title: [Problems in the daily management of delusional and hallucinogenic experiences in juvenile schizophrenic patients--experiences with long-term inpatient psychotherapy].
abstract: A retrospective personal case study of 43 long-term in-patient treatments of adolescents suffering from first onset schizophrenia with a prolonged course is introduced. 5 criteria were selected combining psychopathological aspects and typical problems of everyday therapeutic management--one criterium being the occurrence of hallucinations and delusions. Only less than half the patients (n = 19), however, suffered from delusions to such a degree that repercussions and consequences on the course and kind of treatment were noticeable. This fact pointed to peculiarities of juvenile schizophrenia in comparison with adult schizophrenia, in which paranoid and hallucinatory phenomena are more prominent, consistent and elaborated. 4 types of delusional and hallucinatory experience with certain ensuing therapeutic reactions are distinguished: Type 1: pseudonormality and denial of delusions, type 2: overlapping of reality and delusion and frantic attempts to separate the two realms, type 3: hallucinatory absorption and trance-like states, type 4: dramatic delusional play and "happy" hallucinations in regressive psychoses. Theories about the perception of reality during the cognitive development in childhood and about altered states of consciousness are discussed and related to different therapeutic approaches.
authors: Abteilung für Kinder- und Jugendpsychiatrie, Universität Tübingen.
authors: R
authors: R
authors: Du Bois
mesh_terms: D000293:Adolescent; D003702:Delusions / Q000523:psychology / Q000628:therapy*; D006212:Hallucinations / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008134:Long-Term Care; D011567:Psychiatric Department, Hospital; D012189:Retrospective Studies; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology
vernacular_title: Probleme des alltäglichen Umgangs mit wahnhaften und halluzinatorischen Erlebnissen bei juvenilen Schizophrenen--Erfahrungen aus der stationären Langzeitpsychotherapie.