Saturday, 18 July 2015
24 October 2020
Koocheh Salamati - Schizophrenia

«devastating illness or ill devastator»

2010 October 08

Dr. Avideh Motmaen-Far, Osteopath D.O./ Radio Koocheh

Schizophrenia is the fourth leading cause of morbidity in both men and women, the second leading cause of international terrorism, and the leading cause of war. Schizophrenia is equally represented in women and men. Women tend to display more prominent mood symptoms and men more negative symptoms. The onset of the illness generally occurs at a later age in women than in men (between ages 23 and 35 in women versus 18 to 25 for men).  Psychosocial factors are now thought to influence the expression or severity of schizophrenia rather than cause it directly. The prevalence of schizophrenia is thought to be about 1% of the population around the world. In the United States and Canada, patients with schizophrenia fill about 25% of all hospital beds. The disorder is considered to be one of the top ten causes of long-term disability worldwide.

And remember, if you talk to God, you are praying, but if one day you hear your God’s voice who talks to you, your chance of being schizophrenic is almost hundred percent.

Schizophrenia is a brain disorder characterized by delusional thinking and unique but uncommon perceptions. This mental disorder does not begin abruptly and is the result of a long process that occurs gradually starting in late adolescents, or in early adulthood.  People experience changes in their thought process and how they perceive and experience things. A common way in which people begin to experience the symptoms of Schizophrenia is that they become suspicious of other people, they become paranoid. They say that people are trying to harm them or spying on them. They may also have strange or funny thoughts. They may become all of sudden extremely religious, very concerned about their health or fascinated with the supernatural. It is very difficult to recognize Schizophrenics because -during adolescents – anybody who has children know – there are tendencies for extreme behaviour.  So the diagnosis is difficult to make until the symptoms go clearly outside the bounce of what is normal behavior and last for many weeks or months.

Although there is very good evidence that the cause of this abnormality in brain development is related to genetic factors but the precise cause of Schizophrenia is not exactly known. We know that schizophrenia runs in families but not in the same way as having behavioral patterns that we learn in our families.  We know from a variety of different studies that there are a group of genes that are contributing to the suddenly abnormal development of the brain.  Exactly like computer circuits, the malfunction involves specific neural circuits. The chemicals that are specifically implicated or specifically deregulated are Dopamine and Glutamate. These two chemicals are over active in the brain in this case. The genetic factor in schizophrenia has been underscored by recent findings that first-degree biological relatives of schizophrenics are ten times as likely to develop the disorder as are members of the general population. Migration, is now known to influence people’s susceptibility to psychosis. Psychiatrists in Europe have noted the increasing rate of schizophrenia and other psychotic disorders among immigrants to almost all Western European countries. Black immigrants from Africa or the Caribbean appear to be especially vulnerable. The family breakup, adjusting to new urban life and social inequalities are responsible of generating a considerable amount of stress in migrating families.

Disorganized, Catatonic, Paranoid, Undifferentiated and Residual Type are different types of schizophrenia. Schizophrenics commonly display emotional bluntness, social withdrawal, illogical thinking, eccentric, disorganized behavior reflected mainly in speech.  Negativism, mutism, rigidity, excitement, delusions or auditory and hallucinations of persecution are other positive symptoms of this devastating condition. Disorganized behavior means that the patient has difficulty with any type of purposeful or goal-oriented behavior, including self-care or meal preparation.  Although this affection is a significant cause of pain and suffering for those afflicted, Schizophrenics do not exhibit outward signs of pain and suffering.

However, Schizophrenia includes three negative symptoms. They are called negative because they represent the lack or absence of behaviors. These symptoms are lack of emotional response,  poverty of speech, and absence of volition or will. In general, the negative symptoms are more difficult for doctors to evaluate than the positive symptoms.

Almost 50 percent of schizophrenics attempt suicide, and 10 percent succeed within a 20-year period of being diagnosed. This tendency toward suicide is attributed by mental health professionals to the normal emotional progression of the disease, but recent studies suggest the tendency toward suicide is caused by constant exposure to psychiatrists and psychologists who predict eventual suicide, thus causing it to happen.

Schizophrenia remains still an incurable condition, so the goal of treatment is to eliminate or reduce symptoms, minimize side effects, prevent relapse, and socially and occupationally rehabilitate the patient. This process can last a lifetime.

And remember, if you talk to God, you are praying, but if one day you hear your God’s voice who talks to you, your chance of being schizophrenic is almost hundred percent.

«نوشته فوق می تواند نظر نویسنده باشد و الزامن نظر رادیو کوچه نیست»


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