Early diagnosis

The premorbid personality in schizophrenia is typically described as emotionally and socially detached. Such people have few friends, are often cold and aloof, and engage in solitary occupations. Their behaviour may be eccentric and they are indifferent to praise or criticism. Recent studies, including United Kingdom national cohort studies(!4) and a Swedish conscript cohort study1.' indicate that children who later develop schizophrenia are more likely to have lower IQs and educational achievements than other children. They are also more likely to have interpersonal and behavioural difficulties. Parents recognize 'preschizophrenic' children as being different from their other siblings. However, such characteristics are very common in the general population so have virtually no positive predictive value.

Early diagnosis is only successful when based on psychotic symptoms. Here the diagnosis of schizophreniform psychosis (DSM-IV) and the acute schizophrenia-like psychotic disorder of the ICD-10 are relevant. The former must last for more than 1 but less than 6 months (otherwise the diagnosis is brief reactive psychosis). Hence the disorder is substantial by any common-sense definition, and unsurprisingly many cases (70 per cent) go on to develop full-blown schizophrenia, affective disorder, or schizoaffective disorder. (16> The temporal stability of the diagnosis is poor, with around 30 per cent recovering over follow-up periods averaging 16 months in one study.

Break Free From Passive Aggression

Break Free From Passive Aggression

This guide is meant to be of use for anyone who is keen on developing a better understanding of PAB, to help/support concerned people to discover various methods for helping others, also, to serve passive aggressive people as a tool for self-help.

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