Mental Illness: Schizophrenia
Mental illness in
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Mental illness involves both physical and psychological components. The combined effects of these different factors generally result in behavioral dysfunction. The disease, schizophrenia, is a heterogenous disorder involving numerous signs and symptoms. Although its exact etiology remains unknown, several causal factors are thought to be involved. Physical and psychological factors may first predispose a person to schizophrenia, and then trigger the illness. Multiple therapeutic modalities may be used to treat the condition. Modern medical thinking may have originated with Hippocrates. As far back as the fifth century B.C., Hippocrates hypothesized that mental illnesses had physical causes. He saw the brain as "the organ of consciousness"--the site of both intellect and emotion. Such ideas eventually led to theories of somatogenesis. Hippocrates believed that deviant thinking corresponded to brain pathology. More recently, 19th century physician, Wilhelm Griesinger, also proposed that mental disorders have some physiological cause. In 1883 a follower of Griesinger, Emil Kraepelin, published a book delineating the "organic nature" of various mental illnesses. He regarded the individual diseases as distinct; according to Kraepelin, mental illnesses each had their own symptoms, etiology, course, and prognosis. Towards the end of the 1800s, significant progress was also achieved in the neurological sciences. This work eventu
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ed by their own delusions and hallucinations.
Schizophrenia is extremely heterogenous. One large-scale study performed by the World Health Organization, the International Pilot Study of Schizophrenia (IPSS), described a multitude of different symptoms. People diagnosed with schizophrenia, however, generally have only some of them. These various problems may be broadly grouped into two symptom categories: the positive and the negative symptoms.
For the most part, positive symptoms in schizophrenia involve behavioral excesses. Thought disorders may present as disorganized speech: patients have difficulty organizing their ideas into something that the listener can interpret. Such patients may also be incoherent: although their speech makes reference to various central ideas or theme, the patient's different thoughts may be unconnected, or loosely associated. Lastly, another schizophrenic speech disorder consists of derailment. Patients may be able to communicate with other people, but sometimes have trouble focusing on a single topic.
Positive symptomatology may also include delusions. The IPSS found that about 65% of schizophrenics suffered from persecutory delusions. German psychiatrist, Kurt Schneider, delineate
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Davison Neale, Emil Kraepelin, Schizophrenia IPSS, Schizophrenia Mental, Kurt Schneider, BC Hippocrates, davison neale, davison neale 1994, neale 1994, 1994 pp, neale 1994 pp, Wilhelm Griesinger, Sigmund Freud, abnormal behavior, 1994 pp 388-419, pp 388-419, mental illnesses, predispose person, mental illness, mental disorders, inappropriate affect, Sons Inc, result behavioral dysfunction, 1994 pp 28-57,
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Approximate Pages = 7 (250 words per page)
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