psyc discussion_schi

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University of British Columbia *

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300

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Psychology

Date

Dec 6, 2023

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docx

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Schizophrenia can lead to several problematic consequences, including poverty, homelessness, incarceration, social isolation, substance dependence, physical injury and disease, suicide, and unintentional death. These are all more common among people whose disorder is untreated. Clearly, given the potential each individual has before developing schizophrenia, the personal losses and costs are beyond measure. The costs to families, friends, and colleagues of a person developing schizophrenia are also incalculable. There are high social and economic costs to the country, as well. For example, estimated annual costs in Canada related to the disorder include: (Not including hospital costs) attempted suicide: $4.49 million (Not including hospital costs) completed suicide: $1.6 million Incarceration: $82 million Again, negative consequences are more likely and costs are higher when schizophrenia is untreated. However, many people with the disorder refuse treatment (particularly medication), for at least some periods of time. Given the high personal, social, and economic costs of schizophrenia, should treatment be mandated for people with the disorder? Why or why not? Things to think about: What are the potential short- and long-term risks? What are the potential short- and long-term consequences? Which factors (biological, psychological, social; causes, symptoms, treatment) play the biggest role in your reasoning? Can society mandate treatment? What are the ethical implications of this? -I don’t think society should mandate patients the treatment -why? -Schi most common in lower socioeconomic status groups, due to less protection measures taken against external stressors. -psychosocial etiology: high relapse rate, sociogenic hypothesis (having poverty, stress leads to developing psychosis or sch) OR social-selection theory: having sch leads ppl to have difficulty in ~ -Treatment: even after treatment, 33% continue to have symptoms after the treatment and only 10-15% recover, and conventional antipsychotics have side effects such as Tardive dyskinesia, and extrapyramidal side effects, / atypical antipsychotics don’t have problems like that but instead weight gain, drowsiness, diabetes, …and neuroleptic malignant syndrome for Toxic reactions to the medication… -whether society should mandate treatment depends on the type of treatment (if medication, then they shouldn’t but they can mandate psychosocial treatment such as family therapy, CBT, vocational rehabilitation, cognitive remediation etc) Cuz for medication, potential side effects and it’s individual’s own choice to not take medication as a treatment, society should not force them

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