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• W324698143 abstract "Abstract Compliance is a major issue in the treatment and rehabilitation of patients with schizophrenia. The situation becomes more complex when treating a person suspected to be influenced by the antipsychiatry movement. This report is of a patient with paranoid schizophrenia who has been in constant contact with the antipsychiatry movement. This is thought to be the first such case from India, where the antipsychiatry movement has been a major cause of non-compliance with the treatment of schizophrenia. Key words: Schizophrenia, Treatment refusal Antipsychiatry Movement or Inhumane Movement? In Europe and America, the antipsychiatry movement has been very active, with articles in magazines, chat shows on television, and information on the Internet. Various antipsychiatry organisations such as Network Against Psychiatric Abuse (NAPA) and the Church of Scientology are very vocal. In the book Schizophrenia--the sacred symbol of psychiatry, Szasz said that there is no such thing as schizophrenia. (1) Another book, Schizophrenia: medical diagnosis or moral verdict by Sarbin and Mancuso concluded that schizophrenia is a myth. (2) Payer wrote that hospital admissions are made only for monetary gains and are no use to the patient or family. (3) Breggin concluded that antidepressants do not have any specificity, disturb normal brain functioning, and are prescribed for the benefit of the pharmaceutical industry. (4) This author went on to say that electroconvulsive therapy does not have any role in psychiatric treatment and is given only to intimidate patients. (5) In India, despite firm belief in faith healers and social stigma attached to mental disorders, there has been no active campaign against the treatment of mental disorders. However, with the advent of the Internet, the world has shrunk and information has become readily available. The barriers of distance and cost are no longer important. In addition to these advantages, information technology (IT) has threatened the religious and cultural values of various communities. This report is of a patient with paranoid schizophrenia whose treatment was influenced by propagators of the antipsychiatry movement through misuse of IT. Case Report The patient was a 35-year-old unmarried man presenting with complaints of suspiciousness and aggressive behaviour towards his family. Initially, the patient felt that someone was following him with the intention of harming him. He started believing that people were being introduced to him for some purpose. He also believed that advertisements in magazines and movies were intended to send messages to him, to hurt and frighten him. He went to Moscow in July 1995 for employment, but returned after 1 month as he felt that people in Russia were denying him his rights on the instructions of his family members. He thought that microphones were placed in his house and that his thoughts were known to everybody. He also thought that the government of the USA was watching his activities. He became upset and destroyed his green card and passport. His e-mails showed persecutory delusions and formal thought disorders. There was no history suggestive of organicity, substance abuse, mood disorder, anxiety disorders, or suicidal ideas. Premorbidly, he was affectionate and had many friends, but was sensitive to criticism. He had been a national-level hockey player and had won awards for essay writing. After a detailed history was taken and the Mental State Examination performed, he was diagnosed with paranoid schizophrenia. Since then, he had been admitted to the psychiatry ward 3 times because of relapse due to noncompliance with therapy. The patient had shown a good response to treatment with risperidone 6 mg during the first 2 admissions. Prior to the third admission, the patient received 8 books from the USA that were published by the Church of Scientology. The books contained interviews with psychiatrists, patients, and their relatives. …" @default.
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• W324698143 date "2004-06-01" @default.
• W324698143 modified "2023-09-24" @default.
• W324698143 title "Antipsychiatry Movement and Non-Compliance with Therapy" @default.
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