May 2, 2003

Psychological trauma and psychosis: another reason why people diagnosed schizophrenic must be offered psychological therapies

The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry
J Read, Colin A Ross

Abstract

This article summarizes the research literature documenting the high prevalence of psychological trauma, including childhood sexual and physical abuse, among people diagnosed psychotic in general and schizophrenic in particular. A review of the relevant literature indicates that childhood trauma may in some cases be causally related to the development of psychotic symptomatology later in life, perhaps by contributing to the diathesis in the stress-diathesis equation. However it is argued that regardless of whether clinicians view the relationship as causal, contributory, co-morbid, or coincidental is irrelevant to the fact that this high prevalence dictates that all people diagnosed schizophrenic receive a proper trauma assessment and, where appropriate, be offered psychological treatments to address the sequelae of the trauma or abuse. Taken in conjunction with the proven effectiveness of various psychological and psychosocial treatments in ameliorating the symptomatology and improving the quality of life of people diagnosed schizophrenic, the need to address the trauma found in such high rates in this population requires a broadening, and not as some suggest a limitation, of the range of treatments offered. The authors identi...Continue Reading

  • References71
  • Citations30

References

  • References71
  • Citations30

Mentioned in this Paper

Schizophrenia
Psychosexual Disorders
Etiology
Stress Disorders, Traumatic
Abuse Dwarfism Syndrome
Comorbidity
Schizophrenic Psychology
Psychotic Disorders
Child Sexual Abuse
Victim of Child Abuse

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