A. Residual schizophrenia- absence of prominent delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic behavior. Continued evidence of some light symptoms. Usually reserved for those who experience a schizophrenic episode but not another.
B. Schizoaffective disorder- A major depressive episode or manic episode occurs with symptoms of schizophrenia.
C. Schizophreniform disorder- a category reserved for schizophrenia-like symptoms that last at least a month but do not last for 6 months and so do not warrant a diagnosis of schizophrenia.
D. Delusional disorder- nonbizarre delusions (involving situations that could occur in real life. being followed or poisoned) that last for at least a month. No evidence of impaired functioning and no evidence of full-blown schizophrenia.
E. Sharedpsychotic disorder- folie a deux. A delusion that develops in someone who has a very close relationship with another person who is delusional. Contagion in friends and families.
-Spells out a therapist’s responsibility in situations where there has been an explicit threat on a specific person’s life. But should individuals be told if there is adequate protection and the homicidal individual is treated and no longer has the same feelings?
Part of an effort to make the hospital community a therapeutic one.
1)Staff expectations are clearly communicated to patients. Both positive and negative feedback are used to encourage appropriate verbalizations and actions by patients.
2) Patients are encouraged to become involved in all decisions made, and in all actions taken, concerning them. A self-care, DIY attitude prevails.
3) All patients belong to social groups on the ward. The group cohesiveness that results gives the patients more support and encouragement, and the related process of group pressure helps shape their behavior in positive ways.
-Open wards should be encouraged, wards that permit patients to use all grounds and premises.
What men mean when they talk about their “crazy” ex-girlfriend is often that she was someone who cried a lot, or texted too often, or had an eating disorder, or wanted too much/too little sex, or generally felt anything beyond the realm of emotionally undemanding agreement. That does not make these women crazy. That makes those women human beings, who have flaws, and emotional weak spots. However, deciding that any behavior that he does not like must be insane– well, that does make a man a jerk.
And when men do this on a regular basis, remember that, if you are a women, you are not the exception. You are not so cool and fabulous and levelheaded that they will totally get where you are coming from when you show emotions other than “pleasant agreement.”
When men say “most women are crazy, but not you, you’re so cool” the subtext is not, “I love you, be the mother to my children.” The subtext is “do not step out of line, here.” If you get close enough to the men who say things like this, eventually, you will do something that they do not find pleasant. They will decide you are crazy, because this is something they have already decided about women in general.