Differentiation of Schizophrenia
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Despite the fact that schizophrenia has been studied extensively, findings have been inconsistent. The differentiation of the disorder from other forms of psychotic illness is not definite. Because various aspects of the condition are so different, more than one cause is suspected. The illnesses identified as schizophrenia are held to have a lifetime risk for about 1 percent of the population. For most patients, the outcome is not good (Johnstone 536). All of the studies indicate that schizophrenia has no cure. Relapses, no matter what the treatment program, appear to be inevitable. Once out of the institutional setting, few schizophrenics continue to take their medication as needed. Schizophrenics should be institutionalized to protect them from hurting themselves and others. The German psychiatrist, Emil Kraepelin, was the first to use objective tests and measurements to study drug effects and mental disorders. At the turn of the century, he developed the classification of two types of psychosis: manic-depressive psychosis and dementia praecox. In 1911, Eugene Bleuler, a Swiss psychiatrist, noted that the early onset of dementia was not characteristic of KraepelinĘs dementia praecox, and he introduced the term schizophrenia to refer to the disassociation or disruption of thought processes and the split among thought, emotion, and behavior (Carpenter and Buchanan 681). Mental health professionals differ in their theories of what causes schizophrenia. Howe
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todial institutional care to other facilities such as residential shelters and nursing homes, the patientsĘ families and the community, none of which are prepared or equipped to provide the extensive care needed for most schizophrenics. Support services in the majority of communities were incomplete or missing. This shift created enormous problems for all of the organizations involved.
Although medication enables the hospital to discharge mentally ill patients, the lack of coordination and communication between the institution and available community services makes the monitoring of the patients' condition difficult. An estimated 40 per cent of the nationĘs homeless are discharged mentally ill people, many of whom are schizophrenics (Arbetter 26).
Many schizophrenics remained out of sight and out of mind until the flop houses and single-room-occupancy hotels in which they often lived began to disappear in the 1980s. Also, jailing of severely mentally ill people for minor offenses became common across the country. The arrests appear to be an attempt by police to get the mentally ill off the streets on whatever technicalities they could find. As a result, more than 100,000 people with schizophrenia and manic-depressive p
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Approximate Word count = 1927
Approximate Pages = 8 (250 words per page)
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