Updated news January

a How to Treat carers: A Code of Practice to be followed.

SchizophreniaWatch :- December 2014:

.... in your most need to be by your side ... Everyman

A UK website, principally for carers about and carers for schizophrenia; family, community, and professional service caring, who should - must ! - give voice for the best interests of those cared for they can't, won't,don't, voice for themselves.

The site is edited by a retired psychiatrist who has looked after someone with the schizophrenia condition, at home, affected by the negative form of schizophrenia, for the last twenty years. [The blue highlit links take you to another page.. ] You return via the back arrow at the top of your screen or from a link at the bottom of a page

contact me if you want to help me out with my views, email about some issue of caring service that is promising, or unsettled and unsettling : at email me! or, or text to 07547153244

There is a limited general psychiatry section links
[ I am recasting this website.
The academic papers that back up what is intended to give confidence in suggestions to improve caring for and about schizophrenia, are put together in this companion website.
the brain and schizophrenia

I hope this will leave me space better to explain where the caring burden can be relieved of some of the anxieties . Time will tell. Or you can tell me ! ]


Section 1 Carer understanding of Schizophrenia.

What is the change in the brain that allows schizophrenia to come about. Working memory, the ability to briefly store and manipulate information, is the essential guide to completing purposeful behaviour.
Memory difficulty in schizophrenia is characterized primarily by reductions in storage capacity and not by an instability of the working memory representations '
There is not always enough memory available to deal with what is happening.

[ this is why conversation with sufferers is difficult and limited - there is little 'small talk' - it is limited - literal ...concrete .... - the pool of associations is not enough for making talk interesting and fresh, is not held onto in the background, there to be used.
Where the talk is about things the sufferer knew well in the past before illness, the associations to that are fixed enough before illness to help conversation along within that experience , so perhaps updating those associations is a route to helping engagement with others ]

How to expalin this reduced memory pool ? A most likely fault, lies in the hippocampus where sufficient neurogenesis in the hippocampus is needed to cope with the maturing in experience that comes from updating the information store. An intact hippocampus connects anything to anything else that is needed. A reduced new cell production often finds only an approximation.

How to guide behaviour towards some recovery that is based on an understanding of those changes at the start of the illness.

.Section 2. Dealing with the NHS Services

Care in the first illness The caring journey

Carer Dealings with the Mental Health Trust 'Teams'

At Inquests
Risk Management
epilepsy and schizophrenia
At the police Station
A Place of Safety ?
Carers and Confidentiality
Carers know a lot
Care Programme Approach
Cognitive Remediation ?

Carer and/or versus professional

Carers and those who live day to day with the illness have no doubts that it is an illness.
There is a break change in observed behaviour from before, sometime placing the person in alien behaviour, to their disadvantage, which they are unable to reverse themselves to regain the previous state.
The illness continues on it's 'course' with the same pattern of behaviour and misbelief, as an autonomous system, isolating the person from others, who cannot identify with the changed behaviour by using their own experience to understand it.
Schzophrenia is a mental illness, arising out of an adverse change in the function of the brain, the organ of the mind .

That disabling change is a failure to sustain new cell formation [ neurogenesis ] in the hippocampus area of the brain. At the age this happens schizophrenia follows.

New cell formation is necessary for fitting new useful happenings into stored away experience. After schizophrenia the hippocampus area of the brain either is not carrying enough stem cells; or, it is not turning stem cells into enough neurons.
Without enough new cells [neurogenesis] in the hippocampus, what is going on outside is not always fully attended to, nor is irrelevant material kept out, but is treated as necessary,to be taken in to be dealt with as information that has a personal significance, to be explained in some way by a re-arrnngemnt of belief held hitherto by the brain network..

Working memory is what keeps being drawn upon from accumulated experience to cope with what crops up in day-to-day living choices.

Reif et al ..see References

In schizophrenia the hippocampus area of the brain either is not carrying enough stem cells; or, it is not turning stem cells into enough new cells to provide enough new cells to support working memory


The New UK Care Act

. A Local Authority comments on the Care Act

Fact sheet 8: Law for Carers.

Section 117 aftercare



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