Turn on thread page Beta
    • Thread Starter
    Offline

    1
    ReputationRep:
    Discuss issues associated with the classification and/or diagnosis of schizophrenia. (24 marks)
    When diagnosing a mental disorder there's are no objective laboratory test, it’s a subjective interpretation of the psychiatrist using either DMS V and/or ICD 10. These classify the disorders into group and types making it useful to make sure the diagnosis is consistence – this increases the reliability and the improves the chances of patient receiving the right treatment. Also by sharing common diagnosis tool can reduce the professional bias and the misinterpretation.
    However there are some limitations and issues regarding the diagnosing: such as labelling someone with schizophrenia causes discrimination in society leading to a negative self fulfilling prophecy, therefore schizophrenia only get worse if patient is treated badly. In order to over come this schizophrenia should be kept confidential and not disclosed on the forms or application.
    DMS IV has been criticised for culturally biased- due to not considering the CBS (cultural bound syndrome). Cooper et al found that people are twice as likely to be diagnosed as schizophrenia in new NYC than in the UK due to using different diagnostic manuals. This shows that concept of abnormality varies between cultures and subcultures. This can lead to misdiagnosis and given the wrong treatments. To overcome this issue 1 manual could be developed or use ICD 10 (by WHO) to improve inter-rater reliability, this will also increase the validity of schizophrenia diagnosis.
    Another main issue is the difficulty of being able to predict outcome or response to a treatment without trial and error and sometimes the patient can become addictive and face withdrawal symptoms. Some of the medications have a side effect such as Clozapine (antipsychotic) can lead to Parkinson's disease- which can increase the psychological harm and require further treatments to treat Parkinson's disease.
    Another issue is the subjective diagnosis- symptoms cannot be always tested or measured e.g. hallucination cannot be seen by the doctor, they have to rely on the patients testimony. Rosenhan 1972 study showed that 8 sane people were admitted to hospital after faking schizophrenia symptoms. The solution could be to multiple diagnoses from range of different doctors to increase the inter-rater reliability. Also use a range of different measurements such as dopamine level or genetic history.
    Symptoms are similar to the depression and bipolar disorder, Schneider argues that the content of the symptom is more important than the symptom itself e.g. type of hallucination. Also some individuals don’t fit into specific categories therefore does it mean they don't suffer from SZ? This raises the issue of validity and it ignores the individual difference.
    According to some of the research such as Beck et al (1961) looked at the reliability of 2 psychiatrists considering the same 154 patients and found that there was only 54% agreement in diagnosis. This shows lack of reliability even with medical records and interviews which can be inaccurate retrospective data because the SZ patients won't be able to tell whether they are delusional or hallucinating as they have loss the contact with reality.
    According to Szasz – there's a question of whether schizophrenia is a mental disorder at all or a form of political control leading to self fulfilling prophecy. In order to overcome this problem you could scrap the idea of SZ and focus on other illness more, which can solve the problem of overlapping symptoms.
    As a result of these issues and research studies the diagnostic material have been re- evaluated such as in DSM V there are no more subtypes of Schizophrenia compared to old DSM IV. If the right diagnosis are done the patients with SZ are more likely to recover well due to the right treatments provided, or else they could further develop more harm to their health such as Clozapine (antipsychotic) can lead to Parkinson's disease.
    •  Official Rep
    Offline

    15
    ReputationRep:
     Official Rep
    Sorry you've not had any responses about this.

    Why not try posting in a specific subject forum- you might have more luck there.

    Here's a link to our subject forum which should help get you more responses.

 
 
 

1,552

students online now

800,000+

Exam discussions

Find your exam discussion here

Poll
Should universities take a stronger line on drugs?
Help with your A-levels

All the essentials

The adventure begins mug

Student life: what to expect

What it's really like going to uni

Rosette

Essay expert

Learn to write like a pro with our ultimate essay guide.

Uni match

Uni match

Our tool will help you find the perfect course for you

Study planner

Create a study plan

Get your head around what you need to do and when with the study planner tool.

Study planner

Resources by subject

Everything from mind maps to class notes.

Hands typing

Degrees without fees

Discover more about degree-level apprenticeships.

A student doing homework

Study tips from A* students

Students who got top grades in their A-levels share their secrets

Study help links and info

Can you help? Study help unanswered threadsRules and posting guidelines

Groups associated with this forum:

View associated groups

The Student Room, Get Revising and Marked by Teachers are trading names of The Student Room Group Ltd.

Register Number: 04666380 (England and Wales), VAT No. 806 8067 22 Registered Office: International House, Queens Road, Brighton, BN1 3XE

Write a reply...
Reply
Hide
Reputation gems: You get these gems as you gain rep from other members for making good contributions and giving helpful advice.