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A preliminary investigation into the experience of symptoms of psychosis in mental health professionals: implications for the psychiatric classification model of schizophrenia

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TLDR
The findings are indicative of a continuum model of psychotic symptom experience and run counter to the contemporary model of psychiatric classification of this disorder.
Abstract
The psychiatric classification system regarding the discrete category of schizophrenia remains controversial. Key concerns regarding the legitimacy of the classification system for this presentation focus on issues of study design, the relevance and inter-relationship between symptom clusters and the lack of a coherent model of aetiology. A defining summary feature of the psychiatric model is the distinctiveness of psychotic symptoms in those with a diagnosis of schizophrenia compared with non-clinical samples. The current study sought to challenge the prevailing psychiatric system by exploring the occurrence and experience of psychotic symptoms in mental health practitioners who routinely engage in therapeutic work with clients with a primary diagnosis of schizophrenia. A total of 16% (n = 19) of the sample indicated that they experienced voice hearing while 21% (n = 26) indicated they experienced delusions as assessed by validated assessment tools. The findings are indicative of a continuum model of psychotic symptom experience and run counter to the contemporary model of psychiatric classification of this disorder. The direction of future research is indicated.

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Citations
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Auditory verbal hallucinations and continuum models of psychosis: A systematic review of the healthy voice-hearer literature

TL;DR: Overall the results of the present systematic review support a continuum view rather than a diagnostic model, but cannot distinguish between ‘quasi’ and ‘fully’ dimensional models.

The synthesis of art and science is lived by the nurse in the nursing act

TL;DR: The work of the clinical research nurse is described and the advantages and disadvantages of the role are examined and suggestions are made regarding the future of clinical research nursing and education.
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The need for experience focused counselling (EFC) with voice hearers in training and practice: a review of the literature

TL;DR: This review focuses on the current evidence base for the individual approach of the Hearing Voices Movement, which is known as Experience Focused Counselling or Making Sense of Voices.
Journal ArticleDOI

Medicines management in mental health.

TL;DR: It is suggested that mental health nurses may not be as competent in medicines management as they believe themselves to be and a psychological model of skills awareness is used to offer a theoretical explanation.
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Classification of schizophrenia. Part one: the enduring existence of madness.

TL;DR: This article, the first of two parts, analyses the theoretical input of Kraepelin, Bleuler, Jaspers, Schneider and Crow in order to delineate the boundaries of current discussions on schizophrenia classification.
References
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Journal ArticleDOI

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TL;DR: It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments.

Vulnerability—A New View of Schizophrenia

TL;DR: A second-order model, vulnerability, is proposed as the common denominator, and methods for finding markers of vulnerability are suggested in the hope of revitalizing the field.
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Vulnerability--a new view of schizophrenia.

TL;DR: In this article, a second-order model, vulnerability, is proposed as the common denominator, and methods for finding markers of vulnerability are suggested in the hope of revitalizing the field.
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On Being Sane in Insane Places

TL;DR: It is clear that we cannot distinguish the sane from the insane in psychiatric hospitals as mentioned in this paper, and the consequences to patients hospitalized in such an environment-the powerlessness, depersonalization, segregation, mortification, and self-labeling-seem undoubtedly countertherapeutic.
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A cognitive model of the positive symptoms of psychosis.

TL;DR: The cognitive processes that are thought to lead to the formation and maintenance of the positive symptoms of psychosis are set out and a fuller integration with the findings of biological research will be required.
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