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Trivison 1 Schizophrenia on a basic level is a mental disorder that can cause hallucinations and altered interpretations of reality. While the exact cause of schizophrenia is not known, it is thought to be a “combination of genetics, brain chemistry and environment” (Mayo Clinic). Since it is difficult to pinpoint a cause, diagnosis of this disorder begins with ruling out other potential disorders. Once other, easier to diagnose, disorders are ruled out, the patient would have to be showing at least 2 of the core symptoms of schizophrenia- hallucinations, delusions, and disorganized speech- for more than 2 months. Even though the causes of schizophrenia are not known, there are some risk factors that have been suspected to lead to the disorder. Some of the most common are a family history of mental disorders, brain altering pregnancy complications, or use of psychedelic drugs in adolescence. According to the World Health Organization, schizophrenia “affects approximately 24 million people or 1 in 300 people (0.32%) worldwide”, making it one of the less common mental disorders in the world. Schizophrenia can affect those with the disorder starting as early as kindergarten or first grade and it first presents itself as cognitive delays, leaving the child below grade level. A child with schizophrenia will typically not experience a psychotic episode until their late teens or early 20’s, so it is difficult to diagnose in children. The most prevalent effects of schizophrenia are poor retention of verbal memory and deteriorating motor skills. These two effects are the ones that have the strongest effect on the daily lives of those with schizophrenia and pair together to cause extremely disorganized behavior and personality changes. Throughout the life of a patient with schizophrenia, they are likely to experience both internal and external struggles. Internal struggles are extremely common and can include thought of suicide, anxiety, obsessive compulsive disorder, and depression. Of these, anxiety and obsessive compulsive disorder are the most commonly observed. These two struggles often exacerbate the disorganized behavior of a
Trivison 2 person with schizophrenia and lead to a lifelong battle with more severe and more frequent psychotic episodes. The more external issues that someone with schizophrenia will experience can include drug abuse, financial struggles, and social isolation. One of the more common of these is the social isolation that those with schizophrenia are often subjected to. Due to their disorganized behaviors and a potential of aggressive behavior, many people will distance themselves from those with schizophrenia, leaving them isolated. Studies have shown that feelings of loneliness can trigger a sense of danger in people affected by schizophrenia and therefore can worsen their symptoms (Eglit). This means that being socially isolated as a result of the disorder could lead to a cycle of worsening symptoms. There are many different ways for those with schizophrenia to receive treatment. Many of these are support groups or supported housing to aid the family in caregiving. Aside from counseling, medication is used in more severe cases to limit hallucinations and lessen confusion in those affected by schizophrenia. While there is no cure for the effects of schizophrenia, with counseling and medication, those affected by the disorder can live a relatively normal and comfortable lifestyle. One common barrier to inclusion that those with schizophrenia face is low employment rates. People with schizophrenia have been found to “ have the lowest employment rate of any of the main groups of people with a disability” (Royal College pg. 15). This low rate of employment is often due to a stigma surrounding schizophrenia that they will need too much aid to be an effective worker. While a small proportion of those with schizophrenia would need extra accommodations at work, it is extremely possible for them to find an area where they can be successful. Abdul-Ali Muhammad shares his story of searching for work after being diagnosed with schizophrenia and the most important part of his story is that work kept his mind busy and therefore limited his hallucinations during the day (Hengeveld). The stigma surrounding those
Trivison 3 with schizophrenia in the workplace can be broken as long as it is accepted that “the truth is that the majority of people with schizophrenia are willing and able to thrive in the workplace if they find a job that fits their interests, works with their strengths and talents, and offers them some accommodations” (Hengeveld). Another barrier that those with schizophrenia may face is social stigma. As was mentioned earlier, those with schizophrenia are likely to be isolated because of preconceived ideas that they will be aggressive or unpredictable in social settings. This idea makes it difficult for those with schizophrenia to be fully integrated into society. Not being able to live a typical lifestyle can harm the progress that is being made in support groups and through medication. Similar to other mental disorders, early beliefs treated those with disorders as if they were possessed by demons, but schizophrenia was described as madness for a significant period of time. Due to schizophrenia being labeled as madness, those who were affected by it were placed in asylums because they were seen as untreatable. This was the case up until the late 1700s when psychiatric care became more humane and those with schizophrenia received respect in their treatment. By the early 1900’s, it was thought that schizophrenia was genetic, and the fear of this condition caused doctors to begin sterilizing people with schizophrenia without consent. People with schizophrenia were excluded from all aspects of life until the 1950’s when the first medications were produced to help treat the hallucinations. There is a common stereotype focused on those with schizophrenia that they are aggressive and therefore dangerous. In reality, people with schizophrenia can be disorganized and frantic, but unless paired with substance abuse or another condition, they are rarely violent. This stereotype is often reinforced by media portrayals of those with schizophrenia, and is one of the reasons why those with schizophrenia are isolated by society. As mentioned earlier, societal views on people with schizophrenia have severely impacted their ability to be hired and maintain a job. They are seen
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Trivison 4 as less capable or less sustainable as other employees because of stereotypes. Without those stereotypes, people with schizophrenia would be able to find jobs that they are comfortable in and be supportive members of society.
Trivison 5 References Eglit, Graham M L et al. “Loneliness in schizophrenia: Construct clarification, measurement, and clinical relevance.” PloS one vol. 13,3 e0194021. 22 Mar. 2018, doi:10.1371/journal.pone.0194021 Hengeveld, M. (2015, August 6). Job hunting with schizophrenia . The Atlantic. Retrieved April 3, 2022, from https://www.theatlantic.com/business/archive/2015/07/job-hunting-with-schizophrenia/39 5936/ Irene M. Hurford, M. D. S. K. (2011, March 16). Cognitive rehabilitation in Schizophrenia . Psychiatric Times. Retrieved April 3, 2022, from https://www.psychiatrictimes.com/view/cognitive-rehabilitation- schizophrenia Mayo Foundation for Medical Education and Research. (2020, January 7). Schizophrenia . Mayo Clinic. Retrieved April 3, 2022, from https://www.mayoclinic.org/diseases-conditions/schizophrenia/doctors-departments/ddc- 20354451 Mental Health and Social Inclusion. (2009). Royal College of Psychiatrists Social Inclusion Scoping Group . Ryder, G. (2022, January 7). Understanding the history of schizophrenia . Psych Central. Retrieved April 3, 2022, from https://psychcentral.com/schizophrenia/history-of-schizophrenia#origins-and-history Schizophrenia: Symptoms, causes, treatments . Cleveland Clinic. (n.d.). Retrieved April 3, 2022, from https://my.clevelandclinic.org/health/diseases/4568-schizophrenia#:~:text=According%2 0to%20the%20DSM%2D5,disorganization%20and%20diminished%20emotional%20exp ression. Watson, S. (2020, September 27). Schizophrenia myths and facts . WebMD. Retrieved April 3, 2022, from https://www.webmd.com/schizophrenia/schizophrenia-myths-and-facts World Health Organization. (n.d.). Schizophrenia . World Health Organization. Retrieved April 3, 2022, from https://www.who.int/news-room/fact-sheets/detail/schizophrenia