Schizophrenia
schizophrenia is a severe disturbance of the brain's
functioning. In The Broken Brain: The Biological Revolution in
Psychiatry, Dr. Nancy Andreasen states "The current evidence concerning
the causes of schizophrenia is a mosaic. It is quite clear that
multiple factors are involved. These include changes in the chemistry
of the brain, changes in the structure of the brain, and genetic
factors. Viral infections and head injuries may also play a role....finally,
schizophrenia is probably a group of related diseases, some of
which are caused by one factor and some by another."
There are billions of nerve cells in the brain.
Each nerve cell has branches that transmit and receive messages
from other nerve cells. The branches release chemicals, called
neurotransmitters, which carry the messages from the end of one
nerve branch to the cell body of another. In the brain afflicted
with schizophrenia, something goes wrong in this communication
system.
"In most people the brain's switching system works
well. Incoming perceptions are sent along appropriate signal paths,
the switching process goes off without a hitch, and appropriate
feelings, thoughts, and actions go back out again to the world....in
the brain afflicted with schizophrenia...perceptions come in but
get routed along the wrong path or get jammed or end up at the
wrong destination."
Schizophrenia may develop so gradually that the
family and even the person with the disease may not realize that
anything is wrong for a long period of time. This slow deterioration
is referred to as gradual-onset or insidious schizophrenia. A
gradual build-up of symptoms may or may not lead to an acute or
crisis episode of schizophrenia. An acute episode is short and
intense, and involves hallucinations, delusions, thought disorder,
and an altered sense of self.
Sometimes schizophrenia has a rapid or sudden onset.
Very dramatic changes in behaviour occur over a few weeks or even
a few days. Sudden onset usually leads fairly quickly to an acute
episode. Some people have very few such attacks in a lifetime;
others have more. Some people lead relatively normal lives between
episodes. Others find that they are very listless. depressed,
and unable to function well.
In some, the illness may develop into what is known
as chronic schizophrenia. This is a severe, long-lasting disability
characterized by social withdrawal, lack of motivation, depression,
and blunted feelings. In addition, moderate versions of acute
symptoms such as delusions and thought disorder may be present
in the chronic disorder.
Psychiatrists divide the symptoms of schizophrenia
into "positive" and "negative" categories. This can be confusing.
Dr. E. Fuller Torrey explains that the adjective "positive" "...denotes
those symptoms which are present and should be absent..."; "negative"
those "...that are absent but should be present...." (Torrey,
Surviving Schizophrenia: A Family Manual, revised edition, p.
79). This classification system is believed to be helpful for
research purposes. It may suggest more promising forms of treatment
and may help predict the outcome of the illness.
Positive
Symptoms
Hallucinations, Delusions are strange and
steadfast beliefs that are held only by the observer and that
remain despite obvious evidence to the contrary. Thought disorder
refers to problems in the way that a person with schizophrenia
processes and organizes thoughts. Altered sense of self
is a term describing a blurring of the ill person's feeling of
who he or she is. It may be a sensation of being bodiless, or
non-existent as a person.
Negative
Symptoms
Lack of motivation or apathy is a lack of
energy or interest in life that is often confused with laziness.
Blunted feelings or blunted affect refers to a flattening
of the emotions. Because facial expressions and hand gestures
may be limited or nonexistent, the ill individual seems unable
to feel or show any emotion at all.
Depression involves feelings of helplessness and hopelessness,
and may stem in part from realizing that schizophrenia has changed
one's life, from realizing that the "special feeling" experienced
in the psychotic state is an illusion and that the future looks
bleak.
Social withdrawal may occur as a result of depression, as
a result of a feeling of relative safety in being alone, or as
a result of being so caught up in one's own feelings and fearing
that one cannot manage the company of others.
Schizophrenia is not now curable, but through the
use of anti-psychotic medication and psychotherapy, the positive
symptoms of schizophrenia can usually be controlled.
APPLYING FOR DISABILITY
WITH SCHIZOPHRENIA DISORDER
Other Sites On This Subject
1. http://www.schizophrenia.com/
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