Psychosis And Schizophrenia In Hong Kong

This book covers some of the most serious mental health conditions that top the global disease burden and affect 3% 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 programme’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 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. “This book contains important research into specific problems facing persons with psychosis and schizophrenia in Hong Kong, arising from environment factors, stigma, and treatment shortfalls. Its insights would help “overcome barriers to facilitate mental health work”, which is how Professor Eric Chen describes the work of the Advisory Committee on Mental Health, and what he has admirably devoted himself to do over the years.” —Wong Yan-Lung SC, chairman, Advisory Committee on Mental Health, Hong Kong, 2017–2023 ‘This learned and comprehensive opus about schizophrenia, its causes, course, and outcomes reaches far beyond its regional scope and presents the best of the world’s current knowledge about schizophrenia as well as the significant contribution to it made by the authors working in Hong Kong.’ —Norman Sartorius, MD, PhD, FRCPsych, president, Association of the Improvement of Mental Health Programs, Geneva

Impairments in social functioning are among the hallmark characteristics of schizophrenia. These deficits predict relapse rate and may be independent of better-studied symptoms such as hallucinations. Additionally, studies indicate that social functioning is one of the most important domains for individuals with schizophrenia, many of whom consider social functioning to be a key area of unmet need. Social Cognition and Interaction Training (SCIT) is a group psychotherapy for individuals with schizophrenia and other psychotic disorders. Social cognition refers to the thinking processes that people use to navigate the social world. Deficits in social cognition hinder people with schizophrenia and other mental illnesses from living meaningful, socially connected lives. The SCIT Clinician Guide provides comprehensive instruction for mental health professionals to enhance social cognition and promote rewarding social lives for their clients. SCIT is appropriate for adults suffering from psychotic illness and who have interpersonal difficulties as a result. SCIT is particularly appropriate for individuals with symptoms of suspiciousness and paranoia. The authors summarize the rationale and theoretical underpinnings of SCIT, distinguish it from other treatments for psychosis, provide an overview of the intervention, explain the links between the intervention activities and the underlying theoretical model, and describe SCIT implementation session-by-session. SCIT is a 20- to 24-week group-based treatment that can be delivered by mental health clinicians of all levels in a wide range of community and hospital settings. SCIT uses exercises, games, discussion formats, and interactive social stimuli to target and improve specific areas of social cognitive dysfunction, and includes user-friendly tips and handouts for clients. It also provides web access to a library of videos, images and slide shows that are used to bring the SCIT training sessions to life.

It is well known that American culture is a dominant force at home and abroad; our exportation of everything from movies to junk food is a well-documented phenomenon. But is it possible America's most troubling impact on the globalizing world has yet to be accounted for? In Crazy Like Us, Ethan Watters reveals that the most devastating consequence of the spread of American culture has not been our golden arches or our bomb craters but our bulldozing of the human psyche itself: We are in the process of homogenizing the way the world goes mad. America has been the world leader in generating new mental health treatments and modern theories of the human psyche. We export our psychopharmaceuticals packaged with the certainty that our biomedical knowledge will relieve the suffering and stigma of mental illness. We categorize disorders, thereby defining mental illness and health, and then parade these seemingly scientific certainties in front of the world. The blowback from these efforts is just now coming to light: It turns out that we have not only been changing the way the world talks about and treats mental illness -- we have been changing the mental illnesses themselves. For millennia, local beliefs in different cultures have shaped the experience of mental illness into endless varieties. Crazy Like Us documents how American interventions have discounted and worked to change those indigenous beliefs, often at a dizzying rate. Over the last decades, mental illnesses popularized in America have been spreading across the globe with the speed of contagious diseases. Watters travels from China to Tanzania to bring home the unsettling conclusion that the virus is us: As we introduce Americanized ways of treating mental illnesses, we are in fact spreading the diseases. In post-tsunami Sri Lanka, Watters reports on the Western trauma counselors who, in their rush to help, inadvertently trampled local expressions of grief, suffering, and healing. In Hong Kong, he retraces the last steps of the teenager whose death sparked an epidemic of the American version of anorexia nervosa. Watters reveals the truth about a multi-million-dollar campaign by one of the world's biggest drug companies to change the Japanese experience of depression -- literally marketing the disease along with the drug. But this book is not just about the damage we've caused in faraway places. Looking at our impact on the psyches of people in other cultures is a gut check, a way of forcing ourselves to take a fresh look at our own beliefs about mental health and healing. When we examine our assumptions from a farther shore, we begin to understand how our own culture constantly shapes and sometimes creates the mental illnesses of our time. By setting aside our role as the world's therapist, we may come to accept that we have as much to learn from other cultures' beliefs about the mind as we have to teach.

This book makes a highly innovative contribution to overcoming the stigma and discrimination associated with mental illness – still the heaviest burden both for those afflicted and those caring for them. The scene is set by the presentation of different fundamental perspectives on the problem of stigma and discrimination by researchers, consumers, families, and human rights experts. Current knowledge and practice used in reducing stigma are then described, with information on the programmes adopted across the world and their utility, feasibility, and effectiveness. The core of the volume comprises descriptions of new approaches and innovative programmes specifically designed to overcome stigma and discrimination. In the closing part of the book, the editors – all respected experts in the field – summarize some of the most important evidence- and experience-based recommendations for future action to successfully rewrite the long and burdensome ‘story’ of mental illness stigma and discrimination.

This is a major international textbook for psychiatrists and other professionals working in the field of mental healthcare. With contributions from opinion-leaders from around the globe, this book will appeal to those in training as well as to those further along the career path seeking a comprehensive and up-to-date overview of effective clinical practice backed by research evidence. The book is divided into cohesive sections moving from coverage of the tools and skills of the trade, through descriptions of the major psychiatric disorders and on to consider special topics and issues surrounding service organization. The final important section provides a comprehensive review of treatments covering all of the major modalities. Previously established as the Essentials of Postgraduate Psychiatry, this new and completely revised edition is the only book to provide this depth and breadth of coverage in an accessible, yet authoritative manner.

Schizophrenia and other psychotic disorders can be both devastating and long-lasting, and are associated with significant individual, familial, and societal costs. Schizophrenia is one of the top ten leading causes of disability world-wide, and yet the overwhelming majority of research is conducted in populations in the Global North (North America, Europe, and Australia - together comprising only around 16% of the world's population). Psychosis: Global Perspectives synthesises the existing research in non-western countries to provide detailed accounts of ongoing research programmes, local treatment systems, cultural contexts, and the lived experience of psychosis across nine countries in the Global South, setting the findings in frameworks of relevant current evidence from the Global North where appropriate. It features a critical review of the literature on specific aspects of psychosis, from phenomenology to mental health services and systems, to provide a solid background on the subject. Academically rigorous yet accessibly written, this new title addresses the substantial inequalities in literature and attention in the global understanding of psychotic disorders.

Cognitive-behavioral therapy has developed hugely over the past 30 years and is the branch of psychotherapy which has most successfully transferred into the mainstream of treating mental health problems. In this volume, readers will be provided with an integrated, systematic approach for conceptualizing and treating disorders commonly encountered in clinical practice. A strong emphasis is placed on empirically supported approaches to assessment and intervention while offering readers hands-on recommendations for treating common mental disorders, grounded in evidence-based medicine. Practical chapters written by a variety of international experts include numerous case studies demonstrating the specific techniques and addressing common problems encountered and how to overcome them. Cognitive-behavioral Therapy with Adults is an essential guide for practising clinicians and students of cognitive-behavioral therapy as well as educated consumers and those interested in psychotherapy for common mental disorders.

An essential handbook providing practical guidance and medication advice on the effective management and treatment of psychotic disorders.