Discrepancies And Similarities In The Portrayal Of Schizophrenia In Film

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Oftentimes, the portrayal of mental illness in movies is skewed solely for cinematic purposes. However, careful examination of current evidence can better guide perceptions and accepted management of such illnesses. A focused comparison of schizophrenia as seen in evidence-based publications, current psychiatric care, and a motion picture film better reveals discrepancies and similarities in the representation of this illness. To begin, schizophrenia is the selected topic of focus for several reasons. Predominantly, schizophrenia is simply one of the more fascinating and interesting mental illnesses. An element of mystery encompasses this diagnosis as healthcare providers simply cannot see or hear the exact hallucinations that the patient …show more content…

The main character of K-Pax (Pollock & Softley, 2001) is depicted to be a calm, delusional schizophrenic patient who holds strong belief in being an alien from another planet. The patient often wanders and creates neologisms, though he is cleanly and appropriate. Clinically, the observed patient is agitated, has pressured speech, does not tend to personal hygiene, holds persecutory delusions, experiences dangerous command hallucinations, and responds to internal, auditory stimuli. The care provided to the patient in K-Pax (Pollock & Softley, 2001) resembles care encouraged clinically and in theory by the use of individual therapy with a psychiatrist, courtyard therapy, and milieu therapy. Also, the staff in K-Pax (Pollock & Softley, 2001) often encourages sleep and highly stresses the importance of family or other support systems in the management of psychosis. The patient observed clinically is noncompliant with the prescribed regimen of Haldol and Risperdol, whereas the patient in K-Pax (Pollock & Softley, 2001) willingly abided by treatment with Thorazine and Haldol. Another similarity noticed is the practice of least-restrictive treatment. Clinically, when the patient becomes agitated, staff begins with a verbal approach and proceeds to institute a behavioral approach. In K-Pax (Pollock & Softley, 2001), the patient progresses past requiring a behavioral approach to needing a chemical treatment. Some aspects of care in K-Pax (Pollock & Softley, 2001) did not align with care encouraged in theory or observed clinically. For example, the patient in K-Pax (Pollock & Softley, 2001) is often allowed to take a taxi to leave to unit. In one instance, the patient even spends an afternoon at the psychiatrist’s home for holiday celebrations. Actual patient care discourages discharge from the

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