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Schizophrenia is a mental disorder in which the sufferer will find it difficult to distinguish the real world from the imaginary world. Schizophrenia is a chronic psychotic disorder, where people who experience it cannot properly assess reality and have poor self-understanding. This situation is self-defeating and can sometimes threaten the environment. Sufferers sometimes throw tantrums because of the beliefs and thoughts they experience. Schizophrenia itself has many kinds, such as paranoid schizophrenia, hebephrenia, catatonic, even in detail. The most common type of schizophrenia is the paranoid type, followed by hebephrenic.
The symptoms of schizophrenia consist of positive symptoms and negative symptoms. The positive symptoms are delusions and hallucinations. However, not many people are familiar with understanding in schizophrenia, which is the main triggering factor for behavior change in sufferers. Come on, follow the explanation below.
What is understanding?
According to the Ministry of Health in 2000, understanding is a person's belief that is not in accordance with reality, but is maintained and cannot be logically changed. This belief comes from the thinking of someone who has lost control. Understanding is also a belief about the content of the mind that is incompatible with intelligence and cultural background. Understanding is divided into 2 major groups, namely primary and secondary. Primary ideas arise in an illogical way, without external causes. Secondary ideas, on the other hand, are usually logical in sound, can be followed, and are a way of explaining the symptoms of other schizophrenia.
Why can delusions happen?
In Kaplan and Sadock's psychiatry textbooks, there are several factors that cause a person to have certain ideologies. There are at least 8 situations that allow the development of understanding, namely:
- Increased expectations, which is when someone has expectations that are too high, but experiences obstacles or failures to make them happen.
- Receive sadistic therapy, such as prolonged domestic violence, or other torture practices.
- A situation that increases mistrust and suspicion.
- Social isolation, for example the phenomenon of pasung.
- A situation that increases jealousy.
- Situations that allow decreased self-esteem (low self-esteem).
- Situations that cause a person to see their disabilities in others, for example feeling less beautiful, less tall, less thin.
- Situations that increase the likelihood of contemplation about the meaning and motivation of something such as obsession with religion, obsession with cultural rituals, and so on.
The types of delusions in schizophrenics
Delusion is the main symptom that causes behavioral changes in schizophrenics. Because of understanding, sufferers are like living in an imaginary world. Not infrequently, because of understanding, sufferers can hurt themselves as well as others around them. The types of delusions commonly found in people with schizophrenia include:
- Greatness understanding, is an excessive belief that he has special powers or advantages that are different from other people, repeated but not in accordance with reality. For example, believing that he is the king of the world, he is the ruler of the universe, and so on.
- Religious understanding, is excessive belief in a religion, repeated but not in accordance with reality. For example, confessing God, claiming to be a prophet or savior.
- Suspicious, is the belief that a person or group of people wants to harm or injure himself, repeated but not in accordance with reality. For example, assuming everyone is jealous of his abilities.
- Understand chase, is the belief that he feels himself being chased and always followed by others. This concept can be simple or detailed, and usually takes the form of a belief that he is cruelly slandered, harassed, obstructed, poisoned, or prevented from pursuing long-term goals.
- Jealousy, is a concept related to jealousy, for example, jealousy of his partner. It starts often suddenly, and goes away after the separation / death of a partner. This type causes severe and significant physical abuse to the partner, and possibly can kill the partner due to their understanding.
- Somatic ideology, is someone's belief that his body or part of his body is attacked by disease, repeated but not in accordance with reality. For example, they believe that they have heart disease and die soon, or have cancer that is difficult to cure.
- Nihlistic understanding, is someone's belief that he has died, repeated but not in accordance with reality. For example, believing himself to have died and the people around him are spirits.
The type of delusion depends on the type of schizophrenia you have. For example, in paranoid schizophrenia, greatness, suspicion and chasing are more prominent. Whereas in hebefrenic schizophrenia, nihilistic ideology is more dominant. However, broadly speaking, the types that have been mentioned will be found in schizophrenics.