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Posted by:repsychl

24 replies on “Theories of Schizophrenia: Can They Work in Harmony?

  1. Wow. Superb. I used to teach Composition at the college level, and how I wish my students had been capable of such engaging clarity. Of course, the fact that I have Sz may bias me in your favor, haha. One thing about having Sz, in my experience at least, is that the medical professionals don’t or can’t actually tell you much about what is happening to you. The science is not sufficiently conclusive, I suspect, to give them the needed confidence to make many assertions about the disease. The upshot is that one must do one’s own research, which is arduous and harrowing. Thank you for this juxtaposition of theories, which is, again, an A+ in my gradebook. Cheers! -Uttley

    Liked by 2 people

    1. Thank you very much 🙂 I so appreciate it!
      I completely agree, many medical professionals do not understand schizophrenia, which is why we must use a holistic approach. It cannot be understood purely in terms of biology or psychology. It can be very harrowing to hear/read about it, but it’s all the more reason why we should, in order to understand it from a multitude of perspectives. Thank you once again for commenting!


  2. Great piece! You did a great job laying out the different perspectives and approaches to schizophrenia. With regard to mental illness, most of the time, myths reign supreme over facts in the minds of the general public.

    Of all the theories espoused here, I am leaning towards the double-bind hypothesis. My training is in psychology and Sociology so I am always interested in the external circumstances and how they shape a person’s psyche.

    We live in an age where pharmaceutical companies are interested in profit, so I fear that the double-bind hypothesis will be subordinated to the more biological ones.

    In America, black people are overrepresened when diagnosed with schizophrenia. What is your opinion on this?

    Liked by 1 person

    1. Thank you so much for reading and for commenting.
      I absolutely agree there is not enough talk about mental illness, and when it is talked about, there are many myths involved.
      I personally would agree with you on the double-bind hypothesis. It’s a theory that’s a lot more prominent nowadays, but you’re right – it’s a lot cheaper and more profitable for health services to just focus on biological factors and treatments!
      Wow. That surprises me because I wasn’t aware of it, I’m not living in America so haven’t really come across that before. On the other hand, it doesn’t surprise me at all. There are many racial biases involved in all aspects of society. Presumably, this particular one might have come about due to differential treatment and available healthcare services, and education. Or perhaps there is more of a stigma in black communities surrounding mental health, so they don’t get help when they need it. What is your opinion?

      Liked by 1 person

      1. From what I have read, schizophrenia was primarily a white woman’s disease until the 1960s. At this point, the civil rights era began – with black men on the forefront fighting for basic freedoms. We then started to see black men being diagnosed with schizophrenia at higher rates, and it is still the case today. Thus, the diagnosis is subjective in some respects and is being used to contain the specter of black freedom by categorizing their legitimate perspectives as a mental illness.

        Liked by 1 person

  3. Wow.. great post, though I must confess that a lot of it went over my head. Could you explain the “diathesis-stress approach” in laymans terms? I would like to learn more about the biological vs psychological theories for schizophrenia.. as although I have had the disease for 12 years, I never quite got round to researching more about it on these levels. I have to say though, the reconfirmation that the doctors are still getting to grips with it gives me hope- because I feel very strongly that medical/biological/psychological theories are still only one part of the whole experience.. the reality of going through it has always seemed like something more to me. Thanks for your comment!

    Liked by 1 person

    1. Thank you so much for reading and for commenting!
      Of course – the diathesis-stress approach suggests that you can be genetically likely to have schizophrenia, but won’t necessarily develop it unless you experience stressful life events that ‘bring out’ the symptoms. I hope this makes more sense!
      It’s important to learn from biological and psychological perspectives, but it’s also essential that we learn about it from a personal one. By going through it yourself and telling others how it feels, you are enlightening them more than biological jargon ever could.


  4. Very well written! I recently did a paper where they were using dreams as a model of psychosis since that is the closest we get to internally creating a reality without having psychosis. And by internally creating a reality, I mean that in that moment, it is real for us and is generated within us. And how we can learn to control our dreams (lucid dreaming), we might be able to get a better idea as to how to produce insight and get power over hallucinations. I work in the mental health sector and see how debilitating disorder like schizophrenia are due to lack of awareness. Just yesterday, I met a patient who was highly psychotic and the medication had not started working as yet. His family had disowned him and he had been living in different rehabilitation facilities for the past 20 years.

    Liked by 1 person

    1. Thanks for your comment 🙂 that paper sounds so interesting, could you forward it to me or can I find it somewhere?
      When you say lack of awareness, do you mean the one suffering from SZ or societal / familial lack of awareness?


  5. Thank you. I can send the paper to you, it’s not published as of now. I meant both to be honest. Lack of facilities available (both due to awareness, amenities provided or known to be provided, cost, everything), lack of understanding of what the individual might be going through, familial caregiving burden. There is such a big tabboo on words related to mental health. Most people prefer to deny any existence of such issues and just abandon such an individual. It’s really sad. I won’t say it’s all negative. Things are gradually turning around. So much work left to be done.

    Liked by 1 person

    1. Yes please do send it to me, I’d like to read it –
      I absolutely agree. I’m currently working on a project for my blog to try to raise awareness of issues surrounding mental health. I’d really like you to be a part of it. Let me know if you’re interested and I can give more details in an email 🙂


  6. Interesting to read – but am always hopeful attitudes to Schizophrenia and other mental health issues are like a wall where brick by brick attitudes from the past are falling down revealing new ways to help people get well – not solely relying on what has gone before. Think healthy eating and healthy gut have a significant role and also exercise.

    Side effects of pills are very worrying as is a culture of smoking in these hospitals until recent changes resulting in higher doses of meds

    As a new professional hope you will be part of a sea change in existing attitudes!

    Watching my son try and cope with time spent in mental health hospitals – i am pleased care has moved into the community but without funding, who knows how this will what effect Brexit and loosing people happy to work in this area as mental health nurses.

    Perhaps one of the answers is more supportive communities towards people who see the world a little differently


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