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What causes Schizophrenia?


Michaelangelica

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TODAY'S certainties become tomorrow's rejections.

 

People are constantly certain that what is believed to be correct today is to be correct for ever, even though time after time after time after time after time after time after time after time after time after time after time after time after time after time after time after time after time after time after time history has proven this to be wrong, an so TODAY'S certainties become tomorrows rejections.

 

To understand what schizophrenia actually is, simply understand everything that surrounds it. That way you can achieve a correct degree of certainty because your understanding of what schizophrenia actually is, becomes supported from all possible directions that surround it.

 

If you are unaware of all that surrounds it, then you have an open loop condition. This is somewhat like not being able to ever see the completeness of a ball, no matter what methods you attempt to use to do so. If this were the case, then in our minds a ball would never be a ball, since we would never see the completeness of a so called ball.

 

Or, one could be a so called jackass, and say that one knows what this mysterious thing is that you have now classified as a " BALL ", even though you can not see it for what it truly is.

 

This is basically what has occurred concerning that which is classified as " Schizophrenia ". People say that they know what it is. Knowing what it is, means that one can see or know of its completeness. If one knows of its completeness, then one can see what it is attached to. That which it is attached to, is that which supports it and makes it occur in the first place.

 

Therefore, if one knows what " Schizophrenia " actually is, then that same person also knows of its cause.

 

But thanks the complete stupidity practiced by the majority of mankind, people " BELIEVE " that schizophrenia is a mental illness, and that the people who suffer from from it, are those who experience delusions and hallucinations.

 

IN SHORT, PEOPLE HAVE ACHIEVED COMPLETE CERTAINTY AS AN OFFSHOOT OF THAT IN WHICH THEY ARE NOT COMPLETELY CERTAIN OF.

 

This, of course, can only occur if the mind that does it, is a defective mind.

 

THIS DEFECTIVE MIND THEN PROCEEDS TO CLASSIFY ANOTHER MIND, AS A DEFECTIVE MIND.

 

IS THIS RELIABLE ?

OF COURSE NOT !

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  • 2 weeks later...
Also the patterns of disease causality change with time. Sure, once you could explain several common psyc syndromes on a nutritional basis,

These are intesting thoughts on schizophreniaand its seasonal pattern.

Shedding light on suicide and schizophrenia: hormonal changes and vitamin deficiencies are implicated - Patterns - vitamin D deficiency - Brief Article

Psychology Today, May-June, 2002 by Anna Schneider-Mayerson.

Hypochlorhydria: A...

 

MORE REASONS TO LOVE AND HATE OUR favorite star. Sunlight is positively, if counterintuitively, linked to an increased risk of suicide, while too little sun causes vitamin D deficiency, a factor newly implicated in schizophrenia.

 

Suicides peak in May and June in the Northern Hemisphere and in November and December in the Southern Hemisphere.

Indeed, the risk increases between 8 and 50 percent in each of the 20 countries surveyed by Dimitrios Trichopoulos, M.D., a professor of epidemiology at the Harvard School of Public Health.

"My suspicion is that sunlight affects suicide risk through hormonal factors like melatonin," says Trichopoulos. Melatonin is suppressed by sunlight and is known to play a role in mood regulation. The hormones cortisol, serotonin and tryptophan may be affected by sunlight, as well.

 

There is also a seasonal pattern in the births of schizophrenics. Studies confirm a 10 percent increase in these births in the Northern Hemisphere between February and April.

This trend, coupled with findings that children of dark-skinned immigrants to northern countries have high rates of schizophrenia, led scientists to surmise a shortage of sunlight as a possible factor in the illness.

Shedding light on suicide and schizophrenia: hormonal changes and vitamin deficiencies are implicated - Patterns - vitamin D deficiency - Brief Article Psychology Today - Find Articles

Schizophrenia Has Variations According to Month of Birth

 

Individuals born in winter and spring have a small but significantly increased risk of developing schizophrenia.19 This finding, one of the most consistently replicated findings in schizophrenia epidemiology, was confirmed in a systematic review of studies based on the Northern Hemisphere sites.20

 

This same meta-analysis found that the size of the winter/spring excess was positively associated with latitude.20 A well-designed study from Denmark estimated that while the odds ratio for schizophrenia associated with winter/spring birth was very small (relative risk = 1.11), because birth in winter/spring is such a common exposure, the population-attributable fraction associated with season of birth was sizable (10.5%).

Variations in the Incidence of Schizophrenia: Data Versus Dogma -- McGrath 32 (1): 195 -- Schizophrenia Bulletin

 

 

Objective: Based on clues from epidemiology and animal experiments, low vitamin D during early life has been proposed as a risk factor for schizophrenia

 

Conclusion: Vitamin D supplementation during the first year of life is associated with a reduced risk of schizophrenia in males. Preventing hypovitaminosis D during early life may reduce the incidence of schizophrenia.

ScienceDirect - Schizophrenia Research : Vitamin D supplementation during the first year of life and risk of schizophrenia: a Finnish birth cohort study

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Michaelangelica,

 

I think you've identified a gaping wound in the medical model that physchiatrists use to treat / assess psychotic & schizophrenic patients. Given the degree of inconclusivity as to what causes, continues and remedies this type of "brain" disease. One should hope that the scientific community would admit and be open to alternative forms of treatment (aside from the standard neuroleptic treatments available to 'sufferers'). Science is not always right. And - that is not a bad thing. The value judgement I venture to make comes when "wrong" science becomes the standard method for dealing with a problem that has no real answers.

 

Maran.

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Michaelangelica,

 

I think you've identified a gaping wound in the medical model that physchiatrists use to treat / assess psychotic & schizophrenic patients.

Given the degree of inconclusivity as to what causes, continues and remedies this type of "brain" disease. One should hope that the scientific community would admit and be open to alternative forms of treatment (aside from the standard neuroleptic treatments available to 'sufferers').

Science is not always right. And - that is not a bad thing.

The value judgement I venture to make comes when "wrong" science becomes the standard method for dealing with a problem that has no real answers.

 

Maran.

Perhaps the name "schizophrenia" is too global; encompasses too much.

Like I have a"cold" forom one of 1,000 viruses.

Maybe Shakespeare will eventually be known as the best and first psychiatrist (A friend once said that King Lear was a wonderful study in/of Alzheimer's !)

Perhaps we need to treasure and coddle our 'mad' people for the insight they may give to us fools?

At present, in Australia, we throw them out into the street.

The link between genius and madness

11th February 2007, 9:00 WST

 

They say there's a fine line between genius and madness.

 

Painter Van Gogh and author Jack Kerouac were both hailed as geniuses but displayed self-destructive behaviour.

 

Now scientists have discovered a gene which is linked to both intelligence and one of the most common forms of madness - schizophrenia.

 

It could explain why some of the world's foremost minds have also suffered from the psychotic disorder.

 

Kerouac was diagnosed with the condition and many believe Van Gogh, who famously chopped off part of his left ear during a bout of depression, was a sufferer - along with the brilliant Russian dancer Vaclav Nijinsky.

 

Nobel prize-winning mathematician John Nash, portrayed by Russell Crowe in the film A Beautiful Mind, has also had a life-long struggle with schizophrenia.

thewest.com.au : The link between genius and madness

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QUOTE]Perhaps the name "schizophrenia" is too global; encompasses too much.

 

According to an article from the Ecologist a few years ago (a radical mag of sorts - but interesting to read all the same) - the same was true for "Palsy" and whether the vaccine for Polio actually created "Palsy" in patients. The atricle noted the change in definition for Palsy over the last 50 (?) years - noting its disatissfaction with the scientific community for publishing and using this umbrella term to categorize based on symptoms of patients.

 

In north america schizophrenics (and other mentally ill) are on the street as well. The most unfortunate thing about this is that they can end up in jail - abused, neglected, etc.

 

On another note.... there has been evidence to show a inverse correlation between cancer and schizophrenia. Apparently, schizophrenics have a substantially lower incidence of certain cancers...... live in hell or die in hell ?

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On another note.... there has been evidence to show a inverse correlation between cancer and schizophrenia. Apparently, schizophrenics have a substantially lower incidence of certain cancers...... live in hell or die in hell ?

How odd

has anyone any clue as to why this is the case?

 

I am not sure what this really means or where it takes us but here it is. . .

Potential Breakthrough For Schizophrenia Treatment

Potential Breakthrough For Schizophrenia Treatment

Main Category: Schizophrenia News

Article Date: 26 Jan 2007 - 5:00 PDT

Using animal models. Drs. George and O'Dowd and their team identified this complex by its unique reaction to dopamine or specific drug triggers. Strikingly, stimulating this target with dopamine or specific drugs triggered a rise in calcium in the brain. As calcium has a profound effect on almost all brain function, this rise in calcium causes a cascade of events in the brain. This is the first time that a direct connection between dopamine and calcium signals has been reported.

 

"This distinct unit provides a novel signalling pathway through which dopamine can impact the function of brain cells", said Dr. George. "This is significant because signalling through calcium release is a major mechanism regulating many important functions in the brain and we have provided the first direct mechanism by which dopamine can activate a calcium signal."

 

This data has significant implications for schizophrenia. Research tells us that people with schizophrenia may have disordered calcium signals, and the major treatments for this disease target the dopamine system. Drs. George and O'Dowd state, "our data links these two pieces of evidence, creating better understanding of the disease and opening the door for a new generation of highly specific drugs that may help alleviate the devastating symptoms of schizophrenia."

 

Scans 'can predict schizophrenia'

MRI brain scan

Key changes were detected in the grey matter

Brain scans could help predict schizophrenia, research suggests.

 

Magnetic resonance imaging (MRI) scans have revealed key changes in the brain's grey matter in a small group before they developed symptoms.

 

The finding suggests tracking these changes over time, combined with traditional assessments, could help doctors to predict illness.

 

BBC NEWS | Health | Scans 'can predict schizophrenia'

 

This is also weird

BBC NEWS | Health | Schizophrenics 'spot illusions'

Schizophrenics 'spot illusions'

The work could help explain some schizophrenia symptoms

People with schizophrenia may be well attuned to spotting visual illusions, a study suggests.

 

Despite experiencing hallucinations as part of their condition, schizophrenic volunteers to a study were better able to spot "real" visions than others.

 

The Current Biology work could help shed light on the brain mechanisms involved in schizophrenia, the University College London authors say.

 

It might be down to a difficulty dealing with context, they believe.

 

 

Their vision can be more accurate than non-sufferers

Researcher Dr Steven Dakin

 

For example, people with schizophrenia tend to take less account of the circumstances and conditions that surround a situation or event that often help us to interpret it.

 

Schizophrenia may be linked to inflammation: study

Tue Mar 20, 2007 10:43PM GMT

Email This Article | Print This Article | RSS Feed

[-] Text [+]

 

By Julie Steenhuysen

 

CHICAGO (Reuters) - The key to schizophrenia may be found in a gene region thought to play a role in inflammation and autoimmune disorders, U.S. researchers said on Tuesday.

Schizophrenia may be linked to inflammation: study | Science & Health | Reuters

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One of the most successful SMRI grants has been to the Institute of Biotechnology at the University of Cambridge in England. The program, directed by Dr. Sabine Bahn, has continued to publish studies describing metabolic abnormalities in individuals with schizophrenia. Many of these abnormalities involve glucose metabolism, which is especially important since it is now known that antipsychotic medication can also disturb glucose metabolism. Dr. Bahn’s group is utilizing their findings to try to develop new medications for treating schizophrenia.

Treatment Advocacy Center: Research update: Metabolic abnormalities in schizophrenia

 

 

Name: Treatment Advocacy Center

Location: US

 

The Treatment Advocacy Center (Treatment Advocacy Center) is a national nonprofit organization dedicated to eliminating barriers to the timely and effective treatment of severe mental illnesses. TAC promotes laws, policies, and practices for the delivery of psychiatric care and supports the development of innovative treatments for and research into the causes of severe and persistent psychiatric illnesses, such as schizophrenia and bipolar disorder. The American Psychiatric Association honored TAC for "extraordinary advocacy

Blogger: User Profile: Treatment Advocacy Center

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  • 2 weeks later...

Here is agreat list from someone who has been there

Spiritual Recovery: Presumed Causes of Schizophrenia and Psychosis

 

EGs (of just a few from the list)

 

Cause: Cough Syrup

Mr. A, an 18-year-old high school student, came to the psychiatric emergency room after several days of consuming cough syrup (one to two 8-oz bottles per day containing dextromethorphan, 711 mg per bottle). He described experiencing dissociative phenomena involving the belief that he had died and had "become just [his] thoughts,"

Cause: Blood Type

Schizophrenia linked to blood type

... we have isolated that schizophrenia is largely linked to Blood Type O. Genetic predisposition to alcoholism runs in Blood Type A. There is continuous on-going research, but links are being identified.

 

You can see manifestations of this clumping in the emotions: depression in Blood Type O, for instance. Often they are not eating enough protein, and when they start eating more protein they begin to feel much better. Most notably, mental functioning improves, whether on or off medication.

 

Cause: Gluten Intolerance

 

Intriguing early research suggests that people with a genetic intolerance to gluten may also be at increased risk for schizophrenia. Investigators say the link, if proven, could lead to new treatment options for a small subset of schizophrenic people.

Cause: Milk

Got Schizophrenia?

University of Florida researchers reported in the March 1999 issue of the journal Autism findings from two novel animal studies indicating autism and schizophrenia may be linked to an individual's inability to properly break down a protein found in milk

.
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Breakdown of the myelin sheath around nerves may be a factor according to this study

The 'myelin sheath' is like the plastic insulation on wires without it you get a "short circuit"

there is a disease called Peripheral neuropathy/ neuritis, this also involves problems with themyelin sheath. It can be caused by Dietary deficiencies (especially vitamin B-12) and Excessive alcohol use (alcoholic neuropathy; alcohol destroys Vitamin B.

I feel there is a link between schizophrenia and lack of or inability to assimilate/digest B vitamins.

Pellagra, caused by vitam B deficincy, has identical symptoms to schizophrenia

 

The most common hereditary disease, Charcot-Marie-Tooth (CMT) disease, strikes 1 in 2500 people and also involves the myelin sheath.

Does anyone know if there is a genetic connection?

 

http://www.netscape.com/viewstory/2007/04/10/study-trees-actuallygcontribute-to-global-warming/?url=http%3A%2F%2Fwww.sciam.com%2Farticle.cfm%3FchanID%3Dsa003%26articleID%3DDCA231BA-E7F2-99DF-3105874539B83ECB%26ref%3Drss&frame=true

 

Corfas's team studied mice in which they blocked the erbB4 receptor, in oligodendrocytes, which make up the myelin sheath over a neuron's communication hub.

The erbB4 receptors receive a growth factor called neuregulin 1, which is necessary for proper brain development.

Genes expressed in oligodendrocytes—such as the one that codes for neuregulin 1—have previously been linked to schizophrenia, bipolar disorder, depression and obsessive-compulsive disorder.

I didn't know this:

The mutant mice also proved to be more sensitive to amphetamines—a hallmark of schizophrenia in humans

I wonder why?

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Well, the geneticists seem to be having a Field Day.

 

 

Study of damaged gene gives insight into causes of mental illness

News-Medical.net - Sydney,Australia

While the causes of schizophrenia, bipolar affective disorder and major depression are unknown, all the evidence points to subtle differences in the way the ...

 

 

'Bad' gene causes schizophrenia

News24 - Cape Town,South Africa

Subsequent testing showed that one of the mutant mouse strains appeared to exhibit schizophrenia-type symptoms such as attention and memory deficits. ...

 

 

Study of damaged gene gives insight into causes of mental illness

innovations report - Bad Homburg,Germany

Prof David Porteous, Chair of Human Molecular Genetics and Medicine at the University of Edinburgh, said: “While the causes of schizophrenia, ...

 

 

Study: malfunctioning gene can cause schizophrenia

Scripps News - Washington,DC,USA

... Sinai Hospital in Toronto, along with a team of Canadian and Scottish scientists, has pinpointed one of the elusive genetic causes of schizophrenia. ...

See all stories on this topic

 

Researchers may have schizophrenia breakthrough

CTV.ca - Scarborough,ON,Canada

A team of Canadian and Scottish scientists has pinpointed one of the genes that causes schizophrenia -- a breakthrough that sheds new light on how the ...

 

Gene malfunctions cause schizophrenia, depression

Malaysia Sun - Malaysia

Washington, May 3 (Xinhua) An international team of researchers has confirmed that the malfunction of a gene causes schizophrenia and depression, ...

 

 

Gene malfunctions cause schizophrenia, depression

Newindpress (subscription) - Chennai,India

WASHINGTON: An international team of researchers has confirmed that the malfunction of a gene causes schizophrenia and depression, according to a study ...

 

Apathy Syndrome After Traumatic Brain Injury Compared With ...

Psychosomatics (subscription) - USA

Patients with schizophrenia also develop an apathy-like syndrome, commonly referred to as the "deficit syndrome of schizophrenia (DSS)," characterized by ...

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"Although the exact causes of schizophrenia are yet to be determined, scientists agree that the disease is in part due to genetic variations," Law says. "These variations are not simple to understand because they don't directly disturb the function of proteins. In our study, we identified some clues as to what goes wrong with one of these DNA variations."

 

Scientists originally found in an Icelandic population that genetic variations in a DNA sequence close to a gene that produces a protein called Neuregulin 1 were associated with schizophrenia, but how the Neuregulin 1 gene was affected remained unknown.

 

In 2006, Law and colleagues found that one of these DNA variations is associated with increased expression of a novel type of Neuregulin 1 called type 4 -- one of the six known types of Neuregulin 1 proteins -- in the brains of patients with schizophrenia.

 

The role of this protein in the brain is not completely understood but the other types of Neuregulin 1 proteins are involved in controlling how the brain develops and works in adults. In this study, Law and colleagues showed that Neuregulin 1 type 4 is specifically expressed in the brain -- unlike the other types of Neuregulin 1. Also, the scientists showed that this protein is 3.5 times more abundant in fetal than adult brains, supporting the protein's important role in the developing brain.

 

"Since the Neuregulin 1 protein plays a key role in brain development and is more abundant in fetal brains, DNA changes that alter the expression of this protein may contribute to schizophrenia by modifying the development and wiring of the brain," Law says. "By understanding how this novel protein works in the brain, we may be able to target it in people with the disease."

 

The researchers showed that the genetic change that causes overproduction of Neuregulin 1 type 4 is part of a DNA sequence called a promoter, which enables genes to be coded for proteins. A protein called a transcription factor binds to the promoter and helps other proteins to express the gene. When the promoter is altered, the transcription factor may not bind properly and impair genetic expression. Law and colleagues showed that alteration of the promoter in the genetic sequence linked to schizophrenia resulted in altered amounts of Neuregulin 1 type 4.

 

"For the first time, we have identified a promoter for the Neuregulin 1 gene and showed that the activity of that gene is altered by a single genetic variation in this promoter,"

http://hypography.com/forums/newreply.php?do=newreply&noquote=1&p=173728

 

I wonder if this gene can be turned on by environmental ,trauma or chemical factors?

It is interesting that the babies brain has so much of this chemical and that autism- "childhood Schizophrenia"- happens mostly in the first 6 years of life

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the glutamate system

A lynchpin in the development of the disease is the brain’s neurotransmitter system known as the glutamate system. When the glutamate system is suppressed it leads to abnormal brain development and schizophrenic symptoms.

Schizophrenia Daily News Blog: Genes Common to Both Schizophrenia and Seizures May Cause Faulty "Check and Balance" Brain Activity

 

A lynchpin in the development of the disease is the brain's neurotransmitter system known as the glutamate system. When the glutamate system is suppressed it leads to abnormal brain development and schizophrenic symptoms.

. . .

The ability to finally identify the functionality of NRG1 was possible here because of access to powerful technology that combined the ability to manipulate individual genes, to study the very structure of the glutamate synapse with a two-photon microscope, and to perform functional studies using electrophysiology."

 

Li hopes that his research will stimulate more exploration of the functions of NRG1 in the brain. "This gene and its pathway also have implications for other neurological diseases such as bipolar disorder

ScienceDaily: Activity In Brain Synapses Linked To Developmental Abnormalities With Schizophrenia Gene

 

See also the thread on clinical depresssion

http://hypography.com/forums/social-sciences/6735-depression-clinical-19.html#post187829

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  • 5 weeks later...
Only 5 Zyprexa trials were undertaken to underpin its use in Schizophrenia 50% of enrolled participants did not complete six week trials because of side effects.

Do guns kill? No, antidepressants do.

 

 

What it feels like to be schizophrenic

This is a classic

My 12 hours as a madman | Macleans.ca - Canada - Features

My 12 hours as a madman

 

In honour of the late journalist, a look back at Sidney Katz's famous story about the effects of LSD

 

Sidney Katz | Sep 21, 2007 | 4:02 pm EST

Two weeks have now passed since I spent half a day as a madman. (I was so frightened and bewildered by the experience that it is only now that I am able to sit down and write a complete account of what happened to me. Even now, as I relive the nightmare from this safe distance, I grow tense and my body is bathed in perspiration.)

 

I volunteered to become a temporary madman in the interests of medical research into the problem of mental illness. This is one phase of research where some of the guinea pigs have to be human beings. For animals can't describe their sensations.

 

The drug I took was LSD—lysergic acid diethylamide—an alkaloid of ergot, the poisonous rust that sometimes grows on rye. Two years ago when bread made of infected rye flour was sold in a French village many of the inhabitants died of poisoning or went stark raving mad. The mental condition produced by this drug—developed by a Swiss chemist—closely resembles acute schizophrenia, the most prevalent and the most serious form of mental disease in Canada. About half the patients in our mental hospitals suffer from some form of this terrible mental torture.

 

We suspect, for example, that there are different types of schizophrenia, with different causes, and that they possibly respond differently to different treatments.

What are the classes of mental illness?

 

 

Our evolving understanding of genetics and how the brain works may eventually change how we classify mental illnesses. For now, we think of several main classes of mental illness:

 

  • Mood disorders. These include disorders that affect how you feel, such as persistent sadness or feelings of euphoria. They include major depression and bipolar disorder.
     
  • Anxiety disorders. Anxiety is an emotion characterized by the anticipation of future danger or misfortune accompanied by a feeling of being ill at ease. Examples include panic disorder, obsessive-compulsive disorder, specific phobias and generalized anxiety disorder.
     
  • Substance-related disorders. These include problems associated with the misuse of alcohol, nicotine, caffeine and illicit drugs.
     
  • Psychotic disorders. These disorders impair your sense of reality. The most notable example of this is schizophrenia, although other classes of disorders can be associated with psychosis at times.
     
  • Cognitive disorders. These disorders affect your ability to think and reason. They include delirium, dementia and memory problems. Perhaps the most well-known of these disorders is Alzheimer's disease.
     
  • Developmental disorders. This category covers a wide range of problems that usually first begin to make themselves known in infancy, childhood or adolescence. They include autism, attention-deficit/hyperactivity disorder and learning disabilities. But just because they're all grouped in this category doesn't necessarily mean they share a common cause or that there's a relationship among the disorders.
     
  • Personality disorders. A personality disorder is an enduring pattern of inner experience and behavior that is dysfunctional and leads to distress or impairment. Examples include borderline personality disorder and antisocial personality disorder.
     
  • Other disorders. These include disorders of impulse control, sleep, sexual functioning and eating. Also included are dissociative disorders, in which a person's sense of self is disrupted, and somatoform disorders, in which there are physical symptoms in the absence of a clear physical cause, such as hypochondriasis.

Does all mental illness have a biological basis — a problem with the brain's chemistry?

EMOTIONAL & MENTAL HEALTH: Defining mental illness: An interview with a Mayo Clinic specialist

 

Hepatitis C virus (HCV) infection occurs in up to 20% of patients with chronic mental illnesses

. . .

Screening for HCV infection should be considered for outpatients with schizophrenia. However, clinical experience treating HCV in schizophrenia patients is limited; in this cohort, 2 years after screening, no patient had received interferon/ribavirin treatment.

Hepatitis C in Schizophrenia: Screening Experience in a Community-Dwelling Clozapine Cohort -- Freudenreich et al. 48 (5): 405 -- Psychosomatics

Hepatitis C infection is endemic among the South Australian prison population, with 42% of the State's 1700 prisoners infected with the virus, according to a University of Adelaide study.

Hepatitis C virus is rife in SA prisons

 

hepatitis C among general population in Aust.

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  • 2 weeks later...

Haven't studied it much but I did read that there are higher incidents of it in second or third generation immigrants.

 

My speculative interpretation: Schizophrenia is what happens when you have someone whose understanding of their surroundings is very dependent on what actually is rather than what could and should be, and then everything that is changes drastically.

 

In Europe people would respect first generation immigrant's culture differences more and it would be more obvious due to things like their accent's or difficulty speaking the new language.

 

The later generations would be under more pressure to conform to communal standards, while they were previously AND still are under pressure to conform to family standards that were in opposition at home.

 

What do you do if you are the type who tends to "go with the flow", and then the flow starts going different directions at once?

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