Paranoid Schizophrenia

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Running Head: FRAMEWORK OF PARANOID SCHIZOPHRENIA 1

Paranoid Schizophrenia:
Framework and Advancement
Nick Zavala
Sonoma State University

FRAMEWORK OF PARANOID SCHIZOPHRENIA 2

Abstract
The data presented covers the general background of the subtype of Schizophrenia, Paranoid Schizophrenia and the multiple complications, risk factors, possible causes that accompany the disorder. Two scientific studies are presented delving into further detail pertaining to alternate forms of operation when testing subjects with paranoid schizophrenia through virtual reality. The other investigates environmental and social factors and their effect on two different races of patients, Asian and Caucasian. A case study covering a patient with paranoid schizophrenia, ”Michael” who is admitted for psychosis is examined and yields positive results from cognitive-behavioral therapy. General findings of the disorder are included along with the author’s question of interest and personal perspective of its significance.

FRAMEWORK OF PARANOID SCHIZOPHRENIA 3
Paranoid Schizophrenia:
Framework and Advancement
Paranoid Schizophrenia has astounded me for a long time and had great interest as I felt that I had attributed many of the symptoms that accompanied the disorder. Although I have not met with anyone who has been diagnosed with paranoid schizophrenia, I find it significant that the protruding differences between the main disorder, schizophrenia, and its subtype, which still includes hallucinations and delusions, interests me as individuals diagnosed with paranoid schizophrenia do not suffer from major symptoms, such as disorganized behavior and thought. This astonished me as it is difficult to believe that an individual, who thinks clearly, and from my research, better than the uniform human, can suffer from fear of others attempting to inflict harm upon them. The question of interest I have is: What are some of the possible causes for paranoid schizophrenia? The case study conducted by Andrew M. Kuller and Thröstur Björgvinsson was conducted over a period of 30 sessions to test the effectiveness of cognitive-behavioral therapy on the patient, Michael, a 33-year old married white male diagnosed with paranoid schizophrenia (Kuller and Björgvinsson, 2010). The case was based on prior testing by Beck, a scientist who used the same treatment on a 28 year old World War II veteran. The pair provided information regarding sample symptoms, which in Michael’s case, included extreme anxiety, his worries over the mafia’s intentions to kill him including his wife’s involvement with them and his apparent FBI protection. The study begins and the therapists ask Michael a variety of questions concerning his FRAMEWORK OF PARANOID SCHIZOPHRENIA 4

personal past, but “Michael’s heightened preoccupation with his paranoid delusions limited the scope of the therapist’s inquiries” (Kuller and Björgvinsson, 2010), resulting in a rapid change in topics from the therapist. Anxiety problems from before, including the mafia’s interference in Michael’s life, began to arise inhibiting the tester’s evaluation and process of eliciting information from Michael. Using terminology that Michael deemed satisfying, such as using the term “illness” rather than “disorder” or another synonym for his problem resulted in positive feedback when attempting to investigate Michael’s history (Kuller and Björgvinsson, 2010). At the end of the first session, the therapist asked if Michael would like to continue therapy. He responded only to ask that they guarantee his safety (Kuller and Björgvinsson, 2010). It was at this point that the therapist asked what he would feel like if he were protected and in state of tranquility. This posed as a new method of inquiry to Michael and allowed a gateway to discover the roots of his accusations for later sessions.

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