Critical Diagnostic Review Paper of Schizophrenia
History of Course of Schizophrenia Schizophrenia was named in 1911 by Swiss Psychiatrist Eugen Bleuler, but it is thought the disorder has been around for a much longer time. Although not called schizophrenia this disorder has been traced back to papyrus from 1550 B. C. Egypt and Stone Age skulls found with drill-like holes. The common theme of most behaviors of early times was madness. Neel Burton found madness was often thought of as punishment from God/the gods, and Hippocrates believe it a result of an imbalance in the four bodily humors and could be cured by special diets, purgatives and blood lettings (2012). There were times in history when religion became a cure for people plagued with these illnesses and most often asylums and monasteries become the treatment centers.
The disorder continued to mystify and Sigmund Freud believe it was a result of unconscious conflicts from ones childhood (Burton, 2012). Tertiary syphilis was often thought to be the cause of the psychotic symptoms of the disorder as they both share many of the same symptoms, but this was found to have infectious agents which gave thought to there being more than one factor in the reasoning behind the diagnosing aspect. The first to differentiate Schizophrenia from other issues was Emil Kraepelin. In 1887 he termed the disorder “dementia praecox” or dementia of the young, as he believed this was an illness of the brain like dementia but instead of
Dr. Emile Krapelin, a German physician, was one of the first to separate mental disorders into different categories. “Dementia praecox” was the term Krapelin used for those patients who had some of the same symptoms that we now use to describe schizophrenia. Many people had described the basic concept of “madness” for hundreds, even thousands of years, however, Krapelin was the first to distinguish Schizophrenia as a distinguished mental disorder in the year 1887. He also was the first to distinguish between mental disorders such as Schizophrenia and depression. “Dementia praecox” was believed to be a “disease of the brain” meaning literally “early dementia.”
Records of the disease date back to old Pharaonic Egypt, but it was not until 1887 that it was fully discovered by Dr. Emile Kraepelin. The disease was not dubbed schizophrenia until 1911 by Eugen Bleuler. One place most people have heard of schizophrenia is when the subject of witches or evil possessions come up. The most notable appearance of evil possessions found in history that was most likely schizophrenia would be the Salem Witch Trials in the late 1600’s. Modern day scientist believe that the women accused may have actually been suffering from schizophrenia due to signs they exhibited according the records taken during the trials. Until almost recently people with diseases such as schizophrenia were classified as being abnormal and many were subdued to horrible tests that are today considered inhuman and sometimes seen as forms of torture. “Early theories
Schizophrenia is a psychological disease with an unknown treatment. Its onset starts in early adult hood on average. There are many studies showing links to genetics and environmental causes. In this paper I will discuss many of the signs and symptoms of schizophrenia along with how it is diagnosed, imaged with MRI, and the difficulty in treating this disease. More treatments for schizophrenia may be revealed with the further advancement of imaging technology. Schizophrenia is a disease that affects the most complex structure in the human body, the human brain. The more research that is continued on the smaller segments of the different areas of the brain with imaging modalities the closer we get to
The DSM VI list its diagnosis criteria for schizophrenia disorder here are a few: A. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be:
This mental disease was first identified by a German physician Dr. Emile Kraepelin in 1887. He used the term “dementia praecox” believing this was a disease of the brain. Eugene Bleur later on changed the name to schizophrenia, as the name before was misleading. Viennese psychiatrist Sigmund Freud (1856-1939), convinced many that this disorder was due to childhood experiences (LLC, 2017). ‘Fever therapy’ used to be a treatment used by physicians in the twenties.
Dr. Emile Kraepelin gets credit for classifying mental disorders. He called schizophrenia early dementia: “dementia praecox.” He believed it to be a form of Alzheimers that prevails in adolescence. It had very similar symptoms to the elderly suffering from Dementia and Alzheimers. He even took it a step further and broke the disorder into three groups: disorganized, catatonic and paranoia.
A description of an illness with a common diagnosis towards schizophrenia such as hearing voices, hallucinations and behavior changes have been recorded over the past two centuries. Dr. Emil Kraepelin, a German psychiatrist, was the first to distinguish schizophrenia from other generic “insanity”. Kraepelin narrowed down other psychiatrists’ descriptions of very similar disorders from France and Scotland and named the common disorder “Dementia Praecox”. The descriptions of the disorders displayed consonant observations of severe cognitive and behavioral decline, although there was never a distinct correlation to diagnose a patient. Kraepelin said, “we meet everywhere the same fundamental disorders in the different forms of dementia praecox […] in very varied conjunctions, even though the clinical picture may appear at first sight ever so divergent.” (Source 1). Kraepelin’s developing discovering of “Dementia Praecox” never had a distinct diagnosis, “our formulation of the problem may be incorrect” (Source 1). Although considering there may have been a flaw and possibly giving up on “Dementia Praecox” Kraepelin built the foundation of discovering and revealing major disorders, therefore influencing other such as Eugen Bleuler.
Schizophrenia is a mental disorder that has haunted man-kind for centuries. Documents have been found aging this disease to the times of the Pharaohs in Ancient Egypt. The first diagnosed case was in 1887 and made a huge impact in mental disease (Burton). Emile Kraepelin was the one who first diagnosed schizophrenia and his work still impacts the DSM-classifications (Ebert). Schizophrenia has typically been looked down upon by cultures throughout time. There are many stereotypical and incorrect thoughts on schizophrenia that have stemmed from past generations. Past cultures have thought of schizophrenia as the devils entrance into the present world. Their views of “becoming crazy” stem from the demonizing of a person through
Ms. Deyo is a 35 year old Caucasian female who was referred to MCM by Stephanie Antkowiak from the Arc of High Point. Ms. Antkowiak contacted MCM with concern for Ms. Deyo expressing today she was ready to end her life. MCM Dispatcher contacted Ms. Deyo who denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Ms. Deyo reported what she said to Ms. Antkowiak was taking the wrong way. She reported having a lack of supports, is experiencing chronic pain, and trying to receive services. QP responded to call to see what services may be available to assist Ms. Deyo in her crisis.
A common mistaken belief is that people with schizophrenia have multiple personalities. Many people confuse schizophrenia with 'split personality' or 'multiple personality disorder' (Lilienfeld et al, 2010). The misunderstanding stems from the meaning of the word schizophrenia, as in Greek it means 'split mind' (Boruck, 2008). In 1990, Carlson proposed “schizophrenia is probably the most misused psychological term in existence” . Vaughan (1977), performed a study which found that 77% of students who registered for introductory psychology classes supported the myth about schizophrenics having a split personality. Although, more recent studies have suggested lower support for the myth as 50% of college students, 40% of police officers and almost 50% of those in the community agreed with the myth (Stuart & Arboleda-Florez, 2001; Wahl, 1987). Not only does this belief occur among the general population but it is also present in scientific journals. For example, Drummer's (2003) medical journal subtitled "The dermatologist's schizophrenic attitude towards pigmented lesions". As well as this, Shastry (1999) wrote in a journal schizophrenia is also known as split personality. Therefore terminological confusion seems to be one reason for this myth being common.
Assessment of schizophrenia in a clinical setting has been limited for decades by the accepted conceptual model that psychological symptoms are the main problem rather than a holistic viewpoint. Schizophrenia is a multifaceted disorder that expresses systematically, not just locally to the brain in the form of psychosis (Kirkpatrick, Miller, García-Rizo, & Fernandez-Egea, 2014). In order to evaluate the inconsistency with the standard model, a review of schizophrenia, how to clinically address the disorder as a systemic condition, and the important factors to convey to the patient and their family about symptom treatment will be presented.
(Szasz,1982, p.4, p.29) In 1900, the term schizophrenia, now used worldwide, was used to describe the condition that one out of every hundred people had. This statistic remains the same today. Through research and years of study, the world has a better understanding of schizophrenia, its forms, characteristics, symptoms, types, possible causes, and treatments, if any. ( Pierce, 1990. p.263 )
Schizophrenia is one of the most severe psychiatric disorders that affects both male and females, respectively. This illness is characterized by gradual increase in changes of perception, thinking, social activities, speech, feelings, and motivations. Many studies have shown that there is a clear difference in outcome between genders including symptom severity, age-at-onset and functional outcome (as cited in Gogos, Kwek and van den Buuse, 2011, p. 213). For example, schizophrenia occurs on average 1.5-4.5 earlier in men compared to women. Further evidence suggests that women who have a psychiatric disorder such as schizophrenia may have various levels of estrogen; the most severe phase of the disorder will be when there is low level of
The disease was first discovered to be a discrete mental illness in 1887 by Dr.Emile Kraepelin. Although, it was first discovered in 1887 it is widely believed that schizophrenia has accompanied mankind throughout history. This is showed
This is a 40-year-old female with a 6/18/2010 date of injury, when an agitated patient picked-up a heart monitor machine and slammed it into claimant's head and ribs.