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Schizophrenia - Case Study Example

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Schizophrenia is characterized by profound disruption in cognition and emotion, affecting the most fundamental human attributes: language, thought, perception, affect, and sense of self. The array of symptoms, while wide ranging, frequently includes psychotic manifestations, such as hearing internal voices or experiencing other sensations not connected to an obvious source (hallucinations) and assigning unusual significance or meaning to normal events or holding fixed false personal beliefs (delusions)…
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Schizophrenia Case Study
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Download file to see previous pages Recent History: Jim had spent first semester at university and had lived at home for the past two months At home his activities had been lounging around, listening to music, sleeping, eating from refrigerator at night .Jims appearance had started becoming untidy and he had become defensive and verbally abusive at one stage threatened physical violence.
As the level of risk appeared low and Jim is cooperative it was felt that twice daily visit by the CATT were appropriate. The psychiatrist made a diagnosis of acute paranoid schizophrenia Jim was commenced on Zuclopenthixol, Olanzapine and Benztropine following which Jim had a plethora of side effects. Jim's psychiatrist advised his parents to remove him from his current strenuous surroundings and provide him with individual care in a positive, constructive environment. Specifically, he recommended a place with a clean atmosphere, in plenty of sunshine and out-of-door activity. As part of a clinical trial Jim was provided with a companion constantly that would make for those engagements mentally and physically in activities that are constructive and yet, with patience and persistence, have those activities carried on in such a way as to make for constructive thinking, constructive activity, both as to the association and as to the speech, and as to the environment.
Jim's was now experiencing a slow but definite improvement in his condition. Many contemporary psychosocial rehabilitation models use a similar approach and companions may be include professional caretakers, a patient friend or member of the family or even teachers. As the individual responds to treatment, more self-responsibility is expected. Because some psychiatric patients develop manipulative techniques for avoiding responsibility, the question of how much self-responsibility is appropriate must always be addressed.
This essay focuses on some of the psychosocial factors that play an important role in the onset, course and treatment of schizophrenia. Most researchers believe there is an interaction between genetic/biological predispositions and environmental stresses.
1. Vulnerability Factors: Vulnerability of an individual depends on personal attributes of the person and social/environmental conditions which predispose the person to schizophrenia. Hence, it is necessary to examine the person and his/her environment prior to the development of the disorder.
2. Social Factors: one of the most consistent social factors associated with adult onset of schizophrenia is marked social withdrawal and generally poor interpersonal relationships (Goldstein, 1987, Parnas, Schulsinger, Schulsinger, et al., 1982). These ...Download file to see next pagesRead More
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