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Models of Madness
Psychological, social and biological
approaches to schizophrenia
Edited by
John Read
(Director, Clinical Psychology, Psychology Dept., The University of
Auckland)
Loren Mosher
(Clinical Professor of Psychiatry, University of California at San Diego)
Richard Bentall
(Professor of Experimental Psychology, Manchester University)
Brunner-Routledge
Taylor & Francis Group
HOVE AND NEW YORK
Hardcover 400 pages (March 4, 2022)
Publisher: Brunner-Routledge
ISBN: 1583919058
Paperback 304 pages (March 4, 2022)
Publisher: Brunner-Routledge
ISBN: 1583919066
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Models of Madness shows that hallucinations and
delusions are understandable reactions to life events and circumstances rather
than symptoms of a supposed genetic predisposition or biological disturbance.
International contributors:
• critique the ‘medical model’ of madness
• examine the dominance of the ‘illness’ approach to understanding madness from
historical and economic perspectives
• document the role of drug companies
• outline the alternative to drug based solutions
• identify the urgency and possibility of prevention of madness.
Models of Madness promotes a more humane and effective
response to treating severely distressed people that will prove essential
reading for psychiatrists and clinical psychologists and of great interest to
all those who work in the mental health service.
Contents
PART I
The illness model of `schizophrenia'
1 `Schizophrenia' is not an illness
JOHN READ, LOREN R. MOSHER AND RICHARD P. BENTALL
2 A history of madness
JOHN READ
3 The invention of `schizophrenia'
JOHN READ
4 Genetics, eugenics and mass murder
JOHN READ AND JEFFREY MASSON
5 Does `schizophrenia' exist? Reliability and validity
JOHN READ
6 Biological psychiatry's lost cause
JOHN READ
7 Schizophrenia and heredity: why the emperor has no genes
JAY JOSEPH
8 Electroconvulsive therapy
JOHN READ
9 Antipsychotic medication: myths and facts
COLIN A. ROSS AND JOHN READ
10 Drug companies and schizophrenia: unbridled capitalism
meets madness
LOREN R. MOSHER, RICHARD GOSDEN AND SHARON BEDER
PART II
Social and psychological approaches to understanding madness 131
11 Public opinion: bad things happen and can drive you crazy
JOHN READ AND NICK HASLAM
12 Listening to the voices we hear: clients' understandings
of psychotic experiences
JIM GEEKIE
13 Poverty, ethnicity and gender
JOHN READ
14 Abandoning the concept of schizophrenia: the cognitive psychology of
hallucinations and delusions
RICHARD P. BENTALL
15 Psychodynamic psychotherapy of schizophrenia: its history and development
ANN-LOUISE SILVER, BRIAN KOEHLER AND BERTRAM KARON
16 Childhood trauma, loss and stress
JOHN READ, LISA GOODMAN, ANTHONY P. MORRISON, COLIN A. ROSS AND VOLKMAR
ADERHOLD
17 Unhappy families
JOHN READ, FRED SEYMOUR AND LOREN R. MOSHER
PART III
Evidence-based psycho-social interventions
18 Preventing `schizophrenia': creating the conditions for saner societies
EMMA DAVIES AND JIM BURDETT
19 User-run services
JUDI CHAMBERLIN
20 Cognitive therapy for people with psychosis
ANTHONY P. MORRISON
21 Psychodynamic psychotherapy for schizophrenia empirical support
WILLIAM H. GOTTDIENER
22 The development of early intervention services
JAN OLAV JOHANNESSEN
23 Family therapy and schizophrenia: replacing ideology with openness
VOLKMAR ADERHOLD AND EVELIN GOTTWALZ
24 Non-hospital, non-drug intervention with first-episode psychosis
LOREN R. MOSHER
Australian and New Zealand Journal of Psychiatry
Volume 39 Issue 5 Page 428 - May 2005
doi:10.1111/j.1440-1614.2005.01599.x
Book review
Carolyn Quadrio
John Read, Loren Mosher, Richard Bentall, eds.: Brunner-Routledge, 2004
ISBN 1583919066 pp.400 UK19.99
This is mandatory reading for all psychiatrists. It shakes many of the
shibboleths of psychiatry and does so with some sound science. Its purpose is to
undermine the biogenetic paradigm of schizophrenia and this end is pursued
relentlessly, beginning with a thorough critique of the original Kraeplinian
formulation, moving through the twin studies and then the neuroanatomical and
neurophysiological evidence.
Having undermined this foundation to the 'schizophrenia is a brain disease and
it's in your genes and you need medication for life' approach, the editors then
address the positive data for the psychosocial factors. Again a very convincing
broadside is fired at received wisdoms, such as that prevalence is the same
across cultures and supports the theory that schizophrenia is a medical
condition. In particular I liked the parody of social drift theory
'schizophrenics don't become Irish'. The data on child abuse and its association
with schizophrenia is thoroughly compiled in a convincing array.
The weakness of the thesis comes with the data on psychological remedies but
although the editors don't grapple with this I think this deficit is explained
by the thesis itself: If schizophrenia is not a valid diagnostic entity, then
reviewing treatment outcomes could not yield useful information because there
may be several different disturbances subsumed under that rubric. The authors do
present good data to suggest that the three symptoms groups, delusions and
hallucinations, thought disorder and negative symptoms have no particular
association with each other, so treatment outcomes are unlikely to make sense
unless these groups are dealt with separately. Indeed this is suggested by the
fact that cognitive therapy makes delusions and hallucinations better but
negative symptoms worse.
The editors undoubtedly have a selective bias in terms of the data they have
critiqued but that is hardly new in this particular field and compared to the
selective filter through which mainstream psychiatric research is promulgated,
it is hardly an issue. For the 'schizophrenia is a brain disease' theorists and
the 'it's in your genes, families are blameless and it has nothing to do with
childhood experience' theorists: read this book and re-examine your tenets.
Read et al. have issued a serious challenge to psychiatry. Are we totally on the
wrong track with both understanding and treating schizophrenia? Are we doing
more to create mental disorder than to prevent it? Since we have shuffled off
responsibility for almost everything except mental illness, this challenge to
the medical model suggests that we may have sawn off the last branch on which we
had any purchase.
The book may be
ordered by email
UK :
book.orders@tandf.co.uk
NZ: vicki@macmillan.co.nz
Austrialia:jenny@macmillan.com.au
USA: Laura.West@taylorandfrancis.com
SWEDISH EDITION:
dualis@swipnet.se
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