ABSTRACT
Fred J. Frese III, called a "national treasure" by Mike Hogan, Chair of the President's New Freedom Commission on Mental Health, died July 16, 2018, at his home in Hudson, Ohio, surrounded by his family. Fred was an extraordinary human being who was diagnosed with paranoid schizophrenia and rose to become an influential and accomplished psychologist who inspired all he met. Fred presented Congressional testimony to both Houses of Congress, appeared on several national TV and radio broadcasts, and spoke worldwide. Fred was a fellow of the APA and received the Association's Distinguished Service Award in 1987 and a Presidential Citation in 2005. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
ABSTRACT
Historically, families of persons who have schizophrenia often were blamed for the development of the condition and subsequently might have been excluded from care. Now these notions, which never had much systematic empiric support, have been abandoned. Family involvement often is critical to the recovery process and must be engaged actively whenever possible. This article calls for the inclusion of patients who have schizophrenia and their families in a redesigned model of care that is explicitly collaborative in its orientation and routinely includes evidence-based treatments that are informed by a vision of recovery.
Subject(s)
Family Health , Patient Advocacy , Schizophrenia , Delivery of Health Care , Humans , Social SupportABSTRACT
Siblings are considered logical replacements for aging parental caregivers of persons with severe mental illness. For workshops on future planning conducted with 400 elderly parents, 60 siblings answered a survey regarding their future caregiving expectations, anticipated difficulties, and need for help. Nearly all expected to be involved, but were more likely to provide social and emotional support than the instrumental support offered by their parents. Nearly half indicated that the consumer's hostility and lack of cooperation were major barriers to effective care. It was suggested that siblings need education and help from professionals in assessing behaviors, interacting appropriately, and conferring control of their own lives to their ill relatives. For consumers, social skills and self-esteem training in psychiatric rehabilitation programs should address the area of sibling relationships and reciprocity. Such issues should be dealt with early, rather than later in the course of illness
Subject(s)
Caregivers/psychology , Mental Disorders , Siblings/psychology , Data Collection , Health Services Needs and Demand , Humans , Social Support , United StatesABSTRACT
In a survey of 84 experienced mental health professionals with family members suffering from long-term psychotic disorders, more than 70% ranked biogenetic variables as primary, regardless of familial relationship to the patient. Family interactions and parenting were minimized as etiological factors. Biochemical/genetic research, psychopharmacological research, and research on high-risk children were the highest ranked prevention priorities.