The Need for a New Name for Schizophrenia
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- čas přidán 23. 07. 2024
- Dr. Henry Nasrallah, CURESZ Foundation Executive Vice President and Scientific Director, discusses why the schizophrenia term is obsolete and stigmatizing. Due to the enormous changes in the concept of schizophrenia compared to 100 years ago when its name was coined, a new scientifically valid name is warranted. In addition, the term “schizophrenia”’ has become quite stigmatizing with a lot of misconceptions and “baggage,” and a new name would hopefully correct that.
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Great talk and very true
Thank you
Thank you for this, Doctor. Such a worthwhile movement.
Thank you Dr. Nasrallah for this presentation. I was unaware of this community discussion on renaming schizophrenia. I like the idea of renaming schizophrenia using the word spectrum. Perhaps "psychosis-spectrum or psycho-spectrum" (maybe "psychosism" is the noun?) The definition "a mental disorder that includes a range of linked conditions, sometimes also extending to include singular symptoms and traits" seems to describe it best to me. Perhaps we have A-Spectrum for autism, P-Spectrum for psychosis etc... This allows medical professionals to create "sub-definitions" based on scientific data to define "points" in the spectrum that best define the state of mind of individuals. It also allows the individuals themselves and their families to be as vague or specific as they like when describing the condition. It gives more flexibility in diagnosing someone especially since a diagnosis can change as a person changes, yet be in the same "category". The word disease reminds me of small pox, the word illness implies that a person can't "feel well". The word syndrome is not bad but I think it lacks flexibility. Thanks for reading!
I would call it “Glutamate Imbalance Disease” or “Brain GID” or “ Brain GI” Disease.
How does Bethany Yeiser manage to stay so slim on clozapine? Is she taking something to counteract the horrible metabolic syndrome it causes. It would be really helpful if you could let us know what medication, if any, she are taking to combat the horrific weight gain caused by clozapine, since many people with schizophrenia refuse to take it because of this. Is it metformin?
People recognize what it is. A rename will just grow another stigmatic name if that's what you're afraid of. Unless you're hiding it and that will confuse all. Politics won't help.
I think the key may or may not be a name change but as Dr. Nasrallah mentions in this piece as below, the fields of psychiatry and neurology should really come together as one neuroscientific discipline:
"In conclusion, psychiatric disorders, usually referred to as “mental illnesses,” are unquestionably neurologic disorders. Similarly, all neurologic disorders are associated with psychiatric
manifestations. WM pathology is only 1 of numerous structural brain abnormalities that have been documented across psychiatric disorders, which proves that psychiatry is a clinical neuroscience, just like neurology. I strongly advocate that psychiatry and neurology reunite into a single medical specialty. Both focus on disorders of brain structure and/or function, and these disorders also share much more than WM pathology.29"
Source: Nasrallah, Henry. (2021) Psychiatry is Neurology: White matter pathology permeates psychiatric disorders. Current Psychiatry 20(6):7-10
I like the idea of CONCORD syndrome as a new name