Schizophrenia: A Complex and Challenging Disorder

 Schizophrenia: A Complex and Challenging Disorder

Schizophrenia is a severe mental disorder that affects approximately 1 in 100 people worldwide. It is characterized by a range of symptoms, including delusions, hallucinations, disorganized thinking, and impaired social functioning.

The exact cause of schizophrenia is unknown, but it is thought to be caused by a combination of genetic and environmental factors. There is no cure for schizophrenia, but treatment with medication and therapy can help to manage the symptoms and improve the quality of life.


Symptoms of Schizophrenia

The symptoms of schizophrenia can vary from person to person, but they typically fall into three categories:
    • Positive symptoms are those that are not present in healthy people.
      •  They include delusions, hallucinations, and disorganized thinking.
    • Negative symptoms are those that are absent in healthy people. They include flat affect, alogia (reduced speech), and avolition (reduced motivation).
    • Cognitive symptoms affect a person's ability to think, learn, and remember. They include problems with attention, concentration, and memory.
    Delusions are false beliefs that are held with absolute conviction, even in the face of evidence to the contrary. For example, a person with schizophrenia might believe that they are being followed, that they have special powers, or that they are being controlled by a government agency.

    Hallucinations are sensory experiences that occur in the absence of a real stimulus. For example, a person with schizophrenia might hear voices, see things that are not there or smell things that no one else can smell.

    Disorganized thinking is characterized by speech that is illogical, incoherent, or difficult to follow. A person with schizophrenia might jump from topic to topic, makeup words, or have trouble staying on track.

    Flat affect is a lack of emotional expression. A person with a flat affect might not smile, frown, or show any other facial expressions. They might also speak in a monotone voice and show little interest in the world around them.

    Alogia is a reduction in speech. A person with alogia might speak very little, or they might say only a few words at a time. They might also have difficulty finding the right words to express themselves.

    Avolition is a lack of motivation. A person with avolition might not take care of themselves, they might not show up for work or school, and they might not be interested in spending time with friends or family.

    Cognitive symptoms of schizophrenia can range from mild to severe. They can affect a person's ability to think clearly, learn new things, and remember information. In some cases, cognitive symptoms can be so severe that they interfere with a person's ability to function independently.

    Treatment for Schizophrenia


    There is no cure for schizophrenia, but treatment with medication and therapy can help to manage the symptoms and improve the quality of life.

    The most common medication for schizophrenia is called an antipsychotic. Antipsychotics work by blocking the effects of dopamine, a neurotransmitter that is thought to be involved in the symptoms of schizophrenia.

    In addition to medication, therapy can also be helpful for people with schizophrenia. Therapy can help people to understand their illness, develop coping skills, and improve their social skills.

    Living with Schizophrenia

    Schizophrenia can be a challenging disorder to live with, but it is important to remember that it is a treatable condition. With the right treatment, most people with schizophrenia can live full and productive lives.

    If you or someone you know is struggling with schizophrenia, it is important to seek professional help. A doctor or therapist can assess the severity of the symptoms and develop a treatment plan that is right for you.

    There are also many support groups available for people with schizophrenia and their families. These groups can provide a sense of community and offer valuable resources and information.

    With the right treatment and support, people with schizophrenia can live fulfilling lives. They can go to school, work, and have relationships. They can also contribute to their communities and make a difference in the world.



    References


     Hooley, Jill, M. et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition).

                 Pearson Education (US), 2019.

    Characteristics and motivations of a rapist:


    Perpetrators of rape, who are overwhelmingly male, are characterized by impulsivity, quick loss of temper, lack of personally intimate relationships, and insensitivity to social cues or pressures. A subset of these individuals qualify for a diagnosis of psychopathy. Many rapists also show deficits in social and communication skills, as well as in their cognitive appraisals of women’s feelings and intentions. For example, they may have difficulty decoding women’s negative cues during social interactions and may interpret friendly behavior as flirtatious or sexually provocative. This can lead to inappropriate behaviors that women would experience as sexually intrusive.


    Some studies have gone beyond examining the characteristics of men who perpetrate rape and sexual assault and have directly assessed their motives and justifications for their behavior. In one study, men who had reported engaging in sexual assault were evaluated regarding the rationale for their behavior. The primary justifications they endorsed were that the victim “had gotten [me] sexually aroused,” “led [me] on,” “was responsible,” and that “[I] thought she’d enjoy it once it started.” Factors that predicted the report of such justifications included rape-supportive attitudes held by the men, misperceptions of the victim’s sexual interest in the perpetrator, and the number of alcoholic drinks consumed by the victim.

    The researchers in this study followed the perpetrators for 1 year. They found that the greater their use of justifications for having sexually assaulted a woman, the more likely they were to commit another act of sexual aggression in the future. These findings shed some light on the factors that lead some people to commit rape and sexual assault. As research progresses in this area, there are increasing efforts to better identify both potential perpetrators and victims before a sexual assault occurs and to use prevention programs to try to decrease the likelihood that such an assault will take place.

    In conclusion, perpetrators of rape are characterized by certain traits and behaviors that can help us understand their motivations for committing this crime. Research is ongoing in this area to prevent rape and sexual assault from occurring. Society needs to continue to work towards this goal.



    References


     Hooley, Jill, M., et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition).

             Pearson Education (US), 2019.


    Rape and its Aftermath:



     Rape and its Aftermath:


    Traditionally, rape has been classified as a sex crime, and society has assumed that a rapist is motivated by lust. However, in the 1970s some feminist scholars began to challenge this view, arguing that rape is motivated by the need to dominate, to assert power, and to humiliate a victim rather than by sexual desire for her. From the perspective of the victim, rape is always an act of violence and is certainly not a sexually pleasurable experience, whatever the rapist’s motivation.


    While much of the motivation for rape may stem from a desire to dominate or humiliate others, there are many compelling reasons why sexual motivation is often, if not always, a very important factor too. The age distribution of rape victims includes a very high proportion of women in their teens and early 20s, who are generally considered the most sexually attractive. This age distribution is quite different from the distribution of other violent crimes. Furthermore, rapists usually cite sexual motivation as a very important cause of their actions.


    In addition to the physical trauma inflicted on a victim, the psychological trauma of rape may be severe. A rape may lead to PTSD in a substantial number of female victims and can have a negative impact on a victim’s sexual functioning and on her marriage or other intimate relationships. Although there has been little systematic study of men who have been raped, one study revealed that nearly all experienced some long-term psychological distress following rape.


    While there is a clear perpetrator in all instances of rape and sexual assault, there remains an unfortunate myth of “victim-precipitated” rape—a position often invoked by defense attorneys trying to prevent the perpetrator from being charged with rape. According to this view, a victim is regarded as the cause of the crime on such grounds as the alleged provocativeness of her clothing or her past sexual behavior. Fortunately, rape shield laws began to be introduced in the 1970s to protect rape victims.


    A recent example of the complexity inherent in the legal situation of rape prosecution is that of Dominique Strauss-Kahn (DSK), who was accused by a New York City hotel worker of sexually assaulting her when she entered his hotel room to clean it. A police investigation confirmed that sexual contact had occurred, but DSK insisted that it was consensual. Subsequently, another woman came forward accusing him of raping her years earlier in France. However, the case unraveled when prosecutors learned that DSK’s accuser had lied about other matters. The charges were dropped.


    In conclusion, rape is a complex issue with many factors at play. It can have significant physical and psychological consequences for its victims. It is important for society to continue to work towards preventing this crime and supporting its victims.


     References

     

     Hooley, Jill, M. et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition).                                   Pearson Education (US), 2019.


    Delayed Ejaculation Disorder

     

     Delayed Ejaculation Disorder:

    Delayed ejaculation disorder is a condition in which a man experiences persistent difficulty in ejaculating during intercourse. This condition is relatively rare, occurring in only about 3 to 10 percent of men. Men who are completely unable to ejaculate are even rarer. About 85 percent of men who have difficulty ejaculating during intercourse can nevertheless achieve orgasm by other means of stimulation, such as through solitary masturbation.


    In some cases, delayed ejaculation can be related to specific physical problems such as multiple sclerosis or to the use of certain medications. For example, antidepressants that block serotonin reuptake can be an effective treatment for early ejaculation. However, in other men, these same medications—especially SSRIs—can sometimes delay or prevent orgasm to an unpleasant extent. These side effects are common but can sometimes be treated pharmacologically with medications like Viagra.

    Psychological treatments for delayed ejaculation include couples therapy in which a man tries to get used to having orgasms through intercourse with a partner rather than via masturbation. Treatment may also emphasize the reduction of performance anxiety about the importance of having an orgasm versus sexual pleasure and intimacy. Increasing genital stimulation may also be helpful.

    In conclusion, delayed ejaculation disorder is a relatively rare condition that can have significant consequences for a man's sexual satisfaction and relationship. There are several treatment options available, including pharmacological interventions and psychological therapy. If you or someone you know is experiencing this problem, it may be helpful to seek help from a qualified healthcare professional.


    References

     Hooley, Jill, M. et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition).

                 Pearson Education (US), 2019.

    Premature ejaculation:

     Premature Ejaculation

    Premature ejaculation is a common problem among men, and it can have a significant impact on their sexual and relationship satisfaction. This condition is characterized by the persistent and recurrent onset of orgasm and ejaculation with minimal sexual stimulation. It may occur before, on, or shortly after penetration and before the man wants it to. The average duration of time to ejaculate in men with this problem is 15 seconds or 15 thrusts of intercourse.

    The consequences of premature ejaculation can be significant. It often leads to the failure of the partner to achieve satisfaction and can cause embarrassment for the early ejaculating man. This can lead to anxiety about recurrence on future occasions. Men who have had this problem from their first sexual encounter often try to diminish sexual excitement by avoiding stimulation, by self-distracting, and by “spectatoring,” or psychologically taking the role of an observer rather than a participant.

    An exact definition of prematurity is necessarily somewhat arbitrary. Factors such as the age of the client and the length of abstinence must be considered when making a diagnosis. DSM-5 acknowledges these factors by noting that the diagnosis is made only if ejaculation occurs before, on, or shortly after penetration and before the man wants it to.

    In sexually normal men, the ejaculatory reflex is, to a considerable extent, under voluntary control. They are able to monitor their sensations during sexual stimulation and are able to forestall the point of ejaculatory inevitability until they decide to “let go.” Men with early ejaculation are unable to use this technique effectively for some reason. Explanations for this have ranged from psychological factors such as increased anxiety, to physiological factors such as increased penile sensitivity and higher levels of arousal to sexual stimuli.

    For many years, most sex therapists considered early ejaculation to be psychologically caused and highly treatable via behavioral therapy such as the pause-and-squeeze technique developed by Masters and Johnson. This technique requires the man to monitor his sexual arousal during sexual activity and pause when arousal is intense enough that he feels that ejaculation might occur soon. He or his partner then squeezes the head of the penis for a few moments until the feeling of pending ejaculation passes. This technique has been reported to be effective in some cases.

    In recent years, there has been increasing interest in the possible use of pharmacological interventions for men for whom behavioral treatments have not worked. Antidepressants such as paroxetine (Paxil), sertraline (Zoloft), fluoxetine (Prozac), and dapoxetine (Priligy), which block serotonin reuptake, have been found to significantly prolong ejaculatory latency in men with early ejaculation.

    In conclusion, premature ejaculation is a common problem among men that can have significant consequences for their sexual and relationship satisfaction. There are several treatment options available, including behavioral therapy and pharmacological interventions. If you or someone you know is experiencing this problem, it may be helpful to seek help from a qualified healthcare professional.

     

     References

     Hooley, Jill, M., et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition).

                                 Pearson Education (US), 2019.

    Who is at Risk for Suicide?

     Who is at Risk for Suicide?


     Suicide is a serious public health issue that affects people of all ages, genders, and backgrounds. However, there are some groups of people who are at higher risk for suicide than others.


    Gender

    Men are four times more likely than women to die by suicide. This is likely due to a combination of factors, including the fact that men are more likely to use lethal means in their suicide attempts and that they are less likely to seek help for mental health problems.

    Age

    Suicide is very rare in children, but the risk increases dramatically during adolescence and young adulthood. The highest rates of suicide are seen in people aged 15-24. The risk of suicide then declines somewhat in midlife, before increasing again in older adulthood.

    Race and ethnicity

    White people are more likely to die by suicide than people of other races and ethnicities. This is particularly true for white men

    Mental health conditions

    Mental health conditions are a major risk factor for suicide. People with depression, bipolar disorder, schizophrenia, and other mental health conditions are more likely to attempt or die by suicide.

    Substance abuse

    People who abuse alcohol or drugs are also at increased risk for suicide. This is because substance abuse can lead to problems in other areas of life, such as relationships, finances, and employment. These problems can make it more difficult to cope with stress and can increase the risk of suicide.

    History of suicide attempts


    People who have attempted suicide in the past are more likely to attempt or die by suicide in the future. This is why it is so important to get help for suicidal thoughts and behaviors as soon as possible.

    Exposure to trauma


    People who have experienced trauma, such as abuse, neglect, or violence, are also at increased risk for suicide. This is because trauma can lead to problems with mental health, substance abuse, and interpersonal relationships. These problems can make it more difficult to cope with stress and can increase the risk of suicide.

    Lack of social support

    People who feel isolated and alone are more likely to attempt or die by suicide. This is because social support can help people to cope with stress and to feel connected to others. If you are feeling isolated or alone, it is important to reach out to friends, family, or a mental health professional for support.




    If you are concerned that you or someone you know may be at risk for suicide, please reach out for help. There are many resources available, including:


    The National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
    The Crisis Text Line: Text HOME to 741741
    The Trevor Project: 1-866-488-7386
    The Jed Foundation: https://www.jedfoundation.org/
    The American Foundation for Suicide Prevention: https://afsp.org/




    References


     Hooley, Jill, M.,et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th   Edition). Pearson Education (US), 2019.



    Grief and Loss: The Normal and the Not-So-Normal

     Grief and Loss: The Normal and the Not-So-Normal



    Grief is a natural and necessary process that we all go through when we lose someone we love. It is a complex emotion that can be expressed in many different ways, both physically and emotionally.

    The grieving process typically follows a predictable pattern, with four distinct phases:

      1. Numbing and disbelief: In the immediate aftermath of a loss, it is common to feel numb and disbelief. This is a way of coping with the overwhelming pain of loss.
      2. Yearning and searching: As the numbness begins to wear off, we may start to feel an intense longing for the person we have lost. We may also experience vivid memories of them and find ourselves searching for them in familiar places.
      3. Disorganization and despair: This phase is often characterized by feelings of sadness, anger, guilt, and despair. We may feel like our world has been turned upside down and we may have difficulty functioning in our daily lives.
      4. Reorganization: This is the final phase of grief when we begin to rebuild our lives and find new meaning in our existence. We may still experience sadness and longing, but we will also be able to appreciate the good times we had with the person we lost and move forward with our lives.
      It is important to remember that there is no right or wrong way to grieve. Everyone experiences grief differently and at their own pace. There is no set timeline for how long grief should last. Some people may start to feel better within a few months, while others may take years to fully heal.

      If you are grieving the loss of a loved one, it is important to reach out for support. Talk to your friends and family, join a grief support group, or seek professional help from a therapist. There is no shame in seeking help during this difficult time.


      It is also important to be patient with yourself. Grief is a process and it takes time to heal. Don't expect to feel better overnight. Just focus on taking things one day at a time and allow yourself to grieve in your own way.

      Resilience in the Face of Loss


      Not everyone who experiences loss develops depression. In fact, about 50 percent of people who lose a spouse, life partner, or parent exhibit genuine resilience in the face of loss, with minimal, very short-lived symptoms of depression or bereavement.

      These resilient individuals are not emotionally maladjusted or unattached to their spouses. In fact, they are often very close to their loved ones and feel the loss deeply. However, they are able to cope with the loss in a healthy way. They may find comfort in their faith, their relationships with other people, or their hobbies. They may also find strength in their own inner resources.

      If you are struggling to cope with the loss of a loved one, it is important to know that you are not alone. There are many people who have successfully navigated the grieving process and come out stronger on the other side. With time, support, and self-care, you can too.


      References


       Hooley, J. M., Nock, M. K., & Butcher, J. N. (2019). Abnormal Psychology (18th ed.). Pearson

                       Education (US). https://bookshelf.vitalsource.com/books/9780135191033


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