Schizophrenia: Treatment and Diagnosis
In 1809, physician John Haslam published an account of what he considered “A form of insanity”. Haslam described many symptoms that are relevant to modern day schizophrenia including delusions of grandeur and hallucinations. During the latter part of the nineteenth century, a German psychiatrist named Emil Kraepelin expanded on Haslam’s views and gave a more accurate description of schizophrenia as we know it today. Kraeplin started off by combining terms including different types of insanity under one term: Catatonia, and delusions of grandeur and persecution: paranoia. Kraepelin also separated dementia praecox from manic depressive illness, or bipolar disorder (Barlow,
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The prevalence rate ratio is equal among both genders and is said to be 0.2% to 1.5% (Barlow P.481). Life expectancy is usually lower because of the increased rates of suicide by individuals who have the disorder. In regards to the positive symptoms, these include delusions of grandeur, which is when a person believes they have a special ability or feel as if they are better than everyone else. Delusions are the most commonly experienced symptom. Hallucinations are the second most experienced symptom under positive symptoms (Andreasen P.381). Hallucinations are best described as “The experience of sensory events without any input from the surrounding environment” (Barlow P.473). Hallucinations include people hearing voices telling them things or hearing sounds that only occur to them. Negative symptoms refer to the loss of abilities rather than actual gain. Avolition is the inability for a person to be involved in activities or pursue normal daily functions. Alogia is when a person uses little to no words while talking to someone. An example of this is if a person gives short replies to someone such as “yes” or “no” and refrains from actual conversation. Anhedonia is described as a lack of pleasure or refrain from activities that would normally be pleasurable. Disorganized speech is when a person is trying to present an idea or conversation to someone, and cannot stay coherent and has trouble trying to describing ideas (Andreasen P.382), (Barlow
These symptoms are grouped into three categories positive, negative, and psychomotor (Comer 2016). Positive symptoms are pathological excesses and they include hallucinations and disorganized thinking and speech (Comer 2016). Whereas negative symptoms are pathological deficits which include loss of violation and social withdrawal (Comer 2016). Psychomotor symptoms are awkward moments and odd gestures that people suffering with schizophrenia sometimes experience (Comer 2016).
Schizophrenia is a neurological disorder that affects the cognitive functions of an individual. The cause of this illness is unknown, but there are several theories of how an individual may acquire schizophrenia. Because there are many symptoms of the disease and because the symptoms can vary quite dramatically among several individuals and even within the same individual over time, the diagnosis of schizophrenia can be quite difficult.
Symptoms in this category include hallucinations, delusions, thought disorders, and movement disorders. When first thinking of Schizophrenia, hallucinations come to mind. Patients that have the hallucinations see things that are not really there. These things they are seeing could put themselves in danger. Negative symptoms are when your normal emotions and behaviors are far from normal. The “Flat affect”, enjoying everyday life, difficulty staring and continuing activities, and reduced speaking are all symptoms of negative symptoms. The “Flat affect” is when the patient is not able to express themselves emotionally as they could before. Lastly, cognitive symptoms are different for each patient. For some patients, they may be subtle while for others they are quite serious to the point where they can learn something and then forget it within the next few minutes. The symptoms include struggling with making decisions, trouble with paying attention, and having a difficult time remembering things. A lot of patients tend to deal with suicidal thoughts causing the lifespan of these patients to shorten. Most times, the illness will get the best of them and they will eventually commit
(Salinger 173). Holden has molded his life around this fantasy and fails to realize that
As we have seen, treatment of schizophrenia with antipsychotic drugs can have impressive results in terms of decreasing active symptoms, although it does nothing to alleviate negative symptoms or to improve cognitive functioning. Unfortunately, this kind of treatment has the drawback of extremely serious and even fatal side-effects. Newer generation atypical antipsychotics offer more hope, as they can treat both active and negative symptoms, and also improve cognitive functioning. Moreover, they have fewer side-effects. However, treatment is complicated by the fact that results are unpredictable; and in addition the side-effects that they do have can be very serious, such as diabetes, which in itself is life-threatening. However, as the potential side-effects are known, the physician has leeway to choose a drug which is a good match for the patient’s clinical profile. Then, once the patient’s symptoms have been much alleviated with an appropriate newer generation atypical antipsychotic, the patient should be able to also benefit from a range of psychotherapeutic interventions. It is argued that this is the best treatment regime to choose, as it is likely to result in the greatest improvement in quality of life, coupled with the lowest risk of potentially devastating side-effects, or of death. This is likely to be better than utilizing cognitive behavioral therapy, the results of which are not reliably known – although research has certainly shown that it is less efficacious
The National Organization for Rare Disorders (NORD) says that MSUD happens to males and females at the same rate. The risk of having any form of MSUD depends if your parents have this disorder or not. If both of the parents have the disorder, each child has a 25 percent chance of getting two mutated genes and getting MSUD, the child would have a 50 percent chance from getting one normal gene from each parent. The parent or parents are not able to pass on the gene to their children if they have two normal genes for MSUD. (Healthline,
In this week’s readings chapter twelve is about schizophrenia. Schizophrenia is a psychotic disorder in which personal, social, and occupational functioning deteriorate as a result of strange perceptions, unusual emotions, and motor abnormalities. This disorder is very interesting, but also kind of scary to me. They literally end up in their own world, losing contact with reality. With that, they also experience hallucinations or delusions, which can cause them to do abnormal, possibly dangerous actions. These symptoms must last six months or more before the person can be diagnosed with schizophrenia. It will affect 1 out of 100 people in the world during ones lifetime. This disorder, unlike many others, is just as common among men and women,
This paper defines schizophrenia from a biological and psychological perspective and also provides treatment to help combat symptoms of schizophrenia. This paper has three important contributions. First, by defining and expanding on schizophrenia from a biological perspective, I can identify the nature related predispositions. After expanding from a biological approach, secondly, I will analyze schizophrenia from a psychological aspect by determining if there is any environment or nurturing externals that can result to schizophrenia. Lastly, I will provide treatment details and also reveal early signs to schizophrenia. This paper is important because schizophrenia is an epic mental disease and it is crucially important to bring awareness to the public of how we can limit the illness. It is unclear whether schizophrenia have only a biological background or psychological background, but what was discovered is that both contribute to schizophrenia. Positive and negative treatment can be combatted undergoing pharmaceutical and psychotherapy,
A positive long-term outcome is associated with an acute onset featured by positive symptoms which occurs after adolescence. Unfortunately, a poor prognosis is associated with several conditions: slow, gradual onset that occurs at a young age, male gender, no precipitating signs, predominance of negative symptoms, delay in receiving treatment, family history of the disorder, and presence of other conditions (substance
Schizophrenia is a life-long disorder that affects about one percent of the population (Mueser & McGurk, 2004). The cause of this mental illness is still unclear. Studies have suggested that Schizophrenia does not arise from one factor but from a combination of genetic, environmental, and social factors (Liddle, 1987). People diagnosed with Schizophrenia struggle to deal with a multitude of symptoms that make it difficult to function (Mueser & McGurk, 2004). Antipsychotic medications are a popular treatment of the symptoms of Schizophrenia (Mueser & McGurk, 2004). Research is constantly being done to develop these medications to enhance the quality of life of those diagnosed with Schizophrenia.
Schizophrenia as a Biological Disorder As well as the biological approaches there are physiological, psychological and environmental explanations. New theories of schizophrenia are constantly being developed each having their own advantages and disadvantages. How do we know however, which one is correct? The biological explanation suggests that schizophrenia is produced by an unfortunate combination of genes or is due to physical problems in the brain.
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)
(Kalat, 2012). Bleuler used the term as a means of representing a major psychotic illness
2011). Varcarolis et al. 2006 describe positive symptoms of schizophrenia as ‘florid psychotic symptoms’ ‘as they capture attention’. Cognitive deficits lay primarily within the domains of memory and language affecting mood and behaviour (Elder et al. 2009). Positive symptoms of schizophrenia include delusions, hallucinations and sever thought process disturbances and have an acute onset (Elder et al. 2009).Varcarolis, Carson and Shoemaker (2006) state that a patient experiencing a delusion is convinced that what they perceive is real and consequently the patients thinking often reflects feelings of great fear, isolation and trust issues. Additionally Elder et al. (2009) state that cognitive deficits are considered psychotic symptoms and that behaviours, perceptions and beliefs shown in a person having an exacerbation of schizophrenia are not consistent with normal human experience.
Schizophrenia is a mental illness that is diagnosed in 0.5%-1% of the population in their lifetime (van Os et al, 2010). Its literal translation is ‘split-brain’, though it does not refer to multiple personality disorder, but rather a split from reality characterized by its disturbed perceptions, disorganized thinking and inappropriate emotions (Myers, 2010). Much research has been carried out to gain a better understanding of the causes of this serious disorder. A popular theory is the diathesis-stress model. This theory of schizophrenia proposes that stress can elicit a pre-existing vulnerability to the disorder (Jones & Fernyhough, 2007). This model focuses on the interaction between genetic heritability of the disorder, and the environments interaction