2001 - Schizophrenia in children and adolescents - Remschmidt.pdf

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Schizophrenia in children and adolescents
The earlier in life schizophrenia manifests itself, the poorer the long-term prognosis, and
although it is very difcult to diagnose in the young, early treatment is now thought to improve
outcome. Recent research also suggests that early onset schizophrenia has developmental
precursors, making it difcult to distinguish from a number of other developmental disorders. In
this timely book, an international team of psychiatrists, psychotherapists and psychologists give
an up-to-date review of the latest ndings in the diagnosis and treatment of schizophrenia in
children and adolescents to give a comprehensive account of the current state of knowledge and
the therapeutic options available to clinicians. They examine the disorder from developmental
and clinical perspectives, with a focus on diagnosis, etiology, therapy, and rehabilitation. This
book is essential reading for all mental health professionals who treat young people with
schizophrenia.
Helmut Remschmidt is Professor of Child Psychiatry and Head of the Department of Child and
Adolescent Psychiatry at Philipps University in Marburg. He has published widely in the eld of
child and adolescent psychiatry, with particular interest in developmental psychopathology,
schizophrenia research, psychiatric genetics, therapy, and evaluation research.
Cambridge Child and Adolescent Psychiatry
Child and adolescent psychiatry is an important and growing area of clinical psychiatry. The last decade
has seen a rapid expansion of scientic knowledge in this eld and has provided a new understanding of
the underlying pathology of mental disorders in these age groups. This series is aimed at practitioners
and researchers both in child and adolescent mental health services and developmental and clinical
neuroscience. Focusing on psychopathology, it highlights those topics where the growth of knowledge
has had the greatest impact on clinical practice and on the treatment and understanding of mental
illness. Individual volumes benet both from the international expertise of their contributors and a
coherence generated through a uniform style and structure for the series. Each volume provides rstly
an historical overview and a clear descriptive account of the psychopathology of a specic disorder or
group of related disorders. These features then form the basis for a thorough critical review of the
etiology, natural history, management, prevention and impact on later adult adjustment. Whilst each
volume is therefore complete in its own right, volumes also relate to each other to create a exible and
collectable series that should appeal to students as well as experienced scientists and practitioners.
Editorial board
Series editor Professor Ian M. Goodyer University of Cambridge
Associate editors
Professor Donald J. Cohen
Professor Robert N. Goodman
Yale Child Study Center
Institute of Psychiatry, London
Professor Barry Nurcombe
Professor Helmut Remschmidt
The University of Queensland
Klinikum der Philipps-Universit¨t, Germany
Professor Herman van Engeland
Professor Fred R. Volkmar
Academisch Ziekenhuis Utrecht
Yale Child Study Center
Already published in this series:
Specic Learning Disabilities and Difculties in Children and Adolescents edited by Alan Kaufman and
Nadeen Kaufman 0 521 65840 3 pb
The Depressed Child and Adolescent second edition edited by Ian M. Goodyer 0 521 79426 9 pb
Anxiety Disorders in Children and Adolescents: Research, Assessment and Intervention edited by
Wendy Silverman and Philip Treffers 0 521 78966 4 pb
Conduct Disorders in Childhood and Adolescence edited by Jonathan Hill and Barbara Maughan
0 521 78639 8 pb
Autism and Pervasive Developmental Disorders edited by Fred R. Volkmar 0 521 55386 5 hb
Cognitive Behaviour Therapy for Children and Families edited by Philip Graham 0 521 57252 5 hb
0521 57626 1 pb
Hyperactivity Disorders of Childhood edited by Seija Sandberg 0 521 43250 2 hb
Schizophrenia
in children and
adolescents
Edited by
Helmut Remschmidt
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published by the press syndicate of the university of cambridge
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cambridge university press
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© Cambridge University Press 2001
This book is in copyright. Subject to statutory exception
and to the provisions of relevant collective licensing agreements,
no reproduction of any part may take place without
the written permission of Cambridge University Press.
First published 2001
Printed in the United Kingdom at the University Press, Cambridge
Typeset in Dante MT 11/14pt [vn]
A catalogue record for this book is available from the British Library
Library of Congress Cataloguing in Publication data
ISBN 0 521 79428 5 paperback
Every effort has been made in preparing this book to provide accurate and up-to-date information which is
in accord with accepted standards and practice at the time of publication. Nevertheless, the authors, editors
and publisher can make no warranties that the information contained herein is totally free from error, not
least because clinical standards are constantly changing through research and regulation. The authors,
editors and publisher therefore disclaim all liability for direct or consequential damages resulting from the
use of material contained in this book. Readers are strongly advised to pay careful attention to information
provided by the manufacturer of any drugs or equipment that they plan to use.
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This book is dedicated to the memory of
William Ll. Parry-Jones and Michael Goldstein.
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