Introduction
Approximately 22% of the American population suffers from some kind of mental disorder at any given time. (Passer and Smith, 2004) Schizophrenia is one of the most serious of these mental disorders, and there are many different kinds of treatment. While all mental disorders offer diagnosis and treatment challenges, few are more challenging than schizophrenia. It is both bizarre and puzzling, and has been described as “one of the most challenging disorders to treat effectively.” (Passer and Smith, 2004, 534)
Schizophrenia is not yet fully understood, but it is known that it is characterized by extreme disturbances in many vital areas, including behavior, emotions, speech, perception and thinking. The term schizophrenia means “split mind,” but it should be noted that this does not mean that the person has dissociative identity disorder. Bleuler, who coined the term, merely meant that the sufferers have a split or disconnection in certain functions, such as emotion, language, or thinking. (Passer and Smith, 2004, 534) The following definition of schizophrenia is offered:
Schizophrenia is a lifelong disabling psychiatric disorder that often begins in late adolescence or early adulthood. It is characterized by severe and variable symptoms, including positive and negative symptoms, cognitive deficits and depressive symptoms. (Lublin, Eberhard and Levander, 2005, 183)
Diagnosis of schizophrenia may be made when the patient shows that he or she “misinterprets reality and exhibits disorder attention, thought, or perception.” (Passer and Smith, 2004, 534) Moreover, the person commonly has delusions, which have been defined as follows:
Delusions are false beliefs that are sustained in the face of evidence that normally w...
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...research has certainly shown that it is less efficacious than drug therapy.
Bibliography
Lublin, Henrik, Jonas Eberhard and Sten Levander. (2005). Current therapy issues and ummet clinical needs in the treatment of schizophrenia: A review of the new generation antipsychotics. International Clinical Psychopharmacology, 20: 183-198.
Paley, Graham and David A. Shapiro. (2002). Lessons from psychotherapy research for psychological interventions for people with schizophrenia. Psychology and Psychotherapy: Theory, research and practice, 75: 5-17.
Passer, Michael W. and Ronald E. Smith. (2004). Psychology: The science of mind and behaviour. 2nd edition. New York: McGraw Hill.
Patterson, Thomas L., Robert M. Kaplan and Dilip V. Jeste. (1999). Measuring the effect of treatment on quality of life in patients with schizophrenia. CNS Drugs, 12(1): 49-64.
Lehman, A. F., Lieberman, J. A., & Dixon, L. B. (2004) Practice guideline for the treatment of patients with schizophrenia, . American Journal of Psychiatry, 161 (2) 1 -56.
According to the DSM-IV, schizophrenia is classified under the section of “Schizophrenia and other psychotic disorders”. Schizophrenia is one of the most serious major chronic brain disorders in the field of mental health; it is a neurological disorder that affects the cognitive functions of the human brain. People living with this incapacitating illness can experience multiple symptoms that will cause extreme strain in their own and their families and friends life. The individual can lose reality, unable to work, have delusions and hallucinations, may have disorganized speech and thought processes, will withdraw from people and activities, they may become suspicious and paranoid, may behave inappropriately in every day social situations. They may neglect personal hygiene and dress improperly, use excessive make-up; every day life is becoming chaotic for everyone involved.
-Lieberman JA, Stroup TS, McEvoy JP, Swartz MS, Rosenheck RA, Perkins DO, Keefe RS, Davis SM, Davis CE, Lebowitz BD, Severe J, Hsiao JK. Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. N Engl J Med. 2005. Web.
There is still no unanimously accepted definition of schizophrenia, and appreciable differences exist between the narrowest and widest definition (Tsuang 13). It is a disease that includes a disturbance in cognition that renders the individual "out of touch with reality". Emotions are distorted in schizophrenia and they are typified by being socially withdrawn (Lahey 555).
According to Gamble and Brennan (2000), the effectiveness of medication for schizophrenia to relieve patients from psychotic symptoms is limited. Although patients have adequate medication, some received little or no benefit from it and almost half of them still experience psychotic symptoms. They are also more likely to suffer relapse (Gamble and Brennan, 2000). Furthermore, Valmaggia, et al. (2005) found that 50% of patients who fully adhere to anti-psychotic medication regimes still have ongoing positi...
Addington, J., Piskulic, D., & Marshall, C. (n.d). Psychosocial Treatments for Schizophrenia. Current Directions In Psychological Science, 19(4), 260-263.
Lehman, A, Dixon, L, Perkins, D (2004). Treatments of Patients with Schizophrenia: Second Edition. https://www.alliancebhc.org/wp-content/uploads/Schizophrenia-Adult-1.pdf
Passer, M., Smith, R., Holt, N., Bremner, A., Sutherland, E., & Vliek, M. (2009). Psychology; Science of Mind and Behaviour. (European Edition). New York.
Classical antipsychotic treatments are commonly used to treat schizophrenic patients with major positive symptoms of schizophrenia, such as Thorazine, Haldol, and Stelazine (Gleitman et al., 2011). Antipsychotic treatments are usually administered with a variety of psychosocial treatments including social skills training, vocational rehabilitation, supported employment, family therapy, or individual therapy (Barlow & Durand, 2014). This is to reduce relapse and help the patient improve their skills in deficits and comply in consuming the
According the fourth edition diagnostic manual of mental disorders (American Psychiatric Association, 2000), the category psychotic disorders (Psychosis) include Schizophrenia, paranoid (Delusional), disorganized, catatonic, undifferentiated, residual type. Other clinical types include Schizoaffective Disorder, Bipolar Affective Disorder/Manic depression, mania, Psychotic depression, delusional (paranoid) disorders. These are mental disorders in which the thoughts, affective response or ability to recognize reality, and ability to communicate and relate to others are sufficiently impaired to interfere grossly with the capacity to deal with reality; the classical and general characteristics of psychosis are impaired reality testing, hallucinations, delusions, and illusions. Mostly, these are used as defining features of psychosis even if there are other psychotic symptoms that characterise these disorders (L. Bortolotti, 2009).
What is Schizophrenia? Schizophrenia is brain disorder that makes it hard to see the difference between reality and imagination, have normal emotional responses, and act normal in social situations. Schizophrenia is relatively young, it has only been around for less than 100 years. It was first discovered by Dr. Emile Kraeplin in 1887. He believed it was a mental illness. A few documents take Schizophrenia’s origins back to Egypt during the Pharaoh’s rule around 1550 B.C. People originally thought schizophrenia was simply madness, and usually associated it with madness, even though it is quite different from madness. Symptoms of this disease include Positive symptoms, which are: hallucinations, or things that someone can see, feel, smell, or hear that do not really exist. Many people hear voices inside their heads, see people that are not there, or smell odors no one else smells. Delusions are another symptom, also known as bizarre beliefs, these may include paranoid delusions also, which are delusions that tell the person that others are trying to hurt them. Thought Disorders are a symptom in which the person thinks unusually or dysfunctionally. Movement disorders may be present in schizophrenic people, they may seem like twitches or small, sharp, and sudden movements. Schizophrenia’s “negative symptoms” are harder to recognize. These include the flat affect, in which the persons face doesn’t move and the voice is droning. The lack of pleasure in life is another once, along with the lack of ability to start and sustain activities, and little speech. These symptoms prevent or block the person from living a normal life because they cause social, physical, and emotional, and mental problems. This may lead to psychosis, insanity, or ...
Schizophrenia is a serious, chronic mental disorder characterized by loss of contact with reality and disturbances of thought, mood, and perception. Schizophrenia is the most common and the most potentially sever and disabling of the psychosis, a term encompassing several severe mental disorders that result in the loss of contact with reality along with major personality derangements. Schizophrenia patients experience delusions, hallucinations and often lose thought process. Schizophrenia affects an estimated one percent of the population in every country of the world. Victims share a range of symptoms that can be devastating to themselves as well as to families and friends. They may have trouble dealing with the most minor everyday stresses and insignificant changes in their surroundings. They may avoid social contact, ignore personal hygiene and behave oddly (Kass, 194). Many people outside the mental health profession believe that schizophrenia refers to a “split personality”. The word “schizophrenia” comes from the Greek schizo, meaning split and phrenia refers to the diaphragm once thought to be the location of a person’s mind and soul. When the word “schizophrenia” was established by European psychiatrists, they meant to describe a shattering, or breakdown, of basic psychological functions. Eugene Bleuler is one of the most influential psychiatrists of his time. He is best known today for his introduction of the term “schizophrenia” to describe the disorder previously known as dementia praecox and for his studies of schizophrenics. The illness can best be described as a collection of particular symptoms that usually fall into four basic categories: formal thought disorder, perception disorder, feeling/emotional disturbance, and behavior disorders (Young, 23). People with schizophrenia describe strange of unrealistic thoughts. Their speech is sometimes hard to follow because of disordered thinking. Phrases seem disconnected, and ideas move from topic to topic with no logical pattern in what is being said. In some cases, individuals with schizophrenia say that they have no idea at all or that their heads seem “empty”. Many schizophrenic patients think they possess extraordinary powers such as x-ray vision or super strength. They may believe that their thoughts are being controlled by others or that everyone knows what they are thinking. These beliefs ar...
Gross, R (2010). Psychology: The science of mind and behaviour. 6th ed. London: Hodder Education. p188.
The mental illness of schizophrenia, is defined as a “severe psychological disorder characterized by highly disordered thought processes, referred to as psychotic because they are so far removed from reality” (King, 2011, p. 507). To those who have not experienced schizophrenia it might sound disturbing, but to those living with the disorder, it seems unimaginable. “The experience of schizophrenia is often one of extraordinary terror (King, 2011, p. 507).
(2004) Psychology (2nd European edition). Essex: Pearson Education Limited Gross, R (1996).Psychology, The Science of mind and behaviour (3rd Ed). London: Hodder & Stoughton