000 01868cam a2200217 4500
008 090401t1998 xxu||||| |||| 00| 0 eng d
020 _a1841692557
060 _aWM 200.
100 1 _aCastle, David J
245 1 _aPsychosis in the inner city :
_b the Camberwell first episode study
260 _aHove :
_bPsychology Press,
_c1998
300 _axiii, 209p.
490 _aMaudsley monographs :
_v40
520 _aThis book describes the epidemiology of schizophrenia and related disorders in Camberwell, in southeast London. It mainly utilises data collected over the period 1965–1984 through the Camberwell Cumulative Psychiatric Case register. We examine the admission policies, showing that patients are admitted to the hospital on the grounds of their particular presentation, rather than their diagnosis. We explore differences between males and females with psychotic disorders, and show that gender is a more powerful influence than diagnosis. Using data up to 1992, we investigate trends over time, and find that ethnicity is one of the major influences. We look at criminality, and show that the factors that predict criminal behaviour in individuals with psychotic illness are much the same as those which predict crime in the sane. We trace the longitudinal course of illness, putting paid to the schizophrenia/manic-depression dichotomy. The powerful message is that traditional diagnostic criteria are spurious, complacent constructs, which lull us into a false sense of security, and which should be challenged. We suggest that it is epidemiology which can place the current vogue for diagnostic conformity in its correct perspective, as well as provide data for service providers.
650 _aSchizophrenia
650 _aPsychotic disorders
700 1 _aWessely, Simon
700 1 _aVan Os, Jim
700 1 _aMurray, Robin M
942 _n0
999 _c4749
_d4749