The Psychosis-Risk Syndrome : Handbook for Diagnosis and Follow-Up

Using the authors' over thirteen years of experience at the psychosis-risk clinic at Yale University School of Medicine, The Psychosis-Risk Syndrome presents a concise handbook that details the diagnostic tools and building blocks that comprise the Structural Interview for Psychosis-Risk Syndromes, or SIPS. Clear and to the point, this volume provides an in-depth description of this new clinical high-risk population, along with instructions on how to use the SIPS to evaluate persons for psychosis-risk. The handbook's main section takes the reader step-by-step through the SIPS evaluation, tracking how patients and families find their way to the clinic, the initial interview, the evaluation process, and the summary session consisting of findings and future options. The core diagnostic symptoms of the SIPS and psychosis-risk states are illustrated with dozens of symptom and case examples drawn from real but disguised patients from the Yale clinic. With an emphasis on clinical usefulness, the handbook finishes with "practice cases" for the reader to test his or her new skills at evaluating clinical populations for psychosis-risk. Contents......Page 12 PART A: Psychosis-Risk Syndromes for First Psychosis: Background......Page 14 1. Psychosis-Risk Syndromes for First Psychosis: A History of the Concept......Page 16 2. Development of the Structured Interview for Psychosis-Risk Syndromes (SIPS)......Page 23 3. Reliability and Validity of the SIPS......Page 30 4. Symptom Classes and Factors in the SIPS......Page 34 5. Psychosis-Risk Syndromes and Psychosis in the SIPS......Page 37 6. The “Other” Symptoms of the Risk Syndromes: Negative, Disorganization, and General......Page 46 7. Characteristics of SIPS Psychosis-Risk Samples......Page 49 PART B: Psychosis-Risk Syndromes: SIPS and SOPS Evaluation......Page 58 8. Pathways to the Risk Syndrome Clinic......Page 60 9. Initial Interview: The SIPS and SOPS Evaluation......Page 62 10. Initial Evaluation: Informing Patients and Families of Risk Status and Options......Page 72 11. Rating Positive and Other Psychosis-Risk Symptoms with the SOPS......Page 76 12. Rating Actual Cases, Baseline Assessment......Page 91 13. Differential Diagnosis of the Psychosis-Risk Syndrome......Page 122 14. Psychosis-Risk Patients over Time......Page 133 15. Rating Baseline Cases for Practice......Page 152 PART C: The PRIME Clinic: Psychosis-Risk Patients Face-to-Face......Page 174 Bibliography......Page 182 A. Risk Syndrome Phone Screen......Page 187 B. SIPS/SOPS 5.0......Page 192 C. Informed Consent......Page 250 C......Page 252 G......Page 253 P......Page 254 S......Page 255 Y......Page 256 Using the authors' over thirteen years of experience at the psychosis-risk clinic at Yale University School of Medicine, __The Psychosis-Risk Syndrome__ presents a concise handbook that details the diagnostic tools and building blocks that comprise the Structural Interview for Psychosis-Risk Syndromes, or SIPS. Clear and to the point, this volume provides an in-depth description of this new clinical high-risk population, along with instructions on how to use the SIPS to evaluate persons for psychosis-risk.The handbook's main section takes the reader step-by-step through the SIPS evaluation, tracking how patients and families find their way to the clinic, the initial interview, the evaluation process, and the summary session consisting of findings and future options. The core diagnostic symptoms of the SIPS and psychosis-risk states are illustrated with dozens of symptom and case examples drawn from real but disguised patients from the Yale clinic. With an emphasis on clinical usefulness, the handbook finishes with "practice cases" for the reader to test his or her new skills at evaluating clinical populations for psychosis-risk. Risk syndromes for first psychosis : a history of the concept Development of the structured interview for psychosis-risk syndromes (SIPS) Reliability and validity of the SIPS Symptom classes and factors in the SIPS Risk syndromes and psychosis threshold in the SIPS The "other" symptoms of the risk syndromes : negative, disorganized, and general Characteristics of published SIPS psychosis-risk samples Pathways to the risk syndrome clinic Initial interview : introduction to the SIPS and SOPS Initial evaluation : informing patients and families of risk status and options, informed consent Rating positive and other risk symptoms with the SOPS Rating actual cases : baseline assessment Differential diagnosis of the psychosis-risk syndrome Rating actual cases : tracking over time and conversion Rating actual cases : summary of core assessment parameters and practice cases. Psychosis-risk syndromes for first psychosis : a history of the concept Development of the structured interview for psychosis-risk syndromes (SIPS) Reliability and validity of the SIPS Symptom classes and factors in the SIPS Psychosis-risk syndromes and psychosis in the SIPS The "other" symptoms of the risk syndromes : negative, disorganized, and general Characteristics of SIPS psychosis-risk samples Pathways to the risk syndrome clinic Initial interview : the SIPS and SOPS evaluation Initial evaluation : informing patients and families of risk status and options Rating positive and other psychosis-risk symptoms with the SOPS Rating actual cases : baseline assessment Differential diagnosis of the psychosis-risk syndrome Psychosis-risk patients over time Rating baseline cases for practice.