Schizophrenia

Induced Delusional Disorder or Shared Psychosis is a rare psychotic syndrome which involves transference of a delusional belief and or abnormal behavior from one individual to another or others who has/ have been in close association with the primary affected person. This is a case study of a married couple with five children who had been living on a ten hector plot on a settlement scheme in a district of the Northern Province of Zambia. The wife strongly believed herself to be a prophetess and prophesied that the world would soon come to an end. Over several months she influenced her husband into this belief and together including children started praying and fasting on the isolated farming plot to an extent that children were not allowed to attend school and either couple was not seen at a local market or at the grinding mill. The last born son of about one and half years apparently had developed a fever during this period of isolation. The child was not taken to the health center in the belief that the “Spirit” they had would heal him. The child died five days after the onset of the fever. The death was not reported to authorities in the belief that the body would be resurrected. Relatives and neighbors found the body in a decomposed state two weeks later after forcing their way into the house in which the couple had barricaded itself with the children. Both husband and wife were charged with Murder in a High Court contrary to Section 200 of the Penal Code Chapter 87 the Laws of Zambia. Both husband and wife were admitted at a Forensic Facility for Medical Examinations in terms of Section 17 of the Criminal Procedure Code Chapter 88 of the Laws of Zambia. To the best of our knowledge this is the first documented case of Induced Delusional Disorder from Zambia.

Schizophrenia is a rigorous disorder which affects the way, a person thinks, feels and acts as well. Approximately 1 million cases are reported per year in India, as per reported trials. Schizophrenia is a major cause of disability, with active psychosis and ranked as the third most disabling condition after quadriplegia and dementia. The exact cause of schizophrenia isn't known, but a combination of genetical, environmental, altered neurotransmitters and structural or organic changes are expected to have a combined role in the pathology. Schizophrenia is characterized by thoughts or experiences that seem out of touch with reality, disorganized speech or behavior and decreased participation in the daily activities, difficulty with concentration and even memory. Treatment is usually lifelong and often involves a combination of medications, psychotherapy and coordinated specialty care services. Even with the ongoing medical advancements, the success rate of the management is less than the expectations, as per reports all over the world. The medical world is looking towards the alternate system for contributions, in this area. Ayurveda has seriously discussed mind, its function, the alteration of the functions and the resultant disorders, with their respective clinical approaches, in a very positive and enhanced manner. The disease can be well addressed using the Ayurvedic clinical parameters, assessing the doshas of the body as well as the mind, in the perspective of the condition of Unmada. A detailed clinical protocol starting with snehapana, followed by Vamana or Virechana, Vasthi, Nasya ending in Rasayana therapy is usually adopted in solemn conditions, such as Schizophrenia. In mild presentations, suitable samana drugs are also observed as effective, as per the condition. This paper is an attempt to explore the role of Ayurvedic modalities in the management of Schizophrenia with the rationalization, through the light of basic principles of Ayurveda.