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Classical Subtypes of schizophrenia

The identification of individual schizophrenia disorders ordinarily relies upon an analysis based on the respective duration of existence since diagnosis and progression of the disease conditions. In addition, it has been observed that people diagnosed with characteristics of schizophrenia may later show similar signs or characteristic of another (Bernstein & Nash, 2006). In general terms symptoms may either be classified as positive, negative and psychotic.  The following represents the classical types of schizophrenia:

The critical symptoms here include the typical occurrence and grandeur or alternatively persecution, signs of anger, anxiety and the development of argumentative behaviour, while there is usually occurrence of incidents of extreme jealousy, the onset of impairment, which may be threateningly subtle in some cases (Bernstein & Nash, 2006). This type is one of the most commonly recurring subtypes compared to the others. This type usually encompasses 40% of total persons suffering from schizophrenia and usually appears late in life, especially after ages 25 to 30 (Bernstein & Nash, 2006). This type has been shown to have significant response to psychotherapy treatment according to previous clinical studies

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Disorganized type

This type is essentially identified using the following critical signs and symptoms: “delusions; hallucination; incoherent speech; facial grimaces; inappropriate laughter/giggling; neglected personal hygiene; loss of bladder/bowel control” (Bernstein & Nash, 2006).  It is more common in young people at their respective developmental stages. This type of schizophrenia has been found to develop profoundly among adolescents and young adults (Coon & Mitterer, 2008). Its symptoms may vary at times insignificantly. In addition, here personality disintegration is almost incomplete which is essentially exhibited by silliness, laughter and the typical occurrence of bizarre and obscene behaviour (Coon & Mitterer, 2008). This type of schizophrenia usually entails 5% of persons suffering from the disease and has high prevalence among the homeless population (Berstein & Nash, 2006).

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The symptoms include, “disordered movement alternating between total immobility (stupor) and wild excitement. In stupor, the person does not speak or attend to communication” (Bernstein & Nash, 2006). Catatonic schizophrenia usually has unique features which potentially distinguish from the others, using the DSM-TR diagnosis framework in which during the acute phase there is occurrence of negativism or mutism, profound psychomotor retardation, echolalia (repletion of words) and echopraxia (mimickery of behaviour) and occurrence of bizarre mannerisms (First & Tasman, 2009). This usually encompasses 8% of people suffering from the ailment (Bernstein & Nash, 2006). This type has been shown to be least responsive to chemotherapeutic treatment as shown in most instances in clinical case studies.

Undifferentiated Type

Here there are usually visible patterns of disordered thought, behaviour and emotions that are not classified under other types of schizophrenia (Bernstein & Nash, 2006). The classification of a patient in this type of schizophrenia has been shown to exhibit extreme difficulty and challenge compared to the other types; hence it usually referred to as a mixed condition. This composes of close to 40% of persona suffering from the disease (Berstein & Nash, 2006)

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This type is usually seen among people who have previously been diagnosed with schizophrenia but are not displaying any symptoms in the present time (Bernstein & Nash, 2006). This subtype usually reveals significant multiplicity in occurrence. The occurrence of this type of schizophrenia varies significantly in numbers of occurrence (Bernstein & Nash, 2006). Due to the multiplicity of its occurrence this type of schizophrenia is apparently not easy to detect but on the contrary it has been shown to respond quite positively both forms of treatment (psychotherapy and chemotherapy), and this is especially seen with regard to psychotherapy.

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