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فهرست مقالات

Rehabilitation of schizophrenia: at the end or in the beginning?


(3 صفحه - از 53 تا 55)

کلیدواژه ها :

isolation ،schizophrenia ،Rehabilitation

The Majority of the long stay psychiatric patients who are in need of rehabilitation suffer from schizophrenia. Most of them enter the old age with this illness, and besides the consequences of schizophrenia, they are facing the deprivation and misery due to the old age. In contrast to the previous decades in which there was no effective treatment for schizophrenia, today with the immediate diagnosis of schizophrenia and its treatment with effective medications, we can prevent chronicity and resistance to the treatment. By these means, we can improve the prognosis and the quality of life of patients and their care givers. Sine last decade, the unfair discrimination of schizophrenic patients to chronic and non-chronic has lost its validity. It is widely recommended that instead of constructing the special and isolated hospitals for the mentally ill, psychiatric wards in the general hospitals be established. By all these efforts, the schizophrenics can have a better treatment and rehabilitation, and can be saved from the social and psychological consequences of staying in the isolated mental hospitals.

خلاصه ماشینی:

"1 University of Social Welfare and Rehabilitation Sciences, Tehran, Iran The Majority of the long stay psychiatric patients who are in need of rehabilitation suffer from schizophrenia. Modern Psychiatry and Schizophrenia: In the new Classifications of mental disorders, including world Health Organization classification of disease, named International Classification of Diseases and Related Health Problems, 10th revision (ICD-10) in 1993(4)1, and in the American Psychiatric Association Classification, named Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM- IV) in 1994(5) and its revision in 2000, titled DSM-IV- TR (text revision) (6), the "chronic Schizophrenia" term is omitted. started activities in direction of prompt diagnosis and treatment of psychoses, especially schizophrenia (12), instead of increasing the residential beds for psychotic patients that itself lead to an unpleasant consequence such as institutionalization (the patient's dependence on mental hospital and his/her losing of all natural skills and motivations for life), The new trend in psychiatry emphasizes on the integration of this branch of medicine with the other specialties of medicine, and on the integration of psychiatric patients with the other patients. This new trend recommends establishing outpatient clinics and inpatient psychiatric wards in general hospitals, and regards the seclusion of psychotic patients in one specialty psychiatric hospitals as an old fashioned method that leads to further regression of patients with schizophrenia (12). It must be pointed out that new generations of antipsychotic medications (atypical antipsychotics) can improve and control the condition of one third of patients, known as treatment-resistant schizophrenia who were deprived from appropriate treatment for years, and provide the possibility of their release from the hospital (21)."

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