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MENTAL HEALTH: WE CAN COPE WITH SCHIZOPHRENIA
At first you don’t pay attention. You may hear it as a voice through a closed door of another room, and it sounds real. A single word: “Run!” or “Speak!” or “Quiet!” But soon you hear many words – commands: “Jump in front of the car.” You think you are hearing real voices, but they’re only in your mind.
If these are your symptoms, you have schizophrenia – a disease of the mind. A disease that confuses you. You cannot distinguish real voices – perhaps that of your mother calling you – from the imagined voices of your mind. You cannot plan or decide; you cannot change your thoughts. Your thoughts have captured you.
Schizophrenia is not a split personality – a mistake many make – but a disease, probably due to a biological dysfunction affecting the development of the brain or, as some theorize, a chemical reaction in the brain that destroys rational thought.
One percent of the population, or approximately 3 million Americans, will develop the disease in their lifetimes, estimates the National Institute of Mental Health; each year brings 300,000 new cases. It disables more people for a longer time than cancer. On any day, schizophrenia confines 100,000 Americans to hospitals. The illness hits young people, usually from the ages of 15 to 25, lasting 30 to 40 years. And it costs taxpayers about 30 billion dollars a year in medical treatment, disability payments, police and welfare work, and lost productivity. As the population increases, especially among the young, schizophrenia cases also increase.
At last, researchers are making progress in understanding its causes, treatment, and prevention. Dr. Samuel J. Keith, chief of the Schizophrenia Research Branch at the National Institute of Mental Health in Rockville, Maryland, takes a cautious view. “I would predict that the future will be a slow chipping away at this disease,” he says.
Some of the researchers’ discoveries may help schizophrenics like United States Air Force veteran Jim Dollard, of Albany, New York. The eldest of six children, Mr. Dollard has been hospitalized 17 times. Since its onset 17 years ago, the disease has twisted Mr. Dollard’s brain and tortured his parents.
In many ways, his symptoms are typical: he hears voices, has hallucinations. The voices might tell him to do strange things. One order commanded him to rush out into automobile traffic. He sees imaginary spirits – black and white, angels and devils.
Mr. Dollard also has delusions. He believes that people are watching him, that psychiatry has taken over his mind. Other schizophrenics believe that their thoughts are broadcast for all to hear or that computers or radios are inserting ideas into their minds.
Mr. Dollard’s thoughts won’t let him work. They barely allow him to exist in his own room. He shows other symptoms. For example, he cannot easily solve the problems of ordinary living. Many schizophrenics can’t even shop for groceries. Sometimes, when a schizophrenic is in a period of recovery and life deals a bad turn – say, the loss of a job – the stress may lead to all the symptoms returning in full force. The person then suffers a schizophrenic episode. He or she may not stay clean and wander the streets, shouting at others. Researchers estimate that schizophrenia afflicts half of all the homeless living in the streets.
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