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Psycology » Schizophrenia and schizoaffective disorder

The impact of schizophrenia on the family

As a growing tendency to prefer not hospitalization and home care for them, in some families began to emerge significant difficulties. Relatives of schizophrenics noted two main groups of problems (Sgeeg 1978). The first group is associated with social withdrawal: patients with schizophrenia do not interact with other family members, and they are slow, do not take care of themselves, do not enter into the conversation, the scope of their interests is very limited. The second group is associated with a clearly disturbed and socially unacceptable behavior such as restlessness, strange or disinhibited behavior in society, as well as the threat of violence. It turned

Treatment of schizophrenia: interaction supporting medical and social care

As in the management of patients with schizophrenia, apparently, effective and drug therapy, and social activities on the conditions of life of patients and families to assist them, it is advisable to find out whether you can use these two types of treatment in the interaction. Hogarty et al. (1974) studied the effect of the role of therapy (ie, from social events aimed at finding its role in patients with labor or social) with the use of drugs and without them. Themselves social events very little effect on reducing the frequency of relapses, in conjunction with drug therapy they were given a more significant effect. Perhaps this difference is partly due to

Treatment of patients with schizophrenia

The success of treatment depends on whether the doctor will be able to establish a good relationship with the patient, in order to secure his assistance. To achieve this it is sometimes not easy, especially if you are dealing with chronically ill, suffering from paranoia or emotionally indifferent, but as a rule, the progress achieved skill and patience. It is important to set realistic goals, especially in the treatment of patients with the most severe disabilities. Overly optimistic, forced rehabilitation plans may exacerbate symptoms in a patient and be an undue burden on his family (if he is treated at home

Course and prognosis

Although it has become a generally accepted opinion that the outcome of schizophrenia worse than most other mental disorders, conducted surprisingly little long-term follow-up studies of patients with schizophrenia. Even fewer were studies that used diagnostic criteria satisfactory, adequate largest sample of patients and outcome evaluation methods that allow to distinguish between symptoms and social adaptation. It is known that the result can vary widely. These differences can be explained in three ways: 1) schizophrenia may be one painful condition for kotorog

Social environment and course of the disease

According to the background culture of contemporary international study, the incidence of schizophrenia in different countries is almost the same, but its course and outcome are different. During a 12-year follow-up study of 90 patients conducted in Mauritius (Murphy, Raman 1971) observed a more favorable outcome than marked Brown et al. (1966) in the United Kingdom. Among patients Mauritian higher proportion of those who were able to leave the hospital and return to a normal lifestyle. According catamnesis, nearly two-thirds of the patients were classified as socially independent (with symptoms of schizophrenia they were absent) compared all lish

Role of the family in the occurrence of schizophrenia

There are two theories about the family as a cause of schizophrenia: one of them considers to be a major factor in the rejection of role relationships, other abnormalities in communication in the family (see: Liem 1980). The special role of the family in terms of its effect on the course of schizophrenia will be discussed later (see p.228). Deviations in role relationships schizophrenic mother concept was proposed in 1948 by the analyst Fromm-Reichmann. When comparing mothers of schizophrenics and mothers of subjects suffering from neuroses, and mothers of healthy people (control group) Alanen (1958, 1970) found that mothers of schizophrenics significantly more psychological abnormalities. He suggested that these

The causes of schizophrenia: neurologic abnormalities

Schizophrenic patients, clinicians often show signs of minor neurological disorders. However, it is possible that some of these symptoms are a manifestation of the corresponding neurological disease accidentally coincided with schizophrenia, but they may also reflect a causal process. The focus in research are mainly the following: non-local (soft) neurological signs, the possible anomalies of the corpus callosum and cerebellum; data on the expansion of the ventricles; neuropathology. All four of these areas will be discussed in turn below. Soft recognition

The causes of schizophrenia: other constitutional factors

Perinatal factors has been suggested that the etiology of schizophrenia may be important factors operating in the perinatal period. There is indirect evidence to support this view, derived from studies in which the task was to find out: does the likelihood of developing schizophrenia from complications during childbirth, as well as on what the bill were these birth mother and what time of year there. Study of these three types showed the following factors. On the essential role of factors such as birth complications, evidenced by the fact that in retrospective studies in the history of patients with schizophrenia

Treatment of Schizophrenia: ECT

In the treatment of schizophrenia traditional indications for ECT are catatonic stupor and severe depressive symptoms that accompany schizophrenia. Effect of ECT in most cases comes quickly, and this procedure gives impressive results in both these states. When other forms of ECT in schizophrenia is now rarely used, although, according to some, it gives a quick effect in acute (Taylor, Fleminger 1980).

Treatment of Schizophrenia: working with relatives

Controlled studies of intensive family therapy in the treatment of schizophrenia conducted bit. All of them were devoted to the study of short-term interventions during the acute stage of the disease, and all the findings suggest that the benefits at the same time is negligible (see: Mosher, Keith 1980). The results obtained in the study of emotional expressions, as mentioned above (see p.229) show that for the family members of schizophrenics should prove useful tips and expert advice, particularly aimed at addressing specific problems. It is also advisable to provide advice to families in pract
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