A Case Report of Schizophrenia Client with Multiple Episodes: An Eclectic Family Therapy Approach

Authors

  • Zeeshan Mehfooz Sindhu Clinical Psychologist, Department of Psychology, Riphah International University, Faisalabad Campus, Pakistan https://orcid.org/0009-0007-7955-1321
  • Fareeha Akbar Clinical Psychologist, Department of Psychology, Riphah International University, Faisalabad Campus, Pakistan
  • Dr. Irfan Pasha Assistant Professor of Urdu, Division of Islamic and Oriental Learning, University of Education, Lahore

Keywords:

Schizophrenia, Psychological Disorder, Caregivers, Drug Therapy, Rehabilitation

Abstract

Eugen Bleuler was a Swiss psychiatrist who introduced the term schizophrenia, meaning “splitting of the mind. Schizophrenia is a severe form of psychological disorder that encompasses what most of us have come to know as “madness.” It is also called cancer of mental illness. Although researchers are probing the psychological and biological foundations of this psychotic disorder, the disorder remains a mystery. Schizophrenia is the most common mental disorder affecting perception, cognition, thinking, and behavior. Although the way it manifests varies from patient to patient, its effects are typically severe and persistent. As a result of the disease's chronic nature, family members and carers are also impacted. This social casework report details the difficulties in treating and managing a man with repeated episodes and disrupted family functioning. Although medication is the mainstay of treatment for this condition, social casework based on a structural family therapy approach, family psycho-education, behavior modification techniques, social skills, coping, and supportive work with family members can also be helpful. A home-based rehabilitation program was developed to relieve the burden on the carers. It shows the fruitful results of individual and family intervention with a person using structural, behavioral, psycho-educational, and rehabilitative approaches and methods after several sessions and telephone follow-ups. As a result, the family could recognize its issues, develop solutions, and put those answers into practice.

Author Biographies

Zeeshan Mehfooz Sindhu, Clinical Psychologist, Department of Psychology, Riphah International University, Faisalabad Campus, Pakistan

Clinical Psychologist, Department of Psychology, Riphah International University, Faisalabad Campus, Pakistan

Fareeha Akbar, Clinical Psychologist, Department of Psychology, Riphah International University, Faisalabad Campus, Pakistan

Clinical Psychologist, Department of Psychology, Riphah International University, Faisalabad Campus, Pakistan

Dr. Irfan Pasha, Assistant Professor of Urdu, Division of Islamic and Oriental Learning, University of Education, Lahore

Assistant Professor of Urdu, Division of Islamic and Oriental Learning, University of Education, Lahore, Pakistan

References

American Psychiatric Association Division of Research. (2013). Highlights of changes from dsm-iv to dsm-5: Somatic symptom and related disorders. Focus, 11(4), 525-527.

Beels, C. C. (1981). Social support and schizophrenia. Schizophrenia Bulletin, 7(1), 58-72.

Brown, G. W., & Rutter', M. (1966). The measurement of family activities and relationships: A methodological study. Human Relations, 19(3), 241-263.

Correll, C. U., & Schooler, N. R. (2020). Negative symptoms in schizophrenia: a review and clinical guide for recognition, assessment, and treatment. Neuropsychiatric disease and treatment, 519-534.

Cohen, B. M., Öngür, D., & Babb, S. M. (2021). Alternative diagnostic models of the psychotic disorders: evidence-based choices. Psychotherapy and Psychosomatics, 90(6), 373-385.

Doherty, W. J. (1995). Boundaries between parent and family education and family therapy: The levels of family involvement model. Family Relations, 353-358.

Fowler, D., Garety, P., & Kuipers, E. (1995). Cognitive behavior therapy for psychosis: Theory and practice. John Wiley & Sons.

Garety, P. A., Fowler, D., & Kuipers, E. (2000). Cognitive-behavioral therapy for medication-resistant symptoms. Schizophrenia Bulletin, 26(1), 73-86.

Guo, S., Biegel, D. E., Johnsen, J. A., & Dyches, H. (2001). Assessing the impact of community-based mobile crisis services on preventing hospitalization. Psychiatric Services, 52(2), 223-228.

Heap, R. F., Boblitt, W. E., Moore, C. H., & Hord, J. E. (1970). Behaviour-milieu therapy with chronic neuropsychiatric patients. Journal of Abnormal Psychology, 76(3p1), 349.-

Hosak, L., & Hosakova, J. (2015). The complex etiology of schizophrenia–general state of the art. Neuroendocrinology Letters, 36(7), 631-637.

Kuipers, L., & Bebbington, P. (1988). Expressed emotion research in schizophrenia: theoretical and clinical implications. Psychological Medicine, 18(4), 893-909.

Lauriello, J., Lenroot, R., & Bustillo, J. R. (2003). Maximizing the synergy between pharmacotherapy and psychosocial therapies for schizophrenia. Psychiatric Clinics, 26(1), 191-211.

Lyketsos, C. G., Sheppard, J. M. E., Steinberg, M., Tschanz, J. A. T., Norton, M. C., Steffens, D. C., & Breitner, J. C. (2001). Neuropsychiatric disturbance in Alzheimer's disease clusters into three groups: the Cache County study. International journal of geriatric psychiatry, 16(11), 1043-1053.

Li, P., L Snyder, G., & E Vanover, K. (2016). Dopamine targeting drugs for the treatment of schizophrenia: past, present and future. Current topics in medicinal chemistry, 16(29), 3385-3403.

Lynch, D., Laws, K. R., & McKenna, P. J. (2010). Cognitive behavioral therapy for major psychiatric disorder: does it really work? A meta-analytical review of well-controlled trials. Psychological medicine, 40(1), 9-24.

Metzl, J. M. (2010). The protest psychosis: How schizophrenia became a black disease. Beacon Press.

Medalia, A., & Choi, J. (2009). Cognitive remediation in schizophrenia. Neuropsychology Review, 19, 353-364.

Newman, D. L., Moffitt, T. E., Caspi, A., Magdol, L., Silva, P. A., & Stanton, W. R. (1996). Psychiatric disorder in a birth cohort of young adults: prevalence, comorbidity, clinical significance, and new case incidence from ages 11 to 21. Journal of Consulting and Clinical Psychology, 64(3), 552.

Park, Y., & Han, K. (2018). Development and evaluation of a Communication Enhancement Program for People with Chronic Schizophrenia: A quasi-experimental pretest-posttest design study. Applied Nursing Research, 42, 1-8.

Penn, D. L., & Mueser, K. T. (1996). Research update on the psychosocial treatment of schizophrenia. The American Journal of Psychiatry.

Pharoah, F., Mari, J. J., Rathbone, J., & Wong, W. (2010). Family intervention for schizophrenia. Cochrane Database of Systematic Reviews, (12).

Read, J., Mosher, L. R., & Bentall, R. P. (Eds.). (2004). Models of madness: Psychological, social and biological approaches to schizophrenia. Psychology Press.

Sass, L. A., & Parnas, J. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29(3), 427-444.

Schwartz, R. C., Cohen, B. N., & Grubaugh, A. (1997). Does insight affect long-term inpatient treatment outcome in chronic schizophrenia? Comprehensive Psychiatry, 38(5), 283-288.

Schwarz, H. (2013). Beware of the Other Side (s) Multiple Personality Disorder and Dissociative Identity Disorder in American Fiction.

Smith, T. E., Bellack, A. S., & Liberman, R. P. (1996). Social skills training for schizophrenia: Review and future directions. Clinical Psychology Review, 16(7), 599-617.

Sharpley, M., Hutchinson, G., Murray, R. M., & McKenzie, K. (2001). Understanding the excess of psychosis among the African-Caribbean population in England: review of current hypotheses. The British Journal of Psychiatry, 178(S40), s60-s68.

Torrey, E. F. (2001). Surviving Schizophrenia: A Manual for Families, Consumers and Providers 4th-edition.

Zubin, J., & Spring, B. (1977). Vulnerability: a new view of schizophrenia. Journal of abnormal psychology, 86(2), 103.

Downloads

Published

30-09-2023

How to Cite

Zeeshan Mehfooz Sindhu, Fareeha Akbar, & Dr. Irfan Pasha. (2023). A Case Report of Schizophrenia Client with Multiple Episodes: An Eclectic Family Therapy Approach. Al-Mahdi Research Journal (MRJ), 5(1), 211–234. Retrieved from https://ojs.mrj.com.pk/index.php/MRJ/article/view/101