p. 196, 1991.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Metro South Area Office, Massachusetts Department of Mental Health, Medfield, MA, 02052

    David Starkey

  2. Massachusetts Department of Mental Health, Harvard Medical School, USA

    Raymond B. Jr. Flannery

Authors
  1. David Starkey
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Raymond B. Jr. Flannery
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Starkey, D., Flannery, R.B.J. Schizophrenia, Psychiatric Rehabilitation, and Healthy Development: A Theoretical Framework. Psychiatr Q 68, 155–166 (1997). https://doi.org/10.1023/A:1025405721968

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1025405721968

Keywords

Search

Navigation