SCHIZOPHRENIA, CAUSES AND TREATMENT,RESEARCH BASED CASE HISTORY

INTRODUCTION

            Mr S, 26, came with the complaints of aggression, auditory hallucinations, chronic headache, and insomnia. These symptoms persisted for two years before he came to me. He visited different shrines, religious healers, and other means of the sort to solve his problems. He was diagnosed as having paranoid schizophrenia. His treatment continued for 3 months and he was completely cured. He is now successfully doing a business two years after he received treatment.

 ASSESSMENT

            The adopter sister of Mr. S was the main source of information about all of the problems of the client. She was interviewed intensively in a couple of sessions. The interview was semi-structured and the sister replied all questions confidently and frankly. The auntie (the sister of adopter mother) was also interviewed in the same line. The real father of the client was also queried about the problems and past life of the client. The real mother was interviewed on the phone which continued for about an hour. Also, the elder brother of the client and one younger brother came for the interview and some valuable information about the client’s mental state and past history could be obtained.

. As the history of Mr. S shows that in the age of 25 days, he was adopted by the real sister of his real mother. The adopter parents look after Mr. S with very consciously and carefully from the start. Especially the adopter father was much careful about the client. It was not natural behavior to the client from his adopter parents which disturb his natural growth. The client’s feeling of being treated by his father unnaturally, different and extra careful as compare to others, had been increasing with the passage of time. But on the other side, the behavior of his father made a strong shelter for him. With the passage of time when his growth (mentally and physically) was in very sensitive stage (one year to four year) he started to listening from some people of his surroundings that he is not real son of his parents and he was adopted. It was start of feelings of insecurity. These voices became stimulus for his fear instinct. By the passage of time, his confusion about the reality of his actual relation with his adopter parents was increased and he had been feeling insecurity and uncertainty about himself. His feeling of that insecurity and uncertainty about himself and his relation to his adopter parent ultimately effect his confidence, will power and decision power as required at his age. He was lacking his confidence, his will power and decision power due to insecurity and uncertainty. He started to feel lack of trust on surrounding people and trying to avoid them and this gesture made him a intro-word personality.

Treatement

After getting the history, first day of my treatment was much crucial and painful for the client. In this session, I raised the questions about the justifications of the client’s behavior. According to client that the whole responsibility of his behavior is the environment in which he lives now (with real parents due to death of his adopter parents). The client thinks that the loud voices of his parents and brothers are the basic cause of his aggression that’s why he heard the voices of peoples even when he is alone as well as the client told that the behavior of his adopter father was remarkable and he tried to follow his adopter father. The client only justified his problem with these reasons. In the first day, I feel that when I raised the question about his adoption and about his adopter parents specially father, his voice became desperate with hopelessness and sadness and he complained burden on his shoulders and back of his head. But when I raised the question about his real parents, his voice became very loud and he seems to be aggressive. First day showed me that the adopter father made a shelter by his unconscious level of mind and client measure the all other males on level of his adopter father while his real parents became the reference of insecurity (fear instinct). Now on the experience of the first day it was easy to understand that how and with which reference his fear instinct reacts.

 As mentioned in the day-I , the cause root of the disorder filtered and now it was easy to cure the problem with specific references which made by the client’s unconscious level of mind. Now in the second day after some therapy in which he shows much resistance and his blood pressure became high, I give him a topic to write about his real parents. He hesitated to write on the topic but on my emphasis, he agreed and wrote on the topic. When I read and analysis his writing on the topic I found a much hate could be seen about his real parents. Cross questioning in light of his writing, the client became much uncomfortable and complained a severe burden on his shoulder and back of his head. It was clear now that the reference of the real parents for unconscious level of mind was negative. This practice continued for next one month, I gave him daily the topics regarding a real parents, sisters and brothers in respect of different angles. And after that I analysis his writing and made cross questioning regarding the topic. All the justifications which his conscious level of mind gave about his writing became wrong during the cross questioning. But during the process I also touch the facts regarding his adopter parents.

 Every next day this practice was continued and after the one month, the negative references about his real parents became weak. However, a reference regarding adopter parents was still strong specially regarding adopter father (because unconscious level of mind made adopter father as a shelter for the client). After the one month, I started the cross questioning regarding his adopter parents and I found this area of the client is much stronger with unconscious level of his mind and unconscious level of mind was not ready to leave the shelter of adopter father. I again gave him a specific topics regarding his adopter parents and sisters especially about his adopter father. Here there was no hesitation to write about his adopter family. He wrote very long and detailed and complained no much burden on the shoulder but during the cross questioning session his resistance and avoidness from me is much than when talking about real parents. At the one stage his unconscious level of mind blocked his ear to make him unable to listen my voice as well as disable his tongue to talk to me (aphonia). It was the highest stage of resistance and avoidness of unconscious level of mind. Now it was clear that the fear, which occurred in the childhood (fear instinct), did all this, but this phenomena was for few minutes. Next two months, this therapy continued and slowly the client’s unconscious level of mind leaved reference (Negative references, real parents and positive reference, adopter parents).

In the start of third month, client was much improved and the most of symptoms disappeared. Now I started to give him topics mixing about both sides (real parents and adopter parents). This comparison now started to minimize the hate with the real parents and excessive attachment of the unconscious level of mind with adopter parents specially father. All the negativity attached with unconscious level of mind has been removed and fear instinct became balanced and the client has been cured.

FINDINGS

1. Mr.S was a patient of  schizophrenia (paranoid)
2. Basic reason was adoption (during childhood, the comments of people about his adoption and his real parents became stimulus for his fear instinct).
3. Both real and adopter parents became reference for stimulus.
4. Unconscious level of mind made his adopter father as a shelter against stimulus and reference (interestingly, his unconscious level of mind made his adopter father as reference for stimulus but at the same time his unconscious level of mind made his adopter father as a shelter also).
5. Treatment could not be possible without deep analysis of his unconscious level of mind that what were the stimulus and references for fear instinct.
6. It was necessary to explore all positive associations with his real parents
7. When all positive associations were realized by his unconscious level of mind and negative association with stimulus and reference removed so there was no need of any shelter and the role of shelter was also wiped out.
8. Minimum 5 sessions per week required for treatment because if there was gap between each session and next session may not be conducted on consecutive day, the fear which was explored in one session may again suppressed and resistance level of the client may also again suppressed. So continuity in sessions without having gap is very important in treatment for proper cure.