Neuropathology in schizophrenia:.
Though our understanding of brain functioning as it relates to schizophrenia is still in a stage of infancy, knowledge of available research can provide insight into the illness and influence treatment decisions. The literature on brain abnormalities and schizophrenia provides a foundation for understanding the functional deficits that ensue. Occupational therapists who work with individuals with schizophrenia must now incorporate biological models into existing theories and possibly alter treatment approaches. A neurorehabilitation approach used by occupational therapists may allow the treatment of patients labeled "chronic" or "treatment resistive." By initially addressing deficits at a cognitive level, patients may improve and take advantage of treatment groups at more complex levels. This paper supports a neurophysiological model for the etiology of schizophrenia and the need to re-adjust mental health treatment strategies with specific implications for occupational therapy. Issues discussed include assessment, types of treatment, and other treatment considerations and strategies for patients with schizophrenia. A case example is presented.
Rehabilitation Supervisor, Springfield Hospital Center, Sykesville, MD.
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Brown
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Harwood