About the Author:
Kathleen Degen, M.D., is director of the Tardive Dyskinesia Clinica and the Clozeril Program at the Greater Bridgeport Community Mental Health Center. She is also assistant clinical professor of psychiatry at the Yale University School of Medicine. Ellen Nasper, Ph.D., is director of intake at the Greater Bridgeport Community Mental Health Center and director of the Dialectical Behavior Therapy Project of the Connecticut Department of Mental Health and Addiction Services. She is assistant clinical professor of psychology in psychiatry at the Yale University School of Medicine.
Review:
Argues in a very compelling manner for the importance of understanding the inner experience of patients who respond well to some of the newer neuroleptic drugs and are thus challenged to move beyond the disabilities of chronic mental illness. Using the format of group therapy for patients receiving clozapine, the authors illustrate the remarkable changes that may occur when this novel medication is combined with a sensitivity to the re-emergence of developmental tasks that have long lain dormant. A very timely and helpful work. (Malcolm B. Bowers, Jr.)
Return from Madness is a profound and moving book. In the tradition of Oliver Sacks' Awakenings it tells the dramatic story of patients suddenly liberated from lives destroyed by mental illness. Most of Degen and Nasper's patients are forced to organize life around the illness, their psychological and social development cut short by its onset. The authors not only describe the startling relief Clozaril provides for symptoms of chronic schizophrenia, but understand that relief from schizophrenic symptoms demands deep reorganizations of living as the patients resume development and mourn decades lost to illness. This intelligent, compassionate, and engaging book brings us close to their patients' experience. It clarifies the psychotherapeutic tasks that must be accomplished for even so potent a medicine as Clozaril to truly heal. Not only those of us who work professionally with severely psychiatrically disturbed people but any reader who wants to understand the world of the recovering schizophrenic will find a superb guide in this fine volume. (Robert M. Galatzer-Levy)
Kathleen Degen and Ellen Nasper have produced a cogent and timely treatise on the problems and issues confronting patients who recover almost unexpectedly from prolonged psychotic states of withdrawal and nonparticipation in the world around them. The authors portray the not always pleasant behaviors and circumstances of these long-suffering patients as well as the complex difficulties confronting them once their psychotic state has receded. The case presentations are exemplary, sometimes gripping, sometimes almost whimsical. The book then turns to therapeutic issues inherent in drug treatment and the authors' group therapy with these patients, a welcome success story on the whole. Anybody prescribing the latter-day antipsychotic medications for chronic patients cannot afford to miss this superbly written volume that illustrates the multisystemic needs of patients, an important paradigm for community mental health services. (Stephen Fleck)
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