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Watch the clip. You tube Gerald – schizophrenia Heather – schizophrenia Real life case studies…. Schizophrenia. What is it and what are the symptoms……. The 1500’s. Disturbances mainly in thoughts

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  1. Watch the clip • You tube • Gerald – schizophrenia • Heather – schizophrenia • Real life case studies….

  2. Schizophrenia What is it and what are the symptoms……

  3. The 1500’s • Disturbances mainly in thoughts • In the 15th & 16th Centuries Europe – women with Sz were thought to be possessed by the devil and tortured and burned to the stake to exorcise the devil

  4. The 1800’s • Inmates were chained to the floor, and treated quite unkindly. "In the 18th century people used to go there to see the lunatics. For a penny one could peer into their cells, view the freaks and laugh at their antics, generally of a sexual nature or violent fights. Entry was free on the first Tuesday of the month. Visitors were permitted to bring long sticks with which to poke and enrage the inmates

  5. Today • Although in the 50’s and 60’s most people diagnosed spent their lives in a psychiatric ward – today patients can live independently at home – usually under some supervision also undertaking a combination of drug therapies and psychotherapy

  6. Schizophrenia • John Nash thought foreign governments were communicating with him. He had to live with the delusions that never left him – and shows how you can to a certain degree live with the condition

  7. Schizophrenia • The Greek meaning for sz means ‘split mind’. • It implies the person is split between reality and delusions. • It is a psychotic disorder – lose touch with the world • The onset is more early in men than women (20’s – 30’s) • Sz patients suffer the greatest stigma – seen as ‘mad’

  8. Classification of SZ • To accurately diagnose (classify sz) the DSMIV has distinguished between 5 main categories of sz so that is does not get mixed up with other psychotic disorders • Some categories require that symptoms be present for a month and some 6 months before diagnosis can be accurately made. • There are 5 major categories for the classification of sz… (use the handout to make a table as below:

  9. Classifications of psychotic disorders

  10. Evaluations • The catatonic type is relatively rare and may be due to certain types of drugs used to treat the disorder (McGlashan and Fenton, 1991). Some argue it is not a true category of sz and so should be dropped as a classification • The undifferentiated classification is also controversial because it is said to be too vague and ill defined. Many clinicians believe it to be over used and sometimes confused with other psychotic disorders . • Another example of confusion is where psychiatrists may wrongly diagnose an individual with sz instead of schizoaffective disorder (which is sz with depression).

  11. Exam questions • Identify one sub-type of schizophrenia and give two symptoms typically associated with that sub-type. (3 marks) • Explain one consequence of being diagnosed with schizophrenia. (4 marks)

  12. Symptom similarities Sub-categories depression onset Mis-diagnosis support Active/residual phase treatment

  13. Less chance of relapse Treatment Independent Remission Cost effective Drugs/therapy Discharge No cure but reduces the symptoms

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