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A critical review of genetic studies of schizophrenia. I. Epidemiological and brain studies.

https://arctichealth.org/en/permalink/ahliterature210253
Source
Acta Psychiatr Scand. 1997 Jan;95(1):1-5
Publication Type
Article
Date
Jan-1997
Author
P. Portin
Y O Alanen
Author Affiliation
Department of Biology, University of Turku, Finland.
Source
Acta Psychiatr Scand. 1997 Jan;95(1):1-5
Date
Jan-1997
Language
English
Publication Type
Article
Keywords
Adoption
Brain - pathology
Delirium, Dementia, Amnestic, Cognitive Disorders - diagnosis - epidemiology - genetics - psychology
Diseases in Twins - genetics
Family - psychology
Finland - epidemiology
Humans
Risk factors
Schizophrenia - diagnosis - epidemiology - genetics
Schizophrenic Psychology
Social Environment
Twin Studies as Topic
Abstract
Family, twin and adoption studies suggest that susceptibility to schizophrenia is based at least to some extent on genes. The results of these studies vary and depend greatly on the diagnostic criteria used. When a broad definition of schizophrenia is employed, even high degrees of heritability are observed. However, when more narrow criteria are employed, the degrees of heritability decrease. According to a large Finnish adoption study, the patient-family interaction has an even more important role in the origin of schizophrenia than purely genetic factors. Interaction between the genetic factors on the one hand and physical, psychological and psychosocial factors on the other hand is emphasized.
PubMed ID
9051153 View in PubMed
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Need-adapted treatment of new schizophrenic patients: experiences and results of the Turku Project.

https://arctichealth.org/en/permalink/ahliterature226448
Source
Acta Psychiatr Scand. 1991 May;83(5):363-72
Publication Type
Article
Date
May-1991
Author
Y O Alanen
K. Lehtinen
V. Räkköläinen
J. Aaltonen
Author Affiliation
Department of Psychiatry, University of Turku, Finland.
Source
Acta Psychiatr Scand. 1991 May;83(5):363-72
Date
May-1991
Language
English
Publication Type
Article
Keywords
Adult
Combined Modality Therapy
Family - psychology
Family Therapy - methods
Female
Finland
Hospitalization
Humans
Individuality
Psychoanalytic Therapy - methods
Psychotherapy - methods
Schizophrenia - therapy
Schizophrenic Psychology
Social Environment
Therapeutic Community
Abstract
This article describes a psychotherapeutically oriented approach to schizophrenia developed especially to meet the needs of the community psychiatric field. Because of the heterogeneous nature of the schizophrenic psychoses, the authors emphasize that these patients should always be treated based on case-specific premises. The main principles of the need-adapted approach are: 1. The therapeutic activities are planned and carried out flexibly and individually in each case so that they meet the real and changing needs of the patients as well as of their family members. 2. Examination and treatment are dominated by a psychotherapeutic attitude. 3. The different therapeutic activities should support and not impair each other. 4. The process quality of therapy is clearly perceived. A family-centred initiation of the treatment is especially emphasized for both diagnostic and therapeutic reasons. The positive experiences of this led the Finnish national programme for the treatment and rehabilitation of schizophrenic patients to recommend the establishment of family- and environment-oriented acute psychosis teams (APT) in the mental health districts. In later phases of treatment, the significance of individual psychotherapy is increased. The preliminary results of the approach are presented and compared with an earlier sample of patients.
PubMed ID
1853729 View in PubMed
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[Schizophrenia Project in Abo. Psychotherapy-oriented broad-based mental health care].

https://arctichealth.org/en/permalink/ahliterature221971
Source
Nord Med. 1993;108(5):136-8, 147
Publication Type
Article
Date
1993
Author
Y O Alanen
Source
Nord Med. 1993;108(5):136-8, 147
Date
1993
Language
Swedish
Publication Type
Article
Keywords
Adolescent
Adult
Cohort Studies
Deinstitutionalization
Family Therapy
Finland
Humans
Mental Health Services - organization & administration
Middle Aged
Psychotherapy - methods
Psychotherapy, Group
Psychotropic Drugs - therapeutic use
Schizophrenia - therapy
Abstract
The concept of need-related care for schizophrenia patients, evolved in Abo during the 1980s, consists in a flexible form of psychotherapy oriented care, which in its planning and execution is tailored to meet varying individual needs. It is based both on family and individual therapy and therapeutic groups, drugs being used as support. The results have been promising and it has been possible to reduce hospitalisation.
Notes
Comment In: Nord Med. 1993;108(12):326-7, 3298272396
PubMed ID
8497402 View in PubMed
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