ABSTRACT
Context: Schizophrenia is a mental condition that is affecting approx. 1.0 percent of the worldwide population, with devastating consequences for affected individuals and their families. Homoeopathy could be an effective alternative mode of treatment and can minimize the consequences of it. Objective: This study is done to have a brief review of the condition of Schizophrenia and to evaluate the role of Homoeopathy as an alternative mode of treatment in patients suffering from this condition. Design: The research team performed a narrative review by searching Pubmed, IJRH, ISOR-JDMS, WHO, and Medscape databases. Reference books related to medicine and homoeopathy were also reviewed. The search used the keywords like Schizophrenia, Homoeopathy, psychiatry, hallucinations, paranoia, ICD-10, DSM-5, etc. Setting: This study is conducted at Faculty of Homoeopathic Sciences in Jayoti Vidyapeeth Women's University. Results: Schizophrenia alters the thinking, feeling and behavior of affected person and is presented in form of delusion, hallucination with social withdrawal. Homoeopathy can be an alternative mode of treatment to not only help in improving this condition but also treat the same. There are not much studies that has been conducted to evaluate the role of Homoeopathy in schizophrenia. Out of few, one study has suggested improvement in the symptoms of paranoid schizophrenia using Brief Psychiatric Rating Scale (BPRS) score system. Conclusions: Schizophrenia is a psychiatric condition not only affecting routine of daily of life but also the Quality of life. Homoeopathy is a non-toxic, gentle, permanent treatment which is based on totality of symptoms (TOS) and individualization. In the process of construction of TOS and individualization, more importance is given to mental symptoms. As again pschizophrenia is a psychiatric condition which affects the mental process of patient, Homoeopathy can be used as an effective method of treatment but to establish the efficacy of it, more studies including randomized controlled trials are suggested.
Subject(s)
Homeopathy , Schizophrenia , Humans , Female , Schizophrenia/diagnosis , Schizophrenia/therapy , Quality of LifeABSTRACT
The objective of this study was to describe and compare the pathways followed by Malay patients with psychoses (schizophrenia and schizophreniform disorder) and Malay patients with epilepsy to a tertiary health center in the northeastern area of peninsular Malaysia. There were 60 patients in each group. The most popular pathway for both groups was first contact with traditional or alternative healers. Consultation with Malay traditional healers (bomohs) and/or homeopathic practitioners (44.2%) was significantly higher for psychotic patients (61.7%) than for patients with epilepsy (26.7%) (chi(2)(2)=15.609, P<0.001). Direct access (24.2%) was the second most popular pathway and almost equally followed by both groups of patients. The third and last pathway was initial contact with private general practitioners and government doctors, respectively. Patients with epilepsy dominated the last two pathways. The treatment delay (TD) was significantly longer in epileptic than psychotic patients regardless of their visit to a bomoh and/or homeopathic practitioner (P<0001) or not (p<0.01). The socioeconomic status of psychotic patients also was significantly better than people with epilepsy (chi(2)=9.957, chi(2)(4), p=0.041).
Subject(s)
Developing Countries , Epilepsy/epidemiology , Patient Acceptance of Health Care/statistics & numerical data , Psychotic Disorders/epidemiology , Schizophrenia/epidemiology , Adolescent , Adult , Complementary Therapies/statistics & numerical data , Cross-Sectional Studies , Epilepsy/diagnosis , Epilepsy/therapy , Family Practice/statistics & numerical data , Female , Health Services Accessibility/statistics & numerical data , Health Services, Indigenous/statistics & numerical data , Homeopathy/statistics & numerical data , Humans , Malaysia , Male , Middle Aged , Primary Health Care/statistics & numerical data , Psychotic Disorders/diagnosis , Psychotic Disorders/therapy , Referral and Consultation/statistics & numerical data , Schizophrenia/diagnosis , Socioeconomic FactorsABSTRACT
Foreign body aspiration can occur in any age group, but it is more commonly seen in children. In adults, there is usually a predisposing condition that poses a risk of aspiration. If aspiration occurs, prompt diagnosis and extraction of the foreign body is needed to prevent early and late complications. We report a rare case of neglected foreign body aspiration in a 45-year-old schizophrenic opium addicted patient, which resulted in an occlusive lesion in the bronchus, mimicking bronchial carcinoma.
Subject(s)
Bone and Bones , Carcinoma, Bronchogenic/diagnosis , Foreign Bodies/diagnosis , Granuloma, Foreign-Body/diagnosis , Lung Neoplasms/diagnosis , Animals , Biopsy , Bronchoscopy , Chickens , Diagnosis, Differential , Eating , Foreign Bodies/etiology , Foreign Bodies/surgery , Granuloma, Foreign-Body/etiology , Granuloma, Foreign-Body/surgery , Humans , Male , Middle Aged , Opioid-Related Disorders/complications , Opium , Pneumonectomy , Poultry , Predictive Value of Tests , Schizophrenia/complications , Schizophrenia/diagnosis , Schizophrenic Psychology , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
El presente trabajo tiene por objeto validar un instrumento de evaluación propio de la terapia ocupacional, como es el registro de conductas objetivables tanto laborales como sociales, e indagar si éste permite o no una aproximación diagnóstica en el caso de sujetos clasificados como esquizofrénicos desde una perspectiva clínica fenomenológica de las enfermedades mentales. Para este efecto se revisaron los informes de terapia ocupacional de 63 pacientes, de los cuales 38 tenían diagnóstico médico de esquizofrénia y 25 estaban como personalidades paranormales, otras psicosis, depresión atípica, deterioro psicoorgánico y debilidad mental. El observador ciego, siguiendo el mismo procedimiento, fue capaz de clasificar correctamente en el perfil esquizofrenia a 30 de los 38 pacientes (78.9 por ciento ), lo que permite confirmar que el instrumento-sujeto a reformulación-contribuye a orientar en términos de diagnóstico clínico en los casos de sujetos esquizofrénicos
Subject(s)
Humans , Schizophrenia/diagnosis , Occupational Therapy , Schizophrenia/rehabilitation , Single-Blind Method , Clinical RecordABSTRACT
TEMA: Um estudo da evoluçäo dos conceitos de quadros semelhantes à Esquizofrenia, sem caracterizarem psicose franca. Os objetivos desta revisäo consistem em delimitar as definiçöes mais utilizadas pelos principais sistemas diagnósticos contemporâneos (da APA e da OMS), permitindo assim a caracterizaçäo de pontos de convergência e de divergência que possam ser sujeitos a pesquisa clínica para confirmaçäo ou refutaçäo . REFERENCIAS: Obras clássicas e publicaçöes oficiais da OMS e da APA sobre nosologia e clínica psiquiátrica e revisäo de artigos publicados em periódicos nos últimos 50 anos, com ênfase nos últimos 15 anos, a partir do estabelecimento de critérios diagnósticos. COMENTARIOS CRITICOS: Observa-se que, inicialmente, os quadros entre a normalidade e a "loucura" (psicoses) säo relacionados à esquizofrenia (quadros latentes) tanto na prática asilar como na prática psicoterapêutica ambulatorial. A partir da década de 50, säo também relacionados a Doenças Afetivas ou vistos como entidades diferentes desses quadros psicóticos. Nos últimos anos chega-se a uma síndrome "fronteiriça" ligada à Esquizofrenia (Distúrbio Esquizotípico de Personalidade)
Subject(s)
Borderline Personality Disorder/history , Schizophrenia/diagnosis , Schizotypal Personality Disorder/history , Diagnosis, Differential , Signs in Homeopathy , SymptomatologyABSTRACT
Os objetivos deste trabalho consistiram em um estudo dos critérios clínicos utilizados no Serviço de Seguimento Medicamentoso do Ambulatório de Clínica Psiquiátrica do HCFMRP-USP, para o diagnóstico de Esquizofrenia Esquizoafetiva, através de um levantamento dos sinais e sintomas encontrados na história clínica psiquiátrica e no exame psicológico contidos nos prontuários médicos de uma populaçäo amostral de 30 pacientes, e através de uma questäo aberta respondida por médicos assistentes sobre os critérios diagnósticos que utilizam para Esquizofrenia Esquizoafetiva. Foi realizado também um estudo comparativo dos critérios obtidos através dessas duas fontes de informaçöes. Os sinais e sintomas levantados em prontuários sugerem uma alteraçäo do pensamento, acompanhada de alteraçöes do afeto, principalmente depressivas,porém de forma ampla, heterogênea e inespecífica. Foi observada uma diferença entre os sexos na frequência de sinais e sintomas levantados. No sexo feminino houve um predomínio de alteraçöes de cunho depressivo e no sexo masculino houve uma preponderância de um comprometimento mais grave do pensamento e do funcionamento global. Näo se obteve unanimidade entre os médicos assistentes em nenhum dos critérios diagnósticos. Os critérios mais frequentemente citados coincidem com os dados levantados nos prontuários. Os dados sugerem uma influência de aspectos psicodinâmicos e interpretativos na realizaçäo do diagnóstico clínico e apontam para a necessidade de melhor definiçäo e elaboraçäo dos critérios utilizados para o diagnóstico de Esquizofrenia Esquizoafetiva através do uso de sistemas diagnósticos padronizados