Skip to main content Accessibility help
×
Home
Hostname: page-component-55597f9d44-qcsxw Total loading time: 0.356 Render date: 2022-08-09T02:22:40.031Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true } hasContentIssue true

8 - Psychosocial factors: the social context of child and adolescent onset schizophrenia

Published online by Cambridge University Press:  23 October 2009

Helmut Remschmidt
Affiliation:
Philipps-Universität Marburg, Germany
Get access

Summary

Introduction

Scientific advances over recent years have contributed to an emerging consensus that schizophrenia is a biologically based disorder. This biologically based view has been complemented, however, by accumulating research demonstrating that: (i) the disorder has a profound effect on the adolescent's psychosocial functioning, and (ii) the psychosocial environment in which an adolescent develops has a major impact on the expression of the disorder (for review, see Asarnow, 1994). Furthermore, the current emphasis on treating adolescents within the least restrictive setting has highlighted the stressors involved in rearing adolescents with schizophrenia and the need to attend to stress levels and coping efforts among parents, siblings, and other family members who are critical partners in the treatment process.

This chapter focuses on psychosocial factors in child and adolescent onset schizophrenia with the goal of highlighting promising psychosocial treatment strategies. We begin by examining current knowledge with respect to the psychosocial functioning of adolescents with schizophrenia. Secondly, we review current models for the psychosocial treatment of schizophrenia. Thirdly, we turn to the implications of current knowledge for the psychosocial treatment of adolescents with schizophrenia and conclude by offering suggestions regarding future directions for clinical research and treatment.

Schizophrenia in adolescence: psychosocial functioning and developmental progressions

Consider the following descriptions of the psychosocial impairments experienced by adolescents with schizophrenia:

Impaired academic and school functioning

All of a sudden I couldn't read or write or do maths anymore. Everything was so confusing because I couldn't understand anything that was going on around me

(Anonymous, 1994, p. 587).
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×