Criteria for diagnosing schizophrenia as per DSM-IV.
Symptoms For a material part of at least one month (or less, if effectively treated) the patient has had 2 or more of:
Delusions (only one symptom is required if a delusion is bizarre, such as being abducted in a space ship from the sun)
Hallucinations (only one symptom is required if hallucinations are of at least two voices talking to one another or of a voice that keeps up a running commentary on the patient's thoughts or actions).
Speech that shows
incoherence, derailment or other disorganization
Severely disorganized or catatonic
behavior. Any negative symptom such as flat affect, reduced speech or lack of volition.[/list]
Duration For at least 6 continuous months the patient has shown some evidence of the disorder.
Clinical TypesParanoid typeThe patient meets the basic criteria for Schizophrenia.The patient is preoccupied with delusions or frequent auditory hallucinations.
None of these symptoms is prominent:
Disorganized speechDisorganized behaviorInappropriate or flat affect
Catatonic behavior
Disorganized typeThe patient meets the basic criteria for SchizophreniaAll of these symptoms are prominent:
Disorganized behaviorDisorganized speechAffect that is flat or inappropriateThe patient does not fulfill criteria for Catatonic SchizophreniaCatatonic TypeThe patient meets the basic criteria for SchizophreniaAt least 2 catatonic symptoms predominate:
Stupor or motor immobility (catalepsy or waxy flexibility)
Hyperactivity that has no apparent purpose and is not influenced by external stimuli
Mutism or marked negativism
Peculiar behavior such as posturing, stereotypes, mannerisms or grimacing
Echolalia or echopraxia
Undifferentiated TypeThe patient meets the basic criteria for SchizophreniaThe patient does not meet criteria for Paranoid, Disorganized, or Catatonic types.[/list]
The patient fits the criteria of
disorganized schizophrenic.
Treatment Hospitalization, psychotherapy and drug treatment.
Psychotherapy may be helpful in certain situations. Family therapy is often helpful to assist relatives in coping with the affected individual. Behavioral techniques used in a therapeutic setting, or in the home can help a person learn behaviors that will lead to social acceptance.
Hospitalization is often required to prevent self-inflicted harm or harm to others, and to provide for the person's basic needs such as food, rest, and hygiene.
Therefore, the board of Swindon Town FC can be conclusively diagnosed as schizophrenic and require immediate hospitalization to prevent harm to others.
Dr. Sonic Youth M.D.
