title: Schizophrenia spectrum disorders in a Nigerian family: 4 case reports.
abstract: BACKGROUND
  The risk of developing schizophrenia is higher among persons with an affected sibling compared to the general population. Beliefs about aetiology influence presentation, management and treatment outcomes. There are no reports on multiple occurrences of this disorder in a family in this part of the world. In this case series we also highlight how cultural beliefs hamper and shape management.
  
  
  METHODS
  We report a case series of schizophrenia spectrum disorders affecting four women in a Nigerian family of Ibo tribal origin who responded marginally to pharmacological interventions and required insight oriented psychotherapy and family therapy in resolving psychosocial problems.
  
  
  CONCLUSIONS
  While western taught disease models might explain these presentations, it is not usually accepted by lay persons from developing cultures. Limitations in contemporary treatment approaches necessitate the development of culturally relevant psychotherapeutic interventions.
authors.affiliation: Department of Clinical Services, Federal Psychiatric Hospital, Uselu, P,M,B 1108, Benin City, Nigeria. bawojames@yahoo.com.
authors.forename: Joyce O
authors.initials: JO
authors.lastname: Omoaregba
authors.forename: Bawo O
authors.initials: BO
authors.lastname: James
authors.forename: George O
authors.initials: GO
authors.lastname: Eze