Types of Schizophrenia

Schizophrenia With Multiple Delusions

This is a dangerous combination of grandiose and paranoid delusions. In his grandiose delusions, he is a crusader for freedom – one destined to save mankind from slavery. In his paranoid delusions, those around him are enemies of the cause. His mission in life is to destroy these enemies. Because of the importance of his mission in life, he feels justified in seeking to destroy his enemies. As long as he has these delusions, this man is treated with extreme caution and is segregated from the other patients.



Catatonic Schizophrenia

This young man is led slowly, with a nurse at his side. Each step he takes is slow and deliberate. When asked questions, he merely stares into space. He does not seem to know who he is or where he is. He shows no emotion whatever. One of his arms remains raised rigidly throughout the interview. He leans to one side and makes no effort to regain his balance.

This patient is a victim of catatonic schizophrenia. Between exercise periods he lies in bed rigid and motionless for hours at a time. He is completely withdrawn and out of contact with reality. Without tube feedings, he would silently starve to death. Surprisingly, though, this man will probably recover and be normal again. The outlook for catatonics is better than for other types of schizophrenia.

Hebephrenic Schizophrenia

The last schizophrenia patient has, probably, the poorest outlook of all. She is a woman in her early forties who has been in the hospital several years. Her illness is hebephrenic schizophrenia, considered to be the last stage of schizophrenia. She is not unhappy or uncomfortable but is completely out of touch with reality. She talks nonsense almost continuously, pausing from time to time for periods of pointless giggling. Many of her actions are as pointless as he giggling. Chances of improvement are very slight in her case because she doesn't respond to treatment.

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