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Vulnerable individuals
Cullberg has presented a model to describe
the risk of developing a psychosis. The model is described in detail
in his latest book on psychosis. The risk of developing a schizophrenic
psychosis is described as a vulnerability, which can be specified
into three different categories: genetic vulnerability, disturbances
in neuronal development and disturbances during the upbringing.
If an individual is exposed to two factors, e.g. both a genetic
vulnerability and disturbances during the upbringing, he or she
is at greater risk of falling ill as compared to a person exposed
only to one risk factor. By the same token, individuals exposed
to all three risk factors are at the highest risk of developing
a psychosis. However, Cullberg states that "only" presence of mental
problems during the upbringing is not a cause for schizophrenia.
Rather, it is the cause of non-psychotic personality disorders.
A particular kind of vulnerability often
give the same symptoms
According to Cullberg, individuals with a particular kind of vulnerability
often have the same kind of symptoms. One example is those with
a disturbance in the neuronal development; these individuals often
have difficulties in using language and expressing emotions. Schizophrenia
is however a very heterogeneous disease, where symptoms and disturbances
can take many expressions.
- For now we have to consider it as a
hypothesis, which not yet has been proven. The future might bring
increased knowledge and insight. Research might give us new information,
enabling the doctors to understand by the symptoms which type of
vulnerability the patient has.
Opportunity to provide support to the
strong part of life
According to Cullberg, the vulnerability model not only offers an
explanation to why a patient's life develops in a certain direction.
The model also opens for an opportunity to provide support to the
strong and healthy parts of a patient's life.
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