Saturday, September 28, 2019

Approach In Treating Schizophrenia Samples

Deficit based practice have long been used for helping out the professionals for addressing the needs and the problems of gifted children. While addressing the mental health problems, a strong belief that prevails it that once the presenting problem is identified, an expert can be found and he can then fix out a prescription to cure the condition (Kapp et al., 2013). It has to be kept in mind that deficit based approaches can create dependency on outside solutions. One of the foremost problem with deficit based approach is that the interventions comes often too late superseding after the problem is already present rather than intervening to prevent the problem. Research has suggested that deficit based programs mainly focus on what the youth and the children are doing wrong and are found to be unsuccessful unlike the programs that mainly focus on the strengths of the young generation (Kapp et al., 2013).   An example to this can be given such as; the zero tolerance policy towards s chool bullying can result in increased level of suspensions without the knowledge of how the behaviors can be changed. It basically do not stop the problems of bullying, who typically spends more unnoticed and unsupervised time in the community or home. Strength based approach on the other hand moves the subject away from the weaknesses of the people and focus on strengths of the client (Amaresha & Venkatasubramanian, 2012). The case study reveals the fact that the individual had been recently diagnosed with schizophrenia, which was previously believed to be the signs of autism and hence the treatment was mainly based on behavioral treatment depending upon the situation. On this context it can be said that when a health care provider portrays a gloomy picture of people having mental illness, the clients also perceives themselves negatively. According to the researchers 24 % of the people suffering from schezophrenia have scored less in self regard on the basis of Rosenberg self esteem scale (RSES) (Zargham-Boroujeni et al., 2015). In this case a positive psychotherapy can be used which will be able to focus more on the internal strengths and less on weakness, shortcomings and failures. This can help to set up a positive mindset in the patient in the scenario that will help to find own strength, improve the resilience and achieve a positive worldview. Strength based therapy can include talk therapy which can guide the patient in retelling the history of the stressors, trauma and emphasize on pain having more emphasis on the strength and survival than that of weakness (Xie, 2013). Strength based therapies such as cognitive behavioral therapy, personal therapy, compliance therapy, acceptance and commitment therapy; supportive psychotherapy can be used to treat the behavioral symptoms related to Schizophrenia (Xie, 2013). Cognitive behavioral therapy has shown significant improvements in depression, negative symptoms and social functioning. CBT is again not suited for the patients who are cute sufferers. Personal therapy can be suitable to individuals who have been discharged from clinical settings. Supportive therapy can be used to counsel the patient while dealing with life issues by dealing their problems with general assistance, clarifications and reassurance (Chien et al., 2013). A paradigm shift from deficit based to strength based will help to increase the level of functioning in the patient. The quality of life will improve and the symptoms will decrease. It will bring about a change in the self image of the client (Zargham-Boroujeni et al., 2015). Highe r level of resiliency would cater to the mental well being of the patient. The primary principles of strength based approach is to utilize the strength already possessed by the patient, secondly the client has to be motivated to focus on the strengths (Rashid, 2015). Finally, the environment from where the client will derive resources to strengthen his or skills should be conducing enough.   The family and the communities can help to identify the informal support system that can be provided to such patients. Meetings, social intervention gatherings and educational sessions can help the patient to share his stories with one other as well as the practitioners (Chien et al., 2013). It is essential to develop the therapeutic relationship between the consumer and the practitioner. According to researchers hardiness can be correlated negatively to mental disorders. They have also indicated the relation between the hope of recovery, strength, productive and a satisfying life style (Zargh am-Boroujeni et al., 2015). It can be said that treatment of schizophrenia cannot be treated with one psychotherapy as no single method can address all the problems. A combination of cognitive remediation, illness education and social skills training along with medications can serve as the best treatment. Emotional support in handling with a disabling illness, enhancing the coping strategies for promoting functional recovery and alteration of the underneath pathophysiology are the main elements of the future psychotherapy interventions for schizophrenia. Amaresha, A. C., & Venkatasubramanian, G. (2012). Expressed emotion in schizophrenia: an overview. Indian journal of psychological medicine, 34(1), 12. Chien, W. T., Leung, S. F., Yeung, F. K., & Wong, W. K. (2013). Current approaches to treatments for schizophrenia spectrum disorders, part II: psychosocial interventions and patient-focused perspectives in psychiatric care. Neuropsychiatric Disease and Treatment, 9, 1463–1481. Kapp, S. K., Gillespie-Lynch, K., Sherman, L. E., & Hutman, T. (2013). Deficit, difference, or both? Autism and neurodiversity. Developmental psychology, 49(1), 59. Rashid, T. (2015). Positive psychotherapy: A strength-based approach. The Journal of Positive Psychology, 10(1), 25-40. Xie, H. (2013). Strengths-Based Approach for Mental Health Recovery. Iranian Journal of Psychiatry and Behavioral Sciences, 7(2), 5–10. Zargham-Boroujeni, A., Maghsoudi, J., & Oreyzi, H. R. (2015). Focusing on psychiatric patients’ strengths: A new vision on mental health care in Iran. Iranian Journal of Nursing and Midwifery Research, 20(3), 340–346. 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