title: [Techniques for improving attentiveness and treatment engagement among "treatment refractory" schizophrenia patients with severe cognitive impairment].
abstract: While many effective group-based psychiatric rehabilitation interventions now exist, many severely disabled patients are unable to benefit from them due to a reduced ability to pay attention in group sessions. Moreover, inattentiveness can be due to one or more of multiple factors, including a sustained attention deficit, poor motivation, sedating side effects of medication, and the interfering effects of hallucinations and disturbing thoughts. Existing cognitive rehabilitation interventions for schizophrenia typically do not address these factors, instead targeting higher level functions such as memory, learning, problem-solving, and executive functioning. In this paper, we describe techniques for promoting attentiveness and treatment engagement among severely disabled "treatment-refractory" patients. This includes both individual and group-based interventions.
authors.affiliation: University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Silverstein
authors.forename: Michi
authors.initials: M
authors.lastname: Hatashita-Wong
authors.forename: Sandra
authors.initials: S
authors.lastname: Wilkniss
authors.forename: Jérôme Alain
authors.initials: JA
authors.lastname: Lapasset
authors.forename: Beth
authors.initials: B
authors.lastname: Solak
authors.forename: Peter
authors.initials: P
authors.lastname: Uhlhaas
authors.forename: Yulia
authors.initials: Y
authors.lastname: Landa
authors.forename: Hannah
authors.initials: H
authors.lastname: Starobin
mesh_terms: D001288:Attention; D003072:Cognition Disorders / Q000150:complications*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D006801:Humans; D012559:Schizophrenia / Q000150:complications* / Q000628:therapy*; D012565:Schizophrenic Psychology; D012720:Severity of Illness Index; D017211:Treatment Failure