Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Principles of psychotherapy with children, adolescents and families
- Part II Psychotherapeutic methods and settings
- Part III The practice of psychotherapy for specific disorders in childhood and adolescence
- 15 Anxiety disorders
- 16 Obsessive-compulsive disorder
- 17 Depressive syndromes and suicide
- 18 Dissociative [conversion] disorders
- 19 Disorders of sexual development and sexual behaviour
- 20 Substance abuse and addiction
- 21 Eating disorders
- 22 Psychotherapy in chronic physical disorders
- 23 Enuresis and faecal soiling
- 24 Dyslexia and dyscalculia
- 25 Stuttering
- 26 Hyperkinetic disorders
- 27 Autism
- 28 Schizophrenia
- 29 Conduct disorders, antisocial behaviour, delinquency
- 30 Physical abuse and neglect
- 31 Sexual abuse and sexual maltreatment
- Part IV The practice of psychotherapy in various settings
- Index
28 - Schizophrenia
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Principles of psychotherapy with children, adolescents and families
- Part II Psychotherapeutic methods and settings
- Part III The practice of psychotherapy for specific disorders in childhood and adolescence
- 15 Anxiety disorders
- 16 Obsessive-compulsive disorder
- 17 Depressive syndromes and suicide
- 18 Dissociative [conversion] disorders
- 19 Disorders of sexual development and sexual behaviour
- 20 Substance abuse and addiction
- 21 Eating disorders
- 22 Psychotherapy in chronic physical disorders
- 23 Enuresis and faecal soiling
- 24 Dyslexia and dyscalculia
- 25 Stuttering
- 26 Hyperkinetic disorders
- 27 Autism
- 28 Schizophrenia
- 29 Conduct disorders, antisocial behaviour, delinquency
- 30 Physical abuse and neglect
- 31 Sexual abuse and sexual maltreatment
- Part IV The practice of psychotherapy in various settings
- Index
Summary
Definition and classification
Schizophrenia is typically associated with disorder of thinking, perception, and with inappropriate or blunted affect. As the disorder progresses, it often ultimately leads to a disintegration of personality. Intellectual capacity and conciousness are usually initially normal, however, intellectual impairments are common over the course of the illness (Remschmidt, 2001).
Little is known about the causes of schizophrenia. The classification systems ICD-10 and DSM-IV (WHO, 1992; APA, 1994) base the diagnosis on the symptoms of the disorder and define specific time criteria for the onset and course of schizophrenia.
In ICD-10, a diagnosis of schizophrenia requires the presence of at least one of the symptoms 1–4 listed below (two or more symptoms are required if they are not very clear), or at least two of the symptoms 5–8 (WHO, 1992):
thought echo, thought insertion or withdrawal, and thought broadcasting;
delusions of control, influence, or passivity, clearly referred to body or limb movements or specific thoughts, actions, or sensations; delusional perceptions;
hallucinatory voices giving a running commentary on the patient's behaviour, or discussing the patient among themselves, or other types of hallucinatory voices coming from some part of the body;
persistent delusions of other kinds that are culturally inappropriate and completely impossible, such as religious or political identity, or superhuman powers and abilities, e.g. being able to control the weather, or being in communication with aliens from another world;
persistent hallucinations in any modality, when accompanied either by fleeting or half-formed delusions without clear affective content, or by persistent over-valued ideas, or when occurring every day for weeks or months on end;
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- Psychotherapy with Children and Adolescents , pp. 477 - 497Publisher: Cambridge University PressPrint publication year: 2001
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