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Schizophrenia
Distorted thinking, impaired emotional responses, poor
interpersonal skills and distortion of reality.
It is the best known (and most common) of the psychotic
disorders.
Worldwide the prevalence is around 1% of the population.
The word schizophrenia comes from the greek words meaning
split mind.
This is misleading and the condition should not be confused with
split personality disorder. Schizophrenia sufferers do not have 2
personalities.
Prognosis
There is disagreement about the outcomes for people
suffering with the illness.
Some have argued that complete recovery from this condition
is impossible. More recent research has shown that around
2/3s of people will go on to make a substantial improvement /
recovery.
Depression often occurs co-morbidly with schizophrenia and,
sadly, around 10-15% of people diagnosed with the illness will
go on to commit suicide.
Diagnostic criteria
(What are the symptoms?)
The DSM-IV:
(The diagnositic and statistical manual of mental
disorders, 4th edition).
This is based on the idea that certain symptoms can be grouped
together as syndromes or disorders.
There is an acceptance that these conditions and the related
symptoms can overlap and that the boundaries are not set or
finite.
Mental disorders are viewed in the same way as physical
conditions which can be diagnosed, treated and eventually cured.
Diagnostic criteria
(What are the symptoms?)
ICD-10
(International Classification of Diseases, 10th
Revision)
A similar system to the DSM-IV which was
developed by the WHO (World Health Organisation).
Seto (2004)
Reported that the term schizophrenia was relabelled as integration disorder in Japan due to
issues with getting a reliable diagnosis.
This would suggest that schizophrenia as a distinct
and separate disorder does not exist.
This highlights issue with diagnosis and
classification.
Improving picture
Beck (1962) Found that concordance (agreement) between
classifications by practitioners was 54%.
This figure had raised to 82% in 2005 (Soderberg) which
suggests these systems have improved significantly with
improved understanding of the illness.
Agreed language
What the diagnosis tools and systems to provide is an agreed
language which allows practitioners to share and compare
notes and thoughts.
It is agreed that the diagnosis of mental illnesses has
improved and continues to improve with increased knowledge.
The DSM-IV has been shown by a series of studies to be the
more reliable system because it has more specific terms for
each of the disorders.
Scheff
Argued that schizophrenia is not a
mental illness but a learned social role.
Scheff argues that the condition (or
behaviour) is a response to societal
labels.
This ignores a wealth of
biological (empirical)
evidence which points to
genetic, biochemical
and neuroanatomical
factors linked with
schizophrenia.