Financial capacity in persons with schizophrenia and serious mental illness: clinical and research ethics aspects.

Abstract:

:In contrast with issues of consent capacity, financial capacity has received surprisingly little clinical or ethical attention in the psychiatric literature. Issues of financial capacity emerge frequently regarding clients with serious mental illness (SMI), and their resolution has practical and ethical significance for clients, their families, and mental health professionals. These issues include whether a client has sufficient financial skills and judgment to live independently, whether a client requires a representative payee, and what goals for community reintegration should be established with a client. Similar to informed consent, issues of financial capacity raise ethical challenges for clinicians, caseworkers, and agencies. The present article addresses clinical and research ethics questions related to financial capacity in clients with schizophrenia and SMI. Clinical questions concern evaluation of financial capacity in clients with SMI, whether to seek assignment of a mandatory representative payee, whether to leverage treatment compliance through a representative payee arrangement, and whether a mental health professional should also serve as a client's representative payee. The research ethics question addresses implications of providing financial compensation for research participation to individuals with SMI and limited financial capacity and means. The ultimate goal of this article is to focus clinical and ethical attention on a neglected decisional capacity in SMI that is of fundamental importance for clients, families, clinicians, and researchers.

journal_name

Schizophr Bull

journal_title

Schizophrenia bulletin

authors

Marson DC,Savage R,Phillips J

doi

10.1093/schbul/sbj027

keywords:

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

81-91

issue

1

eissn

0586-7614

issn

1745-1701

pii

sbj027

journal_volume

32

pub_type

杂志文章
  • The effect of cannabis use and cognitive reserve on age at onset and psychosis outcomes in first-episode schizophrenia.

    abstract:OBJECTIVE:Cannabis use is associated with a younger age at onset of psychosis, an indicator of poor prognosis, but better cognitive function, a positive prognostic indicator. We aimed to clarify the role of age at onset and cognition on outcomes in cannabis users with first-episode schizophrenia as well as the effect o...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbq153

    authors: Leeson VC,Harrison I,Ron MA,Barnes TR,Joyce EM

    更新日期:2012-06-01 00:00:00

  • The pharmacologic treatment of schizophrenia: a progress report.

    abstract::Pharmacologic agents currently used or being studied for the treatment of schizophrenia are reviewed. Neuroleptic medications are still the mainstay of treatment, but recent studies suggest new approaches to dosage and to the treatment of acute psychosis. Lithium is beneficial in psychotic illnesses with acute onset a...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/9.4.504

    authors: Donaldson SR,Gelenberg AJ,Baldessarini RJ

    更新日期:1983-01-01 00:00:00

  • Neuropathological studies of schizophrenia: a selective review.

    abstract::Over the past 20 years, there has been a relatively quiet but persistent effort to investigate anatomical neuropathology in schizophrenia. This effort has involved post-mortem histopathology using novel preparation procedures, pneumoencephalography, and computed tomography. The bulk of this research is critically revi...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/9.2.193

    authors: Weinberger DR,Wagner RL,Wyatt RJ

    更新日期:1983-01-01 00:00:00

  • Variations in the incidence of schizophrenia: data versus dogma.

    abstract::The schizophrenia research community has shared a belief that the incidence of schizophrenia shows little variation. This belief is related to the dogma that schizophrenia affects all individuals equally, regardless of sex, race, or nationality. However, there is now robust evidence that the incidence of schizophrenia...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbi052

    authors: McGrath JJ

    更新日期:2006-01-01 00:00:00

  • Aberrant Hippocampal Connectivity in Unmedicated Patients With Schizophrenia and Effects of Antipsychotic Medication: A Longitudinal Resting State Functional MRI Study.

    abstract::To better characterize hippocampal pathophysiology in schizophrenia, we conducted a longitudinal study evaluating hippocampal functional connectivity during resting state, using seeds prescribed in its anterior and posterior regions. We enrolled 34 unmedicated patients with schizophrenia or schizoaffective disorder (S...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbv228

    authors: Kraguljac NV,White DM,Hadley N,Hadley JA,Ver Hoef L,Davis E,Lahti AC

    更新日期:2016-07-01 00:00:00

  • New developments in the pharmacologic treatment of schizophrenia: editor's introduction.

    abstract::In this issue we have tried to bring together a series of reviews describing new developments in the pharmacologic management of schizophrenia. Important progress is being made not only in medication development, but also in furthering our ability to use available treatments and treatment combinations in the most effe...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/17.2.193

    authors: Kane JM

    更新日期:1991-01-01 00:00:00

  • Bridging the gap between extrinsic and intrinsic motivation in the cognitive remediation of schizophrenia.

    abstract::An important development in cognitive remediation of schizophrenia is a focus on motivation. However, following a distinction between the concepts of intrinsic motivation (IM) and extrinsic motivation, discussions of IM-based methods have downplayed or misrepresented the role that extrinsic rewards can, and actually d...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbp160

    authors: Silverstein SM

    更新日期:2010-09-01 00:00:00

  • Cognitive-behavioral therapy for medication-resistant symptoms.

    abstract::Cognitive-behavioral therapy for psychosis is described. It draws on the cognitive models and therapy approach of Beck and colleagues, combined with an application of stress-vulnerability models of schizophrenia and cognitive models of psychotic symptoms. There is encouraging evidence for the efficacy of this approach...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/oxfordjournals.schbul.a033447

    authors: Garety PA,Fowler D,Kuipers E

    更新日期:2000-01-01 00:00:00

  • Neurocognitive correlates of schizotypy in first degree relatives of schizophrenia patients.

    abstract::We examined neurocognitive correlates of three dimensions of schizotypy in 63 healthy first degree relatives of schizophrenia patients. Neurocognitive measures of attention, verbal memory, and prefrontal functioning were combined with self-report and interview measures of schizotypy. State-psychopathology (anxiety and...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.schbul.a006946

    authors: Vollema MG,Postma B

    更新日期:2002-01-01 00:00:00

  • Dopaminergic circuitry and risk/reward decision making: implications for schizophrenia.

    abstract::Abnormal reinforcement learning and representations of reward value are present in schizophrenia, and these impairments can manifest as deficits in risk/reward decision making. These abnormalities may be due in part to dopaminergic dysfunction within cortico-limbic-striatal circuitry. Evidence from studies with labora...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbu165

    authors: Stopper CM,Floresco SB

    更新日期:2015-01-01 00:00:00

  • Psychosis as a disorder of reduced cathectic capacity: Freud's analysis of the Schreber case revisited.

    abstract::Approximately 100 years ago, a prominent German public figure name Daniel Schreber wrote memoirs of his experiences in asylums. His case was diagnosed Dementia Praecox at times and Paranoia at others by his treaters. Freud analyzed Schreber's memoirs from the perspective of his "libido" theory of developmentally organ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbp019

    authors: McGlashan TH

    更新日期:2009-05-01 00:00:00

  • Superior temporal sulcus disconnectivity during processing of metaphoric gestures in schizophrenia.

    abstract::The left superior temporal sulcus (STS) plays an important role in integrating audiovisual information and is functionally connected to disparate regions of the brain. For the integration of gesture information in an abstract sentence context (metaphoric gestures), intact connectivity between the left STS and the infe...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbt110

    authors: Straube B,Green A,Sass K,Kircher T

    更新日期:2014-07-01 00:00:00

  • Differentiating patterns of amygdala-frontal functional connectivity in schizophrenia and bipolar disorder.

    abstract:BACKGROUND:Insight into the neural mechanisms underlying the shared and disparate features of schizophrenia (SZ) and bipolar disorder (BD) is limited. The amygdala and prefrontal cortex (PFC) appear to have crucial roles in SZ and BD, yet abnormalities appear to manifest differently in the 2 disorders. METHODS:Eightee...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbt044

    authors: Liu H,Tang Y,Womer F,Fan G,Lu T,Driesen N,Ren L,Wang Y,He Y,Blumberg HP,Xu K,Wang F

    更新日期:2014-03-01 00:00:00

  • Adolescent Paranoia: Prevalence, Structure, and Causal Mechanisms.

    abstract:BACKGROUND:Adolescence can be a challenging time, characterized by self-consciousness, heightened regard for peer acceptance, and fear of rejection. Interpersonal concerns are amplified by unpredictable social interactions, both online and offline. This developmental and social context is potentially conducive to the e...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sby180

    authors: Bird JC,Evans R,Waite F,Loe BS,Freeman D

    更新日期:2019-09-11 00:00:00

  • How families evaluate mental health professionals, resources, and effects of illness.

    abstract::Evaluations by families (of chronically mentally ill individuals) of mental health professionals and resources were solicited through a mail survey. The respondents, largely better educated, white, and female, indicated a generally high level of dissatisfaction. Emotional support, information, and aftercare resources ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/8.4.626

    authors: Holden DF,Lewine RR

    更新日期:1982-01-01 00:00:00

  • Schizophrenia Spectrum Disorders in a Danish 22q11.2 Deletion Syndrome Cohort Compared to the Total Danish Population--A Nationwide Register Study.

    abstract:OBJECTIVE:Cross-sectional studies have shown associations between 22q11.2 deletion syndrome and schizophrenia. However, large-scale prospective studies have been lacking. We, therefore, conducted the first large-scale population based study on the risk of being diagnosed with schizophrenia in persons identified with 22...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbv195

    authors: Vangkilde A,Olsen L,Hoeffding LK,Pedersen CB,Mortensen PB,Werge T,Trabjerg B

    更新日期:2016-05-01 00:00:00

  • Genome-Wide, Integrative Analysis Implicates Exosome-Derived MicroRNA Dysregulation in Schizophrenia.

    abstract::Genetic variants conferring risk for schizophrenia (SCZ) have been extensively studied, but the role of posttranscriptional mechanisms in SCZ is not well studied. Here we performed the first genome-wide microRNA (miRNA) expression profiling in serum-derived exosome from 49 first-episode, drug-free SCZ patients and 46 ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sby191

    authors: Du Y,Yu Y,Hu Y,Li XW,Wei ZX,Pan RY,Li XS,Zheng GE,Qin XY,Liu QS,Cheng Y

    更新日期:2019-10-24 00:00:00

  • Creating school-age versions of semistructured interviews for the prodrome to schizophrenia: lessons from case reviews.

    abstract::There is an increasing emphasis on identifying individuals with schizophrenia earlier and earlier in their disease process, with the assumption that earlier identification translates into earlier treatment, which translates into improved outcome. Unfortunately, one age cohort, children under 13 years of age, have been...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.schbul.a007042

    authors: Ross RG,Schaeffer J,Compagnon N,Heinlein S,Beresford C,Farley G

    更新日期:2003-01-01 00:00:00

  • Schizophrenia research: a progress report, summarizing proceedings of the 1999 International Congress on Schizophrenia Research.

    abstract::The Seventh International Congress on Schizophrenia Research was held in Santa Fe, New Mexico, in April 1999. This was the largest Congress meeting to date, with almost 1,000 presentations that covered all aspects of schizophrenia research. This article provides an account of the Congress proceedings. Several research...

    journal_title:Schizophrenia bulletin

    pub_type:

    doi:10.1093/oxfordjournals.schbul.a033462

    authors: Buckley PF,Buchanan RW,Tamminga CA,Schulz SC

    更新日期:2000-01-01 00:00:00

  • Psychotic controls in schizophrenia research.

    abstract::Schizophrenia is but one form of psychosis; therefore, it is important to control for the psychotic factor in studies of the schizophrenic syndrome. A survey was done of 478 articles in 15 major psychiatric and psychological journals to determine the frequency of controls for psychosis in schizophrenia research. The s...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/7.4.729

    authors: Ritzler BA,Rinehart K

    更新日期:1981-01-01 00:00:00

  • An industry perspective on the NIMH consensus statement on negative symptoms.

    abstract::Negative symptoms of schizophrenia remain an area of substantial unmet clinical need. By convening a consensus conference in January 2005, the NIMH has taken a leading role in stimulating a resurgence of interest in methodological considerations related to development of new medications for treating negative symptoms....

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbj056

    authors: Alphs L

    更新日期:2006-04-01 00:00:00

  • First person account: the Messiah quest.

    abstract::The article that begins below is the fifth in a series of personal accounts to be published in the Schizophrenia Bulletin. In describing his account, the author commented: "The viewpoint is solely my consciousness. The substance of every statement and the specific words in many statements actually occurred to me. Thir...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/7.3.527

    authors: Zelt D

    更新日期:1981-01-01 00:00:00

  • Negative and positive symptoms in schizophrenia and depression: a followup.

    abstract::Negative and positive symptoms were investigated in a sample of 72 young schizophrenic and depressed patients at followup approximately 1 1/2 years after hospital discharge. Flat affect, poverty of speech, and psychomotor retardation were included as negative symptoms, and delusions, hallucinations, and florid thought...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/10.3.371

    authors: Pogue-Geile MF,Harrow M

    更新日期:1984-01-01 00:00:00

  • The case of frontostriatal dysfunction in schizophrenia.

    abstract::A frontostriatal hypothesis of schizophrenia is advanced which takes into account evidence from studies of neurochemical pathology, functional imaging, cognitive neuropsychology, and experimental and clinical psychopharmacology, in addition to factor analyses of the symptomatic heterogeneity of this disorder. This evi...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/16.3.391

    authors: Robbins TW

    更新日期:1990-01-01 00:00:00

  • Do specific early-life adversities lead to specific symptoms of psychosis? A study from the 2007 the Adult Psychiatric Morbidity Survey.

    abstract::Previous studies have reported associations between childhood adversities, eg, loss of a parent, being raised in institutional care, sexual and other kinds of abuse by adults and bullying by peers, and psychosis in adulthood. However, the mechanisms by which these adversities lead to psychotic experiences are poorly u...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbs049

    authors: Bentall RP,Wickham S,Shevlin M,Varese F

    更新日期:2012-06-01 00:00:00

  • The search for elusive structure: a promiscuous realist case for researching specific psychotic experiences such as hallucinations.

    abstract::Problems in psychiatric classification have impeded research into psychopathology for more than a century. Here, I briefly review several new approaches to solving this problem, including the internalizing-externalizing-psychosis spectra, the 5-factor model of psychotic symptoms, and the more recent network approach. ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/sbu044

    authors: Bentall RP

    更新日期:2014-07-01 00:00:00

  • Mobile assessment guide for research in schizophrenia and severe mental disorders.

    abstract::Mobile assessment techniques have been used for nearly 3 decades in mental health research, including in investigations of individuals with schizophrenia and other severe disorders. This article reviews the benefits of these data collection strategies relative to traditional self-report or clinician-administered measu...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/sbr186

    authors: Kimhy D,Myin-Germeys I,Palmier-Claus J,Swendsen J

    更新日期:2012-05-01 00:00:00

  • Neurophysiological Correlate of Emotion Regulation by Cognitive Reappraisal and Its Association With Psychotic Symptoms in Early Psychosis.

    abstract:BACKGROUND:Emotion dysregulation is crucial to both poor social functioning and psychotic symptom formation in patients with schizophrenia. The efficient use of emotion regulation strategies, such as cognitive reappraisal, has been less frequently observed in the early phases of psychotic disorder. It is unknown whethe...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbaa080

    authors: Kim M,Hwang WJ,Park J,Kim T,Oh S,Kwon JS

    更新日期:2021-01-23 00:00:00

  • Prenatal influenza infections and adult schizophrenia.

    abstract::We reported previously that residents of Greater Helsinki, Finland, whose mothers were exposed to the 1957 influenza epidemic during their second trimester of gestation had a significantly elevated risk of developing adult schizophrenia. The majority of the replication studies to date have not determined whether the m...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/20.2.263

    authors: Mednick SA,Huttunen MO,Machón RA

    更新日期:1994-01-01 00:00:00

  • Distinguishing prodromal from first-episode psychosis using neuroanatomical single-subject pattern recognition.

    abstract:BACKGROUND:The at-risk mental state for psychosis (ARMS) and the first episode of psychosis have been associated with structural brain abnormalities that could aid in the individualized early recognition of psychosis. However, it is unknown whether the development of these brain alterations predates the clinical deteri...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbs095

    authors: Borgwardt S,Koutsouleris N,Aston J,Studerus E,Smieskova R,Riecher-Rössler A,Meisenzahl EM

    更新日期:2013-09-01 00:00:00