An exploration of the other and the disruption of self in schizophrenia
- Authors: Stopforth, Penny
- Date: 2014
- Subjects: Self , Schizophrenia
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3254 , http://hdl.handle.net/10962/d1016362
- Description: Hermans’ (2002) Dialogical model of Self advocates for a construction of Self that is fluid, diverse and dialogically constructed. He argues that development of ongoing dialogues from within and without the Self constitute the Self. These parts of Self that participate in this internal dialogue are referred to by Hermans (2002) as I-positions. Healthy, dynamic internal dialogue between I-positions is argued to contribute to maintaining a unified sense of Self. The Self is also argued to be socially constructed, in so far as Others outside the Self participate in these internal dialogues and are able to influence and occupy I-positions. Research has shown that people with a diagnosis of Schizophrenia experience a unique form of Self disruption. It has been postulated that this disruption is due to disruptions in this internal dialogue. To date, seminal research has primarily focussed on the internal mechanisms and phenomenological accounts of these disruptions. However, little research has focused on the role that Others outside the Self play in these disruptions. Since the Self is also constructed as a social entity, the aim of this research is to explore in what ways the Other contributes and/or minimises this disruption in people with a diagnosis of Schizophrenia. In order to achieve this, I made use of archival data which was made up of the transcripts from semi-structured interviews previously conducted with people with a diagnosis of Schizophrenia as part of a Self and Schizophrenia study. The interviews were analysed using deductive thematic analysis, and utilised Herman’s theory of the Dialogical Self as the theoretical lens for this study. The emergent themes were organised according to those that were present before a diagnosis of Schizophrenia was given and those themes that were present post-diagnosis. The themes reflected that the Other plays a significant role in the both the maintenance of healthy dialogue post diagnosis and well as in the disruption of dialogue. This disruption was primarily observed throughthecompromising of previous I-positions and in the development of new performative and deficit I-positions that contributed to the disruption in internal dialogue.
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- Date Issued: 2014
Resilience in families where a member is living with schizophrenia
- Authors: Haddad, Jason
- Date: 2007
- Subjects: Schizophrenia , Schizophrenia -- South Africa -- Family relationships , Resilience (Personality trait)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9928 , http://hdl.handle.net/10948/654 , Schizophrenia , Schizophrenia -- South Africa -- Family relationships , Resilience (Personality trait)
- Description: Schizophrenia cuts across all racial, gender, and socioeconomic lines. Schizophrenia affects 1 percent of the population in Ireland: 35000 people (Schultz & Andreason, 1999); and affects 1.4 - 4.6 percent per 1000 people in the USA: 2.8 million - 9.8 million people (Jabelensky, 2004). In South Africa the figure is approximately 1 percent of the population or 500 000 people (Nicholas, Malcolm, Krosigk & Pillay, 2003). The median age of onset is 21.4 years for men and 26.8 years for women (Daubenton & van Rensburg, 2001), with only 10-20 percent recovering fully after the first psychotic episode (Saddock & Saddock, 2003). The schizophrenic patient is often unable to continue life as before diagnosis, and may progressively need more care as the years pass. Deinstitutionalization over the course of a number of decades has resulted in responsibility for care of mentally-ill individuals shifting to the individual’s family. The struggles faced by such a family can be overwhelming as they struggle with this responsibilty due to lack of training, lack of knowledge and insufficient professional support (Winefield & Harvey, 1994). The stress on the caregivers is often magnified as their support structures around them may ‘shut down’ out of fear of the schizophrenic illness (Williams & Mfoafo-M’Carthy, 2006). The characteristic symptoms used to define schizophrenia include various forms of delusions, hallucinations, thought disorders and abnormalities in emotional expression, social interaction, attention, volition and drives. The functional decline of the schizophrenic individual leads not only to social difficulties, but also economic difficulties that may cripple a family (Fadden, Bebbington & Kuipers, 1987). When first diagnosed, some families may be so overwhelmed by the ‘label’ given to their family member, that they see little hope or way to move forward. One explanation is offered by an American psychiatrist whose own son was diagnosed with schizophrenia, “We experience this terrible feeling of loss and grief for the son we knew. There is also this terrible loss of expectations. We feel cheated out of watching him mature…it is a mourning without end because, of course, Gary is not dead at all. He is very much still with us, seeming eternally twelve years old, needing constant care and attention” (Willick, 1994, p.14). Providing such care is associated with high levels of distress. Accordingly, much attention has been given to understanding the pressures faced by family members, with the hope of understanding how coping resources may be strengthened to sustain these care-giving relationships (Harvey, Burns, Fahy, Manley & Tattan, 2001). However, despite gains in understanding the needs of a schizophrenic family member once out of the hospital environment, care-giving relationships can still break down. The individual with the illness is often left more vulnerable to relapse, recurrent hospitalizations, homelessness and other negative outcomes (Jewel & Stein, 2002). The stress of not only interacting with the afflicted family member, but also with the grief associated with the illness, places an incredible strain on the day-to-day functioning of that family (Pollio, North, Reid, Miletic & McClendon, 2006). From the brief review provided, it is evident that research has been conducted regarding the stressors, strains and difficulties of caregivers of schizophrenic family members. However, the strengths of these families are under-investigated, and the current study will attempt to start filling this void.
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- Date Issued: 2007
Assessing the potential of submaximal extended duration exercise as an adjunct treatment for sub-acute schizophrenic in-patients: a pilot study
- Authors: Munnik, James Barry
- Date: 2006
- Subjects: Aerobic exercises -- Therapeutic use , Schizophrenia , Schizophrenia -- Treatment , Exercise therapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3029 , http://hdl.handle.net/10962/d1002538 , Aerobic exercises -- Therapeutic use , Schizophrenia , Schizophrenia -- Treatment , Exercise therapy
- Description: Research into the therapeutic potential of aerobic exercise has proven fruitful over the past few years; however, no true experimental research undertakings have investigated the psychological benefits of aerobic exercise with schizophrenic semi-acute in-patients. The main objective of this thesis was to seek out evidence for the possibility that aerobic (submaximal long duration) exercise could be considered an adjunct treatment for hospitalised schizophrenic in-patients. In order to accomplish this objective the effects of a 45-minute walking programme, completed three days a week, for five weeks, was investigated. Various areas of mental health were explored in search of evidence of the therapeutic potential of aerobic exercise. These areas included, amongst other things: transfer and discharge rates, improvements in mood levels - Beck Depression Inventory-II (BDI-II; Beck, Steer, and Brown, 1996) Xhosa version; decreasing of anxiety levels (Beck Anxiety Inventory (BAI; Beck and Steer, 1993), Xhosa version); improved Global Assessment of Functioning (GAF; DSM-IV), Scale Scores; and decreases in the number of symptoms patients exhibited. 22 schizophrenic inpatients were randomly selected for this study and randomly assigned to either an aerobic (long duration submaximal) treatment group or (primarily anaerobic) control group. Results revealed that statistical significance could not be found in any of the treatment group's t-test results; despite the treatment group generally bordering on significance more so than the control group. Out of the five variables studied (Positive Symptoms, Negative Symptoms, BAI, BDI-II, and GAF Scale) three variables (Negative Symptoms, BDI-II, and GAF Scale) in the treatment group bordered more on significance than did the control group. Thus three (60 %) out of the five areas studied revealed that the treatment group had more significant results. This suggests an overall impression that the treatment group responded slightly better. The Researcher recommended that aerobic exercise therapy be considered a treatment protocol in psychiatric institutions and offered further suggestions pertaining to the effective implementation of these programmes. Included in these recommendations were motivational strategies and warnings about the possible negative effects of exercise therapy. A supplemental goal of this thesis was to explore all of the previously offered theoretical psychological mechanisms of positive mental change; and to seek out evidence, for or against these forces. Participants were given pre- and post- treatment quantitative interviews; as well as, qualitative posttreatment interviews where their phenomenological responses were analysed to seek out evidence of these mechanisms. Evidence of various causative factors was found and a new theoretical mechanism was proposed in this thesis.
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- Date Issued: 2006
Intersubjectivity and the schizophrenic experience: a hermeneutic phenomoneological exploration of being-in-relation
- Authors: Bradfield, Bruce Christopher
- Date: 2006
- Subjects: Schizophrenia , Intersubjectivity
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2940 , http://hdl.handle.net/10962/d1002449 , Schizophrenia , Intersubjectivity
- Description: This research project has its origin and motivation in work done by Lysaker, Johannesen and Lysaker (2005), which explored the experience of being as a person with schizophrenia in relation to other individuals. The researchers examined the nature of the schizophrenic experience from within the framework of the dialogical model of self, and presented schizophrenic intersubjectivity as a potentially horrifying and disintegrating experience. Lysaker et al (2005) discuss the notion that the individual self unfolds as a composite structure of multiple selves, existing in dialogical interaction with one another. Their research aimed to show that the individual with schizophrenia experiences difficulty tolerating this dialogue on an intrapsychic level. Because interpersonal exchange requires that individuals adopt a variety of self-other modes of relatedness, suggest Lysaker et al, interpersonal engagement for the person with schizophrenia is disclosed as profoundly threatening (ibid.) Moving from the above-mentioned research, this project aims through a hermeneutic phenomenological process to clarify and narrate the subtleties of the intersubjective experience, as that experience is disclosed in the lived world of a person with schizophrenia. How does such an individual experience self in relation to other? How does such an individual negotiate their sense of self in terms of their dialogicality? The phenomenological hermeneutic method, as shaped by such theorists as Gadamer (1976), Heidegger (1962) and Buber (1970), will emerge as the interpretive platform upon which these questions are approached.
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- Date Issued: 2006
A qualitative investigation of schizophrenic dreams
- Authors: Kumarapaapillai, Niranjula
- Date: 1998
- Subjects: Schizophrenia , Dreams -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3005 , http://hdl.handle.net/10962/d1002514 , Schizophrenia , Dreams -- Psychological aspects
- Description: This project attempts to articulate an understanding of the worlds of selected subjects suffering from schizophrenia, through their dreams. It proceeds from the implicit question of whether or not schizophrenic dreams reflect the schizophrenic worlds as literature defines, and tries to address some of the dream features which reflect the schizophrenic world. Five psychiatric inpatients suffering from schizophrenia were selected. The data gathered included the subjects' dreams and subsequent interviews for the purpose of clarification of the dreams. A phenomenological-hermeneutic methodology was deemed to be appropriate as it gave access to the richness of the dream experiences as well as the following dialogue between the data and literature. The results indicate that the subjects' dream worlds bear evidence to a fragmented state of ego which is to be expected to be found in schizophrenia. On the other hand some of these subjects' dreams also point to evolving health that is present in their world, at least on an intrapsychic level.
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- Date Issued: 1998
Schizophrenia and mysticism: a conceptual analysis
- Authors: Hammond, Carol Anne
- Date: 1981
- Subjects: Schizophrenia , Mysticism
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3129 , http://hdl.handle.net/10962/d1006348 , Schizophrenia , Mysticism
- Description: From introduction: The aim of this thesis is to explore the "queer relationship'" existing between mysticism and madness as it emerges from psychological writings and to examine and re-evaluate the life of Joan of Arc in terms of the conceptual framework that emerges.
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- Date Issued: 1981