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The positive and negative symptoms of schizophrenia
QUESTION
Watch the following video featuring an interview between a mental health clinician and Chase, a college student who is having a psychotic episode.
video : https://video-alexanderstreet-com.eu1.proxy.openathens.net/watch/chase-core-video-schizophrenia-part-i-psychotic-episode
Initial Post
Address the following in your initial post:
Identify the positive and negative symptoms of schizophrenia of the active psychotic state Chase is experiencing.
During the interview, how do you believe the interviewer handled the conversation?
How would you feel interacting with this client?
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APA |
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Answer
Schizophrenia Case Study
Positive symptoms experienced by Chase due an active psychotic state associated with schizophrenia include extreme paranoia, hallucinations, disorganized speech, racing thoughts, and delusions. Negative schizophrenia symptoms presented by Chase include asociality, social withdrawal anhedonia, apathy and diminished expression. Social withdrawal may have made paranoid ideation and hallucinations to be more pronounced (Carra et al., 2018). The interviewer handled the conversation with Chase in a calm, understanding, and professional manner. The interviewer was able to convince the patient that she was in Chase’s side to keep him talking and responding to her questions. The interviewer was able to let Chase to talk uninterrupted and listened keenly in a non-judgmental manner. In addition, she talked in a simple manner, with use of short sentences, and in a slow manner. She did not panic. Besides, her focus was on understanding Chase and her condition rather than on treatment, medications, and the diagnosis (Martins et al., 2015). If I interacted with such as client, I would feel scared, threatened, and be uncertain of his reactions since he seems unpredictable. In addition, I may become sympathetic with his condition and perception of the world and be forced to educate him that his perception of the world has been impaired by the disease. However, the interviewer has given me an insight on how to conduct an interview that involves a psychotic patient.
References
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Carra, G., Crocamo, C., Angermeyer, M., & Brugha, T. (2018). Positive and negative symptoms in schizophrenia: A longitudinal analysis using latent variable structural equation modelling. The European Schizophrenia Cohort (EuroSC): a naturalistic prognostic study. https://www.researchgate.net/publication/327352068_Positive_and_negative_symptoms_in_schizophrenia_A_longitudinal_analysis_using_latent_variable_structural_equation_modelling
Martins, M. J., Carvalho, C. B., Castilho, P., & Pereira, A. T. (2015). The “clinical interview for psychotic disorders” (CIPD): development and expert evaluation. International Journal of Clinical Neurosciences and Mental Health. https://www.researchgate.net/publication/284646350_The_Clinical_Interview_for_Psychotic_Disorders_CIPD_Development_and_expert_evaluation
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