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En Yeni David G. Kingdon sözleri ve alıntılarını, en yeni David G. Kingdon kitap alıntılarını, etkileyici sözleri 1000Kitap'ta bulabilirsiniz.Şizofreni & Dopamin hipotezi
The reasons why these drugs are effective on psychotic symptoms has been the subject of much research but remains controversial. However, all those that are effective have an action on dopamine, although individual drugs also affect other chemicals in the brain. Dopamine produces noradrenaline and in turn adrenaline—it forms part of a “stress pathway,” and we tend to describe it as this to people who wish to know. From its effect on reducing relapse, it seems reasonable that it is “buffering” individuals against stress or whatever it is that precipitates relapse. When medication has sedative effects, it can also assist with sleep and anxiety. So, a simple explanation might be:
“We’re not sure exactly why these drugs are effective. But they all seem to act on a chemical called dopamine, which forms part of a ‘stress pathway.’ They seem to ‘buffer’ against stress and can assist with sleep and anxiety and also voices and disturbing beliefs.”
Sayfa 86 - Stresi azaltarak semtomlarda etkili gibi gözüküyor
Prior to the use of cognitive therapy for individuals with schizophrenia, research into behavioral family interventions flourished in the 1980s. Four independent and methodologically sound studies in the United States and England came up with the same positive conclusions. Leff and colleagues (1985) and Falloon and colleagues (1985) demonstrated the efficacy of modifying high expressed emotion (EE), criticism, or overprotection by caregivers, in preventing relapse at 2-year follow-up (20% in the family work group without medication and 17% with medication, as compared to 78% with medication alone and 83% with no treatment). Hogarty and colleagues (1991) confirmed the benefit of family work and showed no additional improvement with the addition of social skills training. Tarrier and colleagues (1989) again confirmed a positive benefit on relapse and showed no added benefit with the addition of psychoeducation.
Sayfa 29
Şizofreni tanısı olmayan insanlar, olanlardan* daha tehlikelidir
Harm to self is much more common than harm to others, and general criminal activity is no more frequent than in the general population.
Sayfa 62 - *Madde kullanımı olanlar hariç. Türkçesi s.126
Yıllarca zararsız olduğu rivayet edilen LSD
Amphetamines, Cocaine, Ecstasy, LSD: (...) even social use of these drugs seems to lead to problems much more frequently in people vulnerable to psychosis.
Sayfa 62 - Türkçesi sayfa 125
Julie had been brought up in a series of foster homes after her mother abandoned her as a young child. From the age of 7 to 10, she was sexually abused by one of her foster fathers. This occurred at a regular time during the day, lunchtime, when her foster mother was out doing part-time work. In the room where the abuse occurred, the television was always on. In later life, she would get visual hallucinations reflecting the content of the TV programs that were on at that time, accompanied by her foster father’s voice threatening her and telling her that she was evil.
Sayfa 60 - Türkçesi sayfa 121
Şizofreni görünümlü gaslighting
In this manual we do not assume that strong beliefs, however strange they may seem, are inaccurate, nor that they need to be changed—but that they need to be understood and their consequences explored. One example where this was relevant involved a woman who had been admitted to the hospital with paranoid “delusions.” These were centered around her husband, who she accused of trying to kill her. Her family disputed this, and her husband presented plausibly and appeared very concerned about her. She eventually accepted medication and returned home—only to be admitted to a general hospital a few months later as a result of her general practitioner’s concerns. Investigation showed that she was indeed being poisoned. Her husband was arrested and later convicted of attempted murder. While such circumstances are rare, much more commonly bizarre or apparently erroneous beliefs are found to have some truth in them—or at least the reasons why the person believed them to be true become clearer as assessment and therapy progress.
Sayfa 52 - Türkçesi sayfa 52, İngilizcesi s.21
However, many practitioners continue to believe that the content of psychotic symptoms should be ignored and that any psychological work or engagement attempted with psychotic symptoms is liable to lead to increased distress and exacerbation of symptoms, as a result of having opened up disturbing areas. This perspective has meant that people with schizophrenia have had few opportunities to explore and understand these distressing and debilitating symptoms. They have also not been encouraged to use their own internal resources to manage their distressing symptoms and even test out the validity of their beliefs because it has not been believed that this could help. Physicians thus have had no alternative but to progressively increase antipsychotic medication. This might have some additional effects but often simply leads to further distress from side effects, especially akathisia (so-called restless legs), and disability through other side effects (sedation, tremor, weight gain, impaired concentration and memory).
İngilizcesinden sayfa "xi"
Pek çok sağlık çalışanı şizofreniyi ilaçsız terapiye yanıt vermiyor olarak görmektedir. Aslında durum böyle değildir. (...) Şizofreni tanısı olan kişiler bunu ilaç tedavisi olmadan halledebilir ancak kanıtlar pek çok hastanın kendi yararları için psiko-sosyal tedaviye ek olarak ilaç tedavisine ihtiyaç duyduklarını göstermektedir.
Sayfa 8 - Psikonet Yayınları, 1. Basım, 2019
Psikoeğitimin özgün bir biçimi, “anormal” ve çılgınlık ile ilişkili olan semptomların (örn. Sesler ve paranoyanın) tartışıldığı normalleştirme yönetemidir.
Şizofrenide bazı varsanılar yaygın olarak ortaya çakmasına rağmen tanısal etkilere sahip değildir.
Sayfa 57Kitabı okudu
Şizofreni hastalığı olan bireyler çeşitli psikiyatrik semptomlar yaşarlar.
Sayfa 19 - PsikonetKitabı okudu
Şizofreni, bir yüzyıl önce ilk kez “erken bunama” olarak tanımladığından beni nedenleri ve sınıflandırılması bakımdan problematik bir rahatsızlık olmuştur…
Sayfa 17 - PsikonetKitabı okudu