Psychiatry

Schizophrenia in Children and Adolescents by Helmut Remschmidt

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By Helmut Remschmidt

Even if schizophrenia is especially tough to diagnose within the younger, early therapy is now proposal to enhance final result. contemporary examine means that early onset schizophrenia has developmental precursors, making it tough to tell apart from a few different developmental issues. during this well timed e-book, a global group of psychiatrists, psychotherapists, and psychologists supply an up to date overview of the newest findings within the prognosis and therapy of schizophrenia in kids and youth. It supplies a complete account of the present country of information and the healing concepts on hand to clinicians. The authors study the affliction from developmental and medical views, concentrating on prognosis, etiology, remedy, and rehabilitation. This quantity is key studying for all psychological wellbeing and fitness pros who deal with youth with schizophrenia.

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Extra info for Schizophrenia in Children and Adolescents

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August Homburger (1926) stated that childhood schizophrenia is characterized by withdrawal, negativism, and strange and unexpected behavior. Today, we call these ‘‘negative’’ symptoms. He also stated that delusions are rare, especially in young children. Homburger believed that schizophrenia had at least two manifestations: a slow retarded hebephrenic form with cognitive deterioration and an acute catatonic form. According to Homburger, children also manifest premorbid characteristics and can be divided into three groups on the basis of these characteristics: (i) children with a premorbid normal development, good intellectual functions, and no character anomalies; (ii) children with premorbid mental retardation; and (iii) children who have normal intellectual functions but have character anomalies and display some types of strange behavior.

Classificationaccording to ICD-10 In ICD-10, schizophrenia is defined as a disorder ‘‘characterized in general by fundamental and characteristic distortions of thinking and perception, and by inappropriate or blunted affect. Clear consciousness and intellectual capacity are usually maintained, although certain cognitive deficits may evolve in the course of time. The disturbance involves the most basic functions that give the normal person a feeling of individuality, uniqueness, and self-direction’’ (WHO, 1992, p.

These subdivisions have also influenced the multiaxial classification systems of the International Classification of Diseases on the basis of ICD-9 and ICD-10 (WHO, 1992) and the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association (DSM-III-R and DSM-IV) (APA, 1987, 1994). Both DSM and ICD differentiate between childhood autism (ICD-10) resp. autistic disorder (DSM-IV), childhood schizophrenia, and early childhood dementia subsumed under the headline ‘‘Other childhood disintegrative disorder’’ resp.

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