Calls to end stigma of schizophrenia ‘label’, Sunday Herald, 04/10/2007




Page updated 04/10/2007


Sunday Herald, 04/10/2007



By Adam Forrest

Word is a disease in itself, patients and experts say

"I still hear voices, but I've found a way of living with them. It was only when I turned away from psychiatric medication that my life totally turned around. Since then I've got married, had kids, got a house and love going to work every day."

A growing number of mental health experts in Scotland agree that cases like Coleman's demonstrate the need to scrap the term schizophrenia, since it has, they believe, become a stigmatised and scientifically redundant category.

"It's a loaded, dated label and it can be difficult to see beyond," said Eddie McCann, senior lecturer in mental health at Napier University. "It gives the impression that it is a perpetual state, but people do get better and lead fulfilling lives.

"The label is connected to approaches dating back almost 100 years ago. We have to think about new categories based on different types of distress. Drugs have a place, but there are huge possibilities for therapeutic work."

Traditionally, advocates of the schizophrenia diagnosis argue that the illness is a deteriorating condition arising from increased activity in the brain of the neurotransmitter dopamine. Yet the success of behavioural therapies and counselling at the Scottish Hearing Voices Network in Dundee suggests that it may be traumatic experiences and other social factors that lead to the development of psychoses.

"The idea that you've got a brain disease from which you'll never recover is just not true," said Paul Hammersley, a cognitive-behavioural therapist leading the Campaign for Abolition of the Schizophrenia Label (CASL). "The claim that there is a medical condition called schizophrenia doesn't stand up to scrutiny. It's an appallingly stigmatising diagnosis. It can ruin lives."

Coleman added: "It's clear to me that hearing voices was created by my experience of abuse, not biology, not this thing we call schizophrenia, which itself disables people."

In Japan, the term schizophrenia has been replaced with the term "integration disorder", although some believe stigma would soon become attached to any new label. Instead, there is growing support for splitting the symptoms into new sub-categories including sensitivity, anxiety, trauma-related and drug-induced psychosis, since these may point toward more nuanced methods of recovery.

Andrew Moskowitz, senior lecturer at Aberdeen University's department of mental health, said: "When it was first proposed almost 100 years ago, it was called the group of schizophrenias. There's a long-standing belief in sub-groups. The challenge is in re-classifying an individual's symptoms so you can actually help them."

Yet Marjorie Wallace, chief executive of the mental health charity Sane, believes the word is still necessary to raise awareness and attract funding. "While we recognise that the term can act as a stigmatising label," she said, "without identifying this condition as a serious illness, how can there be any hope of researching it and providing better treatments?"

But Paul Hammersley is adamant that such reluctance is unhelpful. "If schizophrenia is a flawed concept, then we have to question what we're raising awareness and money for," he said.

Dr Andrew Gumley, senior lecturer in clinical psychology at Glasgow University and a consultant at Gartnavel Hospital, said the term schizophrenia told doctors and carers very little about the best modes of recovery. "Scotland has been really strong about new approaches, and there's a growing recognition that there needs to be an individualised understanding of recovery," he said.




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  1. HEITORJune 23, 2008 @ 05:57 PM
    eu acredito que o que se chama esquisofrenia é um abuso. porque as pessoas reajem de diferentes maneiras aos problemas que tem. muitas pessoas depois de terem sofrido muitos traumas ou agressões ou outros problemas que não sabem resolver reajem mal e podem ter esses sintomas. outros podem parecer paranoicos e outros bipoláres conformedescem á depressão por causa do problema que os domina quer subindo para um patamar em que esquecem o problema. todo tem uma causa e é isso que os profissionais de saude esquecem e só receitam farmácos que nada RESOLVEM ANTES PELO CONTRÁRIO . A QUIMICA NÃO RESOLVE OS PROBLEMAS DO SOFRIMENTO MENTAIS OU AFECTIVOS . A MAIORIA RESOLVESSE INDO AO CENTRO DO PROBLEMA-E RESOLVENDO OS CONFLITOS E SOFRIMENTOS DAS PESSOAS QUE POR VEZES ESTÃO COMUFLADOS OU SÃO MUITO COMPLEÇOSE É PRECISO MUITA PASSIENCIA PARA OS DESLINDAR E MUITO CARINHO TAMBEM. AS PESSOAS NÃO SÃO COISAS SÃO SER HUMANOS COMPLEXOS E PRECISAM DE LIBERDADE(COM RESPONSABILIDADE) E MUITO CARINHO. PRESISAM DE SER TRATADOS COMO PESSOAS COM TODOS OS SEUS DIREITOS E COMPLEXIDADE HEITOR
  2. PeterAugust 13, 2008 @ 09:40 PM
    i admire anyone who can live with schizophrenia who can actually meet someone and get married, and live a seemingly normal life, how do u do this, this is impossible with me, when my employers find out i have got this, they will put forward a plan of action to drive me out. when i talk to my cpn she gives me lots of encouragement to get on with my life and socialise to meet new people and it seems possible for the short time i am there but when i try to do this its impossibility is all too crushingly apparent like my illness is communicated to people in some subtle or even sublimal way. societies rejection of me is in the first instance i believe instinctive
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