contradictory messages that place the child in so called double bind situations

Contradictory messages that place the child in so

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contradictory messages that place the child in so-called double-bind situations; the child cannot avoid displeasing the parents because nothing the child does is right In theory, the symptoms of schizophrenia represent the child s attempt to deal with the double binds Schizophrenia: Sociocultural Views Double-bind messages typically consist of a primary verbal communication and an accompanying contradictory nonverbal metacommunication According to the double-bind theory, a child repeatedly exposed to these communications will adopt a special strategy for coping with them and may progress toward paranoid schizophrenia This theory is closely related to the psychodynamic notion of a schizophrenogenic mother It has been similarly unsupported by research, but is popular in clinical practice Schizophrenia: Sociocultural Views Family dysfunctioning A number of studies suggest that schizophrenia is often linked to family stress: Parents of people with the disorder often: Display more conflict Have greater difficulty communicating Are more critical of and overinvolved with their children than other parents Family theorists have long recognized that some families are high in expressed emotion – family members frequently express criticism and hostility and intrude on each other s privacy Individuals who are trying to recover from schizophrenia are almost four times more likely to relapse if they live with such a family
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23.02.2016 17
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23.02.2016 1 PSYCHOTIC DISORDERS BahcesehirUniversity/Psychology Department Assist.Prof. Sine Egeci Spring-2016 TREATMENT TREATMENT For much of human history, people with schizophrenia were considered beyond help and without hope Though schizophrenia is still extremely difficult to treat, the discovery of antipsychotic drugs has enabled people with the disorder to think clearly and profit from psychotherapies Each of the models offers treatments for schizophrenia, and all have been influential at one time or another TREATMENT Institutionalization: The primary goals of the hospitals were to restrain them and give them food, shelter, and clothing Moral treatment_1793: Hospitals were created in isolated areas to protect patients from the stresses of daily life and to offer them a healthful psychological environment Problems with overcrowding, understaffing, and poor patient outcomes led to loss of individual care and the creation of ‘human warehouses’ Many patients not only failed to improve under these conditions but developed additional symptoms
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23.02.2016 2 TREATMENT In the 1950s, new two institutional approaches that brought some hope to chronic patients: Milieu therapy Based on humanistic principles Token economies Based on behavioral principles These approaches particularly helped improve the personal care and self-image of patients, problem areas that were worsened by institutionalization TREATMENT Milieu therapy:
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