الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
[ III 1
SUMMARY
* Incidence and Prevalence
Research work in Egypt in the last twenty years
(1969-1989) showed no significant difference in the
incidence and prevalence of schizophrenia between Euro-
American cultures and Egyptian culture. This was proved
through (6.5% of all studies).
* Research on the physical and bioloqical aspect of
schizophrenia was conducted in Egypt though (33.5% of
researches). It includes genetic studies, chromosomal
studies; trace elements, immunological changes, season of
birth, structural changes in the brain .....
These works came in accordance with previously
conducted works in other cultures.
* Problem of classification
The Egyptian psychiatric Association introduced the
diagnostic manual of psychiatric disorder (DMPI) in 1979.
The main difference between the DMPI and other
classifications as regards schizophrenia is that :
It includes the term incipient schizophrenia and
undifferentiated schizophrenia in it is considered under
two subgroups acute and chronic.
[ 112 ]
The introduction of DMPI resulted in a relatively
high degree of internal consistency of psychiatric
diagnosis between psychiatrists as regards schizophrenia.
Shaheen (in 1984) made a comparative study of the
three systems of classification of mental disorder
including schizophrenia.
Rakhawy (1979) proposed a classification of
schizophrenia based on evolutionary stand point its main
groups are : the active biologiq schizophrenia,
the acute biologic deveolutionary
schizophrenia and schizophrenic compromise.
Okasha suggested a classification .includes four
relatively homogeneous subtypes. (Catatonic, hebephrenic
paranoid and those with organic causes and negative
symptoms) . In 1990 Rakhawy criticizes the current
classification of Schizophrenia and advise to
diagnose schizophrenia essentially by 2 main
prarameter (the degree of disorganization and the
extent of deterioration).
* Symptomatology of schizophrenia
The symptomatology of schizophrenia in Egypt was
studied in 30% of researches on schizophrenia.
[ 113 ]
On reviewing the results of Egyptian researches and
other works abroad it appeared that:
-the culture can affect the lability to develop delusions,
the elaboration which. they receive the course they will
follow and the manner in which they will disappear and
its content.
-the most common type of hallucinations in all cultures is
the aUditory one but the content and reaction to
hallucination are affected by sociocultural variables.
as regards .affective changes and psychosexual problem in
schizophrenics. There is not essential difference
between the results of Egyptian researches and
researches of other countries.
* precipitating ractors
There were different results as regards the
precipitating factors in schizophrenics between the
Egyptian studies themselves and between them and other
studies abroad The most important precipitating factors in
Egyptian patients were frustration, deprivation,
separat ion s and stress imposed by examination.
* Families or Schizophrenics
Egyptian researches showed that schizophrenics were,
exposed to multiple delirious family experiences and both
parents showed a high incidence of mental illness,
[ 114 ]
abnormal personality traits and disturbed interaction with
their children and with themselves.
The most prominent feature of emotional interaction
in Egyptian schizophrenics families was a symbiotic
relationship between the preschizophrenic child and the
parent of the opposite sex.
The siblings of the schizophrenics showed a high
incidence of mental illness.
It also showed that there is a significant
correlation between family structure and the patient’s
child hood, his premorbid personality, the clinical
manifestations and the course of the patients illness.
Recently,
between the
’schizophrenia.
different
hebphrenic
family dynamics
and paranoid
was detected
subgroups of
The differences between family dynamics in Egyptian
culture and other cultures were discussed.
* Treatment
Researches on treatment of schizophrenia in Egypt
included studies on the side effect of neuroleptics, the
excretion of these drugs and the consideration of drug
holidays in the course of treatment. It includes also
researches on the current use of E.C.T.
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[ 115 1
Rakhawy’s views about the use of drugs and E.C.T. in
the treatment of schizophrenia was mentioned.
Most of Egyptian works are in line with similar
researches in other countries except for those concerned
with side effect of neuroleptics which was found to be
less in Egypt than in other countries and the causes of
this difference was discussed.
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[ 116 1
Research on schizophrenia in Egypt in the last two decades
+I-----------------------------------+-------+-----------+ Source INumber I % I
+-----------------------------------+-------+-----------+
26
18
22
4
37.3%
25.5%
31. 5%
5.7%
+I------------------T-o-t-a--1------------+---I---7-0+----I-------+ I +-----------------------------------+-------+-----------+
Egyptian Journal of psychiatry
Egyptian Journal of Mental Health
M.S and M.D Thesis ”unpublished”
Texts
+I--------------------------------------+-------+--------+ Area of research INumber I % I
+--------------------------------------+-------+--------+
The physical biological models
The Description classification models
The psychodynamic interaction models
Incidence and prevalence
26
30
6
5
33.5%
39%
8%
6.5%