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The role of social workers in the treatment of schizophrenia
Social work schizophrenia treatment interventions
Schizophrenia psychological and sociocultural
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Psychosocial Rehabilitation for Schizophrenia
Psychosocial rehabilitation is a learning based approach using a token economy and social skill training to help patients with schizophrenia develop adaptive behaviors (Nevid, Rathus, & Green, 2003). To live successfully in the community, a variety of treatment approaches are available to people with schizophrenia. A few of the psychosocial rehabilitation options for people with schizophrenia include hospitalization, self-help clubs, family intervention programs, drug therapies and psychosocial treatments. Many treatments have been researched with the most effective being a combination of more than one treatment being implemented simultaneously with others.
Schizophrenia is an illness. The symptoms of schizophrenia usually last a lifetime. Persons suffering from schizophrenia have a distorted perception of reality which includes hallucinations and delusions affecting their thinking. They also have what are called negative symptoms; these include social withdrawal and blunted affect. Along with the thought and affect, there is also cognitive dysfunction. Symptoms of cognitive dysfunction are attention, memory, and learning difficulties. Although genetic vulnerabilities for schizophrenia are believed to exist, they have yet to identify a single genetic determinant (Tamminga, 2003). Earlier studies of interventions for schizophrenia were almost entirely biological. These studies called controlled clinical trials were not successful; the sample sizes were too small and did not provide useful data. Researchers knew the studies designs and reporting of the results studies needed to be improved. However, the studies did conclude, one very important aspect in the treatment of schizophrenia had been left out. Researchers needed to include the evaluation of psychosocial treatments of schizophrenia in order to show a complete picture (Wahlbeck, Adams, & Thornley, 2000).
Understanding the social dysfunction of schizophrenia helps in the refinement of psychosocial therapy. The ability of people with schizophrenia to give a coherent account of their lives is severely impaired. The disruption in their stories could be due to an organically based process that limits their interest in the external world or affects their ability to m...
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...berg, R.W., Rollins, A.L., &Lehman, A.F., (2003). Social network correlates among people with psychiatric disabilities. Psychiatric Rehabilitation Journal, 26 (4), 396.
Lysaker, P.H., Wickett, A.M., Wilke, N. & Lysaker, J., (2003). Narrative incoherence in schizophrenia: The absent agent-protagonist and the collapse of internal dialogue. American Journal of Psychotherapy, 57 (2), 153
Marder, S.R., (2000). Integrating pharmacological and psychosocial treatments for schizophrenia. Acta Psychiatrica Scandinavica, 102 (407), 87-90.
Matus, J. (2003). Better schizophrenia drug?. Prevention, 55 (9), 170.
Nevid, J.S., Rathus, S.A., & Green,B. (2003). Abnormal Psychology in a Changing World, 5th ed. Prentice- Hall, Inc., 433.
Tamminga, C.A., (2003). Schizophrenia, I, The American Jounrnal of Psychiatry, 160 (5), 846
Wahlbeck K., Adams C., & Thornley, B., (2000). Much to improve: A survey of controlled Nordic schizophrenia trials. Nordic Journal of Psychiatry, 54, 105-108.
The Psychosocial Treatment of Schizophrenia-Part I (2001). Harvard Mental Health Letter, 18
(2), 1-4.
The Psychosocial Treatment of Schizophrenia-Part II (2001). Harvard Mental Health Letter, 18 (3), 1-4.
Tsuang, M. T., Faraone, S. V., & Glatt, S. J. (2011). Schizophrenia. New York: Oxford University Press.
-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.
In Me, Myself and Them: A Firsthand Account of One Young Person’s Experience with Schizophrenia (2007), Kurt Snyder provides his personal narrative of living with Schizophrenia with Dr. Raquel Gur and Linda Andrews offering professional insight into the disease. This book gives remarkable insight into the terrifying world of acute psychosis, where reality cannot be distinguished from delusion and recovery is grueling. However, Snyder’s account does offer hope that one may live a content and functional life despite a debilitating, enduring disease.
Schizophrenia is a major psychiatric disorder, or cluster of disorders, characterised by psychotic symptoms that alter a person’s perception, thoughts, affect and behaviour (NICE, 2009). Tai and Turkington (2009) define Cognitive Behaviour Therapy (CBT) as an evidence-based talking therapy that attempts cognitive and behavioural change based on an individualised formulation of a client’s personal history, problems and world views. CBT as a treatment for schizophrenia can be understood within a wider framework of CBT as applied to a range of mental disorders such as anxiety, post traumatic stress disorder (PTSD), and depression (Tai and Turkington, 2009). CBT was built on behavioural principles that emphasised clear relationships between cognition, physiology and emotion (Beck, 1952). This essay will analyse CBT as a therapy for individual suffering from schizophrenia. It will discuss briefly the historical background and the development of CBT, the aims and principles, the evidence base of the strengths and weaknesses of the therapy. It will discuss as well the implication to mental health nursing practice. The focus of this essay is on intervention and psychosocial in nature which will be brought together in the conclusion.
Rector, N. A., & Beck, A. T. (2001). Cognitive behavioral therapy for schizophrenia: an empirical review. The Journal of nervous and mental disease,189(5), 278-287.
Addington, J., Piskulic, D., & Marshall, C. (n.d). Psychosocial Treatments for Schizophrenia. Current Directions In Psychological Science, 19(4), 260-263.
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...
Barlow, H. D., Durand, V. M. (2012). Abnormal Psychology: An Integrative Approach. Wadsworth Cengage Learning.
Halgin, R. P., & Whitbourne, S. K. (2010). Abnormal psychology: clinical perspectives on psychological disorders (6th ed.). Boston: McGraw-Hill Higher Education.
...chical concepts of the self affecting the internal dialogue and therefore verbalising second order narratives. These narratives are again weakened by the individual’s inability to evaluate their stories with others as a result of social isolation that often occurs. From these points summarised it would be reasonable to assume that these in combination with the general symptoms of schizophrenia that affect communication such as a poverty of speech, affective flattening, word salads and catatonic behaviours earlier discussed that any narrative produced could not possess validity as a result of its incoherence. However, It must be understood that schizophrenia is not a straight forward disorder, it does not affect everybody in the same way and its symptoms are on a spectrum. To simplify, when it comes to a formation of narrative individual differences are everything.
Schizophrenia is a mental illness that has major consequences for infected individuals, their family and society. Affected individuals may show a wide range of disruptions in their ability to see, hear, and other wise process information from the world around them. They also experience disruptions in their normal thought processes, as well as there emotions and behaviours
Schizophrenics may often be withdrawn from other people and usual everyday reality, frequently into a life of strange delusions and hallucinations. Schizophrenia is known to cause such huge disruption within that person’s life that it is unsurprising that it has been very difficult to find out what the underlying causes of the disorder are and to develop methods to try and treat it. There is still a long road to travel before anyone understands the various factors that trigger schizophrenia
Schizophrenia is a devastating mental illness affecting around one percent of humanity. Though estimates vary, conservatively, of that one percent, around a third are victims of the most intractable form of the disease. The purpose of this literature review is to examine the effectiveness and efficacy of established modalities for those diagnosed with this treatment resistant schizophrenia.
Barlow, David H., Vincent Mark. Durand, and Sherry H. Stewart. Abnormal Psychology: An Integrative Approach. Toronto: Nelson Education, 2012. 140-45. Print.
Barlow, D., Durand, V., & Stewart, S. (2009). Abnormal psychology an integrative apporach. (2nd ed.). United States of America: Wadsworth