Psychosis and Schizophrenia in Hong Kong
Psychosis and Schizophrenia in Hong Kong

Author: Eric Yu Hai Chen

Publisher: Hong Kong University Press

Published: 2024-03-19

Total Pages: 279

ISBN-13: 9888842854

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This book covers some of the most serious mental health conditions that top the global disease burden and affect 3% of the general population. However, most research on psychotic disorders is undertaken in the West, and few studies have been systematically carried out in Asia despite global interest in regional differences. This work offers a unique and coherent account of these disorders and their treatment in Hong Kong over the last thirty years. Chen and his research programme’s pioneering work has ranged from the impact of early intervention on outcomes and relapse prevention, to the renaming of psychosis to reduce stigma. The studies have contributed to wider international debates on the optimal management of the condition. Their investigations in semantics and cognition, as well as cognition-enhancing exercise interventions, have provided novel insights into deficits encountered in psychotic disorders and how they might be ameliorated. The research has also explored subjective experiences of psychosis and elicited unique perspectives in patients of Asian origin. Each topic is divided into three sections: a global background of the challenges encountered; research findings from Hong Kong; and reflections that place the data in scientific and clinical contexts and offer future directions. “This book contains important research into specific problems facing persons with psychosis and schizophrenia in Hong Kong, arising from environment factors, stigma, and treatment shortfalls. Its insights would help “overcome barriers to facilitate mental health work”, which is how Professor Eric Chen describes the work of the Advisory Committee on Mental Health, and what he has admirably devoted himself to do over the years.” —Wong Yan-Lung SC, chairman, Advisory Committee on Mental Health, Hong Kong, 2017–2023 ‘This learned and comprehensive opus about schizophrenia, its causes, course, and outcomes reaches far beyond its regional scope and presents the best of the world’s current knowledge about schizophrenia as well as the significant contribution to it made by the authors working in Hong Kong.’ —Norman Sartorius, MD, PhD, FRCPsych, president, Association of the Improvement of Mental Health Programs, Geneva

USE THE TERMS OF SCHIZOPHRENIA
USE THE TERMS OF SCHIZOPHRENIA

Author: Sai-Chung Kenneth Lam

Publisher: Open Dissertation Press

Published: 2017-01-26

Total Pages: 64

ISBN-13: 9781361001905

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This dissertation, ""Use the Terms of" Schizophrenia, Psychosis, Psychotic Patients in Hong Kong News Media: a Content Analysis of Printed Coverage, 2002-2012" by Sai-chung, Kenneth, Lam, 林世中, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background/ Objectives: It can always be recognised that mass media is one of key sources of information to society. Moreover, it has a great power to affect our life. Printed media, for example, newspaper as one of media communications contains words and texts, which can also create a strong power to influence readers to receive information, including news coverage of mental illness. The objective of this study is to analyse our selected the terms of Schizophrenia, Psychosis and Psychotic Patients from our selected three local Chinese newspapers in Hong Kong, to see the frequency and the trend of reporting incidents on news stories, and the use of language/words to portray people with mental illness on press coverage. Research questions were about 1) the change of frequency using the term of Schizophrenia, and under the same question the hypothesis was to see if using the term of Psychosis was more than Schizophrenia; 2) reviewed the term of Schizophrenia to see our selected three local newspapers whether or not choosing the term of Schizophrenia on news coverage more than Psychosis; 3) assessed both terms of Schizophrenia and Psychosis regarding incidents in all articles, the former was related to negative stories and the latter was related to good news coverage. 4) We reviewed the trend of using all keywords akin to metaphorical (words) usage in all articles. At last, 5) we also assessed all keywords in regard to the trend of using of stereotyping wordings in all papers in our selected years. Method: We assessed the database of retrospective newspaper via WiseNews of electronic resource at the University of Hong Kong, to retrieve the total of 1884 articles, from chosen newspapers, for example, Apple Daily, Ming Pao Daily News and Tai Kung Pao Daily News. We retrieved those newspapers in 2002, 2004, 2007, 2010 and 2012 for our research study. Results: It is good to see that, since 2001 renaming in Psychosis (思覺失調), the term has been widely accepted in the public and has already been used on news coverage. In comparison with both terms of Schizophrenia (精神分裂 [症]) and Psychosis (思覺失調), we noticed that the frequency of using the name of Schizophrenia on printed media has, however, still remained higher than the term of psychosis to portray people with mental illness in all news papers [Schizophrenia - 40.2% 757/1884 /Psychosis - 24.9% 469/1884]. And we also noted that the term of Psychotic Patients was strong association with people in Schizophrenia to appear on same news coverage, according to our research findings. Meanwhile, it can be seen that using Psychosis (renaming in Chinese) on news coverage was increased gradually from 2002 - 2012, whereas using Schizophrenia was a lead in association with criminal cases, with 35/132 of unfavourable events. On the one hand, it can be noted that the trend of metaphorical usage was increased gradually from 2002 - 2012, and in all newspapers the more frequency of using metaphorical words/usage was to insult/cite someone with 46.2% (175/379 articles). On the other hand, it is not surprising to see that the more frequency of using stereotyping words was "Dangerous" or "Violence" to portray people with mental illness in all newspapers, which was highest record with 61.8% (202/327 counted articles) Conclusion: Mass me

Bipolar Affective Disorder and Schizophrenia with First-Episode Psychosis
Bipolar Affective Disorder and Schizophrenia with First-Episode Psychosis

Author: Hiu-Fai Kwan

Publisher: Open Dissertation Press

Published: 2017-01-26

Total Pages:

ISBN-13: 9781361001554

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This dissertation, "Bipolar Affective Disorder and Schizophrenia With First-episode Psychosis: Baseline and Outcome Study in Hong Kong" by Hiu-fai, Kwan, 關曉暉, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Objective: The aim of the current study was to investigate the differences in baseline characteristics and three-year outcomes between two diagnostic categories with presentation of first-episode psychosis: bipolar affective disorder (mania with psychotic features) and schizophrenia. The comparison was based on pre-treatment characteristics, clinical presentation, symptomatic and functional outcomes, and engagement in risk behaviours. Methods:461 schizophrenic patients and 54 bipolar affective disorder (BAD) patients between the ages of 15 to 25 years from a local first-episode psychosis treatment program within the years2001 to 2003 were studied. Researchers collected detailed data on baseline and three-year follow up variables from systematic medical file review for statistical analyses. Results: At service entry, compared to schizophrenic patients, bipolar affective disorder(BAD)patients exhibited more prominent positive symptoms (p = 0.01), were younger at first presentation and had a higher unemployment rate (p Conclusion: The outstanding baseline poorer functioning level of bipolar affective disorder patients have progressively made a modest improvement in functional outcomes at the end of three-year follow up. BAD patients also displayed a marked improvement with fewer positive symptoms in the follow up. The results suggest a differentiation in symptomatology and the course of illness between bipolar affective disorder and schizophrenia with first-episode psychosis. In coherence with other scholastic literature, duration of untreated psychosis (DUP) associates with remission(Crumlish et al., 2009;Chang et al., 2012a), positive symptoms(Barnes et.al., 2008; Chang et.al., 2012b; Clarke et al., 2006; Crumlish et.al., 2009;), and functional outcomes(Barnes et al., 2008; Chang et al., 2012b; Clarke et.al., 2006; Crumlish et.al, 2009; Fusar-Poli et al., 2009). Moreover, further exploration about the diagnostic-specific therapeutic window for early intervention, symptoms management, and rehabilitation strategies in occupational training are in demand. DOI: 10.5353/th_b5087740 Subjects: Psychoses - China - Hong Kong Manic-depressive illness - China - Hong Kong Affective disorders - China - Hong Kong Schizophrenia - China - Hong Kong

ASSESSING PUBLIC KNOWLEDGE ABT
ASSESSING PUBLIC KNOWLEDGE ABT

Author: Yu-Yeung Kwong

Publisher: Open Dissertation Press

Published: 2017-01-26

Total Pages: 60

ISBN-13: 9781361001615

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This dissertation, "Assessing Public Knowledge About Psychosis and Its Relationship With Public Attitudes Towards Persons With Psychosis in Hong Kong" by 鄺宇洋, Yu-yeung, Kwong, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Objectives: Public stigma has been identified as a major obstacle for the recovery process of persons suffering from psychosis. Psycho-education to the public is suggested to be effective in enhancing public knowledge and understanding of patients with psychosis. It claims to be an effective way to reduce discrimination against and the labelling effect on mentally ill patients. However, there is a lack of understanding on the relationship between knowledge and attitudes. The current study aims at evaluating the relationship between public knowledge and public attitudes on persons with psychosis; and at identifying how violence factor influences the public attitudes. The implications of the findings for planning a psycho-education programme are discussed. Method: Subjects (n=81) were recruited from public health talks on psychosis organized by the Jockey Club Early Psychosis Project (JECP). General knowledge about psychosis was assessed with a modified multiple-choice questionnaire, Knowledge about Schizophrenia Test (KAST). Two hypothetical descriptions of two patients with psychosis were designed, with one of the descriptions associated with violent behaviour and the other without. Subjects rated their willingness to interact with the hypothetical patients using a 19-item social distance scale. Other assessments included subjects' previous contact with patients of psychosis and their history of working in the medical field. Results: The overall level of knowledge about psychosis of subjects was good. Subjects at an older age were associated with better knowledge of psychosis. No correlation was found between overall knowledge and attitudes. However, subjects having better knowledge in Cause of KAST were correlated with less rejecting attitudes towards patients of psychosis. The current study has identified that violence is a significant factor that influences the attitudes of subjects. Significant rejecting attitudes were found in violence vignette as compared to non-violence vignette. Female subjects were found having significantly higher rejecting attitudes towards patients of psychosis with violent behaivour. Previous contact with patients and history of working in the medical field found no correlation with attitudes in this study. Conclusion: The current study suggests that violence factor has a significant correlation with attitudes towards patients of psychosis. The rejecting attitudes influenced by the impression of violent behaviour of patients with psychosis are likely difficult to be removed. The labelling and stigmatizing effect on patients with psychosis through sensational description of violence by mass media is considered influential. Mass media should acknowledge their crucial role by stopping news reports using sensational, dramatic descriptions on violent incidences of mentally ill patients. DOI: 10.5353/th_b5087764 Subjects: Psychoses - China - Hong Kong

The Stigma of Mental Illness - End of the Story?
The Stigma of Mental Illness - End of the Story?

Author: Wolfgang Gaebel

Publisher: Springer

Published: 2016-08-10

Total Pages: 648

ISBN-13: 3319278398

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This book makes a highly innovative contribution to overcoming the stigma and discrimination associated with mental illness – still the heaviest burden both for those afflicted and those caring for them. The scene is set by the presentation of different fundamental perspectives on the problem of stigma and discrimination by researchers, consumers, families, and human rights experts. Current knowledge and practice used in reducing stigma are then described, with information on the programmes adopted across the world and their utility, feasibility, and effectiveness. The core of the volume comprises descriptions of new approaches and innovative programmes specifically designed to overcome stigma and discrimination. In the closing part of the book, the editors – all respected experts in the field – summarize some of the most important evidence- and experience-based recommendations for future action to successfully rewrite the long and burdensome ‘story’ of mental illness stigma and discrimination.

Crazy Like Us
Crazy Like Us

Author: Ethan Watters

Publisher: Simon and Schuster

Published: 2010-01-12

Total Pages: 322

ISBN-13: 1416587195

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“A blistering and truly original work of reporting and analysis, uncovering America’s role in homogenizing how the world defines wellness and healing” (Po Bronson). In Crazy Like Us, Ethan Watters reveals that the most devastating consequence of the spread of American culture has not been our golden arches or our bomb craters but our bulldozing of the human psyche itself: We are in the process of homogenizing the way the world goes mad. It is well known that American culture is a dominant force at home and abroad; our exportation of everything from movies to junk food is a well-documented phenomenon. But is it possible America's most troubling impact on the globalizing world has yet to be accounted for? American-style depression, post-traumatic stress disorder, and anorexia have begun to spread around the world like contagions, and the virus is us. Traveling from Hong Kong to Sri Lanka to Zanzibar to Japan, acclaimed journalist Ethan Watters witnesses firsthand how Western healers often steamroll indigenous expressions of mental health and madness and replace them with our own. In teaching the rest of the world to think like us, we have been homogenizing the way the world goes mad.