page 3. Schizophrenia:
Understanding the Disorder
What are the symptoms?
Symptoms of schizophrenia are divided into “positive” and
“negative” categories. This can be
confusing. “Positive” are those
characteristics that are present, and should be absent. “Negative” are those that are absent, and
should be present.
If you or someone you know suffers from schizophrenia, some
or all the following symptoms may be present.
The expression of these symptoms varies greatly from one individual to
another. No one symptom is common to
all people.
Negative symptoms:
a)
Blunted Affect
b)
Emotional withdrawal
c)
Poor rapport
d)
Passive/apathetic/social withdrawal
e)
Difficulty in abstract thinking
f)
Lack of spontaneity
g)
Stereotyped thinking
Positive symptoms:
a)
Delusions
b)
Hallucinations
c)
Thought disorders
d)
Excitement
e)
Grandiosity
f)
Suspiciousness/persecution
g)
Hostility
Negative Symptoms (the more inward signs):
Negative symptoms may appear early and can be the initial
signs of schizophrenia. Parents may
notice that a child who was once a “go-getter” has become withdrawn from family
and friends, has lost interest in their usual activities, and has become unfeeling.
It can become very difficult for a parent to decide whether
something is really wrong with their child because the “adolescent experience”
that many teenagers go through can involve similar periods of withdrawal or
moodiness.
Neg-sym1:
Blunted emotion or blunted affect:
For the person with schizophrenia
life can be devoid of feeling.
Individuals may say they feel less connected emotionally to what is
going on around them, and they may appear less responsive on an
emotional level to their surroundings.
Alternatively, the individual may
respond with inappropriate emotions
because of the other things going on in his or her head – like suddenly
breaking out in a fit of laughter for
no apparent reason, or when hearing sad or distressing news.
Neg-sym2:
Emotional withdrawal:
Individuals may be detached and
uncommunicative. They have few
interests and few personal relationships.
Neg-sym3:
Poor rapport:
In general, the person may avoid eye
contact with you. In conversation, they
may appear bored, indifferent, lacking in warmth.
Neg-sym4:
Passive/apathetic:
For the individual with
schizophrenia, there may be lack of interest or concern for their
surroundings. A lack of energy and
drive makes it difficult for them to complete simple tasks, and they are
sometimes able to do little more than sleep or eat. They may appear to seek or want nothing. To those around them, they may appear lazy
and sluggish. But this is the disorder
at work. It is as though some central
drive mechanism that is normally present in most of us is missing.
Neg-sym5:
Social Withdrawal:
The person with schizophrenia may
spend most time alone because he or she feels safer and calmer; or they are so absorbed in their own
thoughts/senses that they lose interest in the feelings and lives of others.
Neg-sym6:
Difficulty in abstract thinking:
Many people with schizophrenia can
only think in concrete terms. They are
unable to see beyond details to the underlying meaning, unable to move from the
specific to the general.
Neg-sym7:
Lack of spontaneity:
There may be a hesitancy in the
speech or action of individuals. Some
people with schizophrenia have decreased spontaneous movements or they may
become very unnatural in their movements.
Neg-sym8:
Stereotyped thinking:
Persons with schizophrenia can hold
very rigid attitudes and beliefs that may seem unreasonable to those around
them. Repetitive thoughts may intrude
and interfere with their thinking.
Neg-sym9:
Physical symptoms:
Physical activity for the disordered
individual may slow down. In severe
cases, activity may stop to the point where the person sits motionless and stares into space for long periods of
time. Individuals may be unconcerned
with grooming and hygiene and appear untidy.
The negative symptoms can prevent patients
from being able to hold a job, or have
a normal social life. When the symptoms
are severe, it may be difficult for
them to do even the simple things like grocery shopping, showering or just
looking after themselves.
It was previously believed that this group of
symptoms, the negative symptoms, were side effects of the antipsychotics
used to treat schizophrenia. These “side
effects” are often seen by caregivers and even people with the disorder as
the “price you pay” for controlling the hallucinations, delusions, and
paranoia. But we now know that this may
not be the case. For some people, these
symptoms may be part of the disorder
itself. So, a person with schizophrenia
may not be able to help their lack of interest, motivation, and energy.