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Family psychoeducation and relapse prevention in psychotic disorders
Pleštilová, Lenka ; Bankovská Motlová, Lucie (advisor)
Relapse prevention is a primary long-term clinical goal in treatment of psychotic disorders. Pharmacotherapy by itself is not sufficient, because compliance of patients in remission is usually low and there are more factors contributing to relapse, especially stress of patients resulting from emotionally demanding situations in the family. PREDUKA (PREventive EDUcational programme for relapse prevention) is a six-hour professionally-led group programme for patients with psychotic disorders in ambulant therapy and for their relatives. In a field questionnaire survey we mapped 1) theoretical knowledge of participants, 2) usage of practical advice obtained from PREDUKA and 3) general benefit of programme. Participants from years 2007 - 2009 were included. The sample consisted of 14 patients and 22 relatives, 27 women and 11 men. The average age of patients was 28,6 years, that of relatives 44,4 years. High return of questionnaires from patients confirms their goodwill to cooperate. Knowledge of participants about psychosis and their therapy is very good, compliance of patients from our sample is high. Participants usually follow advice obtained from PREDUKA. Common is the ignorance of important phone numbers (crisis centre, attending psychiatrist), so we suggest to include a page in a workbook for these dates....
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Intimate relationships of people with schizophrenia
Říhová, Anna ; Loneková, Katarína (advisor) ; Šivicová, Gabriela (referee)
The thesis is dedicated to intimate relationships of people with schizophrenic disorder (F20). The aim of this study was to determine the importance of intimate relationships attributed by women and men with schizophrenia in young adulthood. Their experience, ideals and expectations of partnership were also investigated. The theoretical part is divided into three parts. The first chapter describes the illness of schizophrenia, its characteristics, etiology, epidemiology, symptoms, deficits in cognitive and social functioning as well as current treatments oriented at psychosocial intervention. In the second chapter, the topic of partnerships of common people is presented. The third chapter describes the theme of partnerships in persons with schizophrenic disorder itself. The empirical part is based on qualitative methodology. Semi-structured interviews were undertaken with 11 respondents, investigating intimate relationships and sexuality of people with schizophrenia. The results are properly described and afterwards discussed with the available literature. In the conclusion, it is recommended further research and intervention in social relationships among people with schizophrenia.
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The Mapping of a Relation between Cognitive Functions and Intelligence in Persons with Schizophrenia
Šimonová, Miriama ; Kulišťák, Petr (advisor) ; Šivicová, Gabriela (referee)
Nowadays, an intelligence is a widely applied concept. The authors' opinions on its possible unification with or strict separation from the specific cognitive functions vary throughout different fields of psychology. Simultaneously, schizophrenia is a mental disorder, which is often connected to a cognitive deficit. Its assessment is usually realized on an estimation of the intelligence level. The aim was to explore how the estimation of intelligence corresponds with a cognitive profile of a patient with schizophrenia. This purpose is firstly being attained by a description of various views and theoretical objects, for instance core characteristics of a schizophrenia, a description of intelligence and selected cognitive functions. The empirical part is focused on an exploration of the relationship between a cognitive profile and the estimation of actual and premorbid intelligence of a patient with schizophrenia. A total of 120 persons with a diagnose F20 were included in this study. A cognitive profile was assessed with the usage of MATRICS battery and the intelligence levels were evaluated by selected WASI tests and Czech reading test (CRT). Results indicates that despite the level of premorbid and actual intelligence level was identified within the normal range, respondents evinced a cognitive...
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Experiencing of schizophrenia and staying atdepartment of psychiatry
Podstavková, Cecílie ; Goldmann, Petr (advisor) ; Soukupová, Tereza (referee)
A theme of this bachelor thesis is a subjective experience of psychosis and stay at department of psychiatry. The aim of this thesis is to provide a view into psychosis from patients' prism as well as an effort to map their experiences in a certain way by searching for common features. A theoretical part of the thesis outlines a concept of psychosis or more precisely mainly a concept of schizophrenia from several points of view - psychiatric, psychological theories of S. Freud and C. G. Jung, socially developmental, cognitive, constructivist and also alternative point of view. It also briefly deals with issues concerning experience with regard to pathology of psychosis and options of its treatment. An empirical part of the thesis which is based on the author's personal research created using a grounded theory describes experiences of five respondents from psychiatric ward and also experiencing of psychosis focusing on a psychotic episode. The questions in the research are also focused on reasons of hospitalization, individuals' understanding of a situation, influence of psychosis on other people, contribution or disfavour of hospitalization or treatment. Keywords: Psychosis, schizophrenia, experiencing, experience, subjectivity, department of psychiatry, hospitalization, treatment.
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Attachment at Children of Mothers with Schizofrenia
Schmiedová, Petra ; Soukupová, Tereza (advisor) ; Goldmann, Petr (referee)
This thesis explores the influence of mother's mental disorder, specifically schizophrenia, on child's attachment in adulthood. In the theoretic part, basic terms of attachment theory are introduced. I describe selected methods of attachment assessment and the associated attachment types or states of mind with respect to attachment. Further on, key information on schizophrenia is presented with an emphasis on impact of schizophrenia on mother - child relationship. The following empiric part explores the form and type of attachment of children with mothers who suffer from schizophrenia and its evolution in time. I was also interested in different strategies the children employ to cope with their mother's illness. Adult Attachment Interview (AAI) is the primary method used in the research, complemented by Experiences in Close Relationships Scale (ECR) and Thematic Apperception Test (TAT). The research results show that attachment of children with schizophrenic mothers tend to be anxious, specifically anxious-avoidant and disoriented-disorganized, more often than in the general population. Mother's illness thus has negative effects on child's attachment.
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Experiencing of schizophrenia and staying at department of psychiatry
Podstavková, Cecílie ; Goldmann, Petr (advisor) ; Soukupová, Tereza (referee)
This bachelor thesis deals with a subjective experiencing of four respondents at acute stage of paranoid schizophrenia and their satisfaction with a treatment and content of time during hospitalization at one of the departments of psychiatry in the Bohnice hospital. It was found out that patients were most satisfied with a care of department's staff. However, a moderate criticism of different departments appeared as well. It was especially criticism of departments with restricted access. As far as experiencing the acute stage of the disorder is concerned, various existential problems, fears, chaotic and odd thinking as well as problems concerning relationships with close people appeared to be related to the disorder itself. The contribution of the thesis is that it points out a possibility of better integration of patients into a cooperation during the treatment through their own understanding of their disease and understanding of their experience. The first part of the thesis defines a concept of schizophrenia from different theoretical points of view which complement one another rather than being in opposition. There are basics of psychiatric knowledge about the illness mentioned in the thesis as well as psychological aspects from psychodynamic theorists' and practitioners' points of view, neuro-...
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Olfactory Perception in First-Episode Schizophrenia and Acute and Transient Psychotic Disorders
Hofmannová, Zdena ; Martinec Nováková, Lenka (advisor) ; Třebická Fialová, Jitka (referee)
Research suggests that olfactory perception of patients with schizophrenia differs from healthy people. In the context of previously conducted research, the present thesis addresses the differences in the abilities of identification and discrimination of odours and assessment of perceived odour qualities (pleasantness, familiarity, intensity, edibility) between patients with schizophrenia or acute and transient psychotic disorders and healthy volunteers, taking into account gender differences; in addition, the differences in the relationship between identification of odours and evaluation of the perceived qualities of odours between patients and healthy persons were explored as well as relationship between the severity of negative symptoms and olfactory perception. In line with other studies, deficits were found in patients in identification and discrimination of odours and in the assessment of odour familiarity compared to healthy subjects, with no gender differences. There were no differences in the relationship between the identification of odours and assessment of the perceived qualities of odours between patients and volunteers, and association of olfactory abilities and the assessment of perceived qualities of odours with the severity of negative symptoms was found only for identification of...
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Schizophrenia: Impact on quality of life
Konopásková, Veronika ; Ondrušová, Jiřina (advisor) ; Nová, Monika (referee)
Veronika Konopásková Schizophrenia: Impact on quality of life Annotation The goal of the thesis is to understand the impact of schizophrenia on quality of life of the patient. Schizophrenia is defined and its most common forms and symptoms are presented. I describe the origin, course and prognosis of the disease. I focus on the concept of relapse and suicide risk in patients with schizophrenia. Treatise on the treatment is divided into psychosocial and biological methods. I deal with the concept of Quality of life in general and in connection with schizophrenia. I discuss the problem of stigmatization of the mentally ill patients. The example of three selected organizations (Baobab, ESET-HELP, DPS "Ondřejov") illustrates the wide range of psychosocial rehabilitation programs offered for mentally ill. To capture authentically all aspects of life with schizophrenia, I conducted three in-depth interviews with persons diagnosed with schizophrenia. Key words: In-Depth interview, Mentally ill, Psychosocial rehabilitation, Quality of life, Relapse, Schizophrenia, Stigmatization, Suicide Summary My thesis deals with the impact of schizophrenia on quality of life. The concept of schizophrenia, its forms, symptoms, origin, course and prognosis were presented. I focused on the concept of relapse and suicide risk in...
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Apperception techniques and the Pathogenesis Index
Kuhnová, Eva ; Soukupová, Tereza (advisor) ; Goldmann, Petr (referee)
This bachelor's thesis deals with themes of Apperception techniques and Pathogenesis Index. The text is divided in two parts - theoretical and empirical. The theoretical part introduces techniques based on the process of apperception, their nature and history. I am dealing closer with some specific techniques widespread worldwide, but the most space is devoted to the Thematic Apperception Test (TAT). A very important part of the thesis is a chapter devoted to Pathogenesis Index - the scoring system used to analyze TAT - its creation, utilization, psychometric properties. The translation of the scoring manual is the part of this charter. Because of working with the parents of schizophrenics in empirical part, the introduction of schizophrenia disease and the impacts of family background on the origin and development of schizophrenia are present in the theoretical part. The empirical part is devoted to the use of the Pathogenesis Index in practice. Research questions arising from researches of 60's and 70's, that worked with the idea that parental involvement may affect the development of schizophrenia their own children. The research group is composed of 5 parents of schizophrenics and the control group consists of 5 parents of individuals without psychiatric illness. The research is focused on the...
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