the probability in 10 years science will really defeat schizophrenia about the history of schizophrenia will tell our expert professor kapustin as you know, even woland himself did not know what schizophrenia is. but almost 100 million people around the world suffer from this disease, among the people of influential and famous patients with schizophrenia, ten times more schizophrenia has been known since ancient times for the first time its symptoms. described by the egyptians. they also treated the disease with magical rituals and herbal decoctions in ancient greece and rome. they were treated with bloodletting and a laxative, after all , helped avicenna called the disease severe insanity, but under this definition. after all, all mental disorders fit the middle ages. just horror in the london bedlam , the sick were kept in chains, you were treated by the nation of the skull.

in the 19th century, they tried to treat mental disorders with the help of white-bottomed opium chloroform, well, as well as animal and laxative drugs, the scientific basis was created at the beginning of the 20th century by miles kripelin, and his colleague dr. came up with a name for this disease, splitting the mind of the schizos and just not to be confused with a split personality. alexander vladimirovich and when people were faced with such a disease as schizophrenia, professor kapustin already said that it was in ancient egypt and in general, if we talk about this class of diseases, this is something that does not fit into social norms and rules, but for me i liked the example you gave. e, a sopol neurophysiologist, in his lecture, talking about the masai tribe, a, in which he happened to live for about 4 years. so now he they said that there is a tribe of a woman who behaves strangely, and he never

heard of her, because she lives somewhere far away and does not have much contact, especially with trances. that's just e tribe was alarmed one day, when suddenly this woman killed a goat, it must be said that in the maasai tribe kill animals. this is generally normal. and it does not cause any. uh, no worries at all, but it was a woman who did it, and she did it outside of ritual activities, and she did it in an unusual way. just gnawed in the throat animal, that is, this is a social behavior for the masai tribe, which has a very long history. so if we start translating this into our social language, then probably there have always been people who take some modern sport, for example, tennis. well, what is it? this is ping-pong, when we play ball we take not such a correct social object, but an incorrect one, just as round, but we have to eat it. so

the schizophrenic will always be sure that you need to play these non-standard non-social manifestations long enough now. we just learned to understand them very well, and how they rang, it was very much before. well, or tried to do it. well, a little has already been said about this. in fact, the methods were completely different, because they did not understand. actually, how did this disease come from, so someone thought that this was the invasion of spirits. it is necessary to drive demons out of the body, someone believed that somehow the physiologist, physiology really influenced. it is necessary to treat directly the human body of someone, what you need to do something , carry out some practices with your soul, that is, uh, here are variations of these approaches. yes, the medicinal approach of psychotherapy. they are different completely different historical periods in different and in different cultures. they were completely different. here. in general, we must touch upon the question of the personality of the patient. that is, for someone it is

a person. the e of the sick is the sick, which is specially marked by some divine gift. yes, he has these manifestations, they are associated with some of his supernatural abilities, therefore, in some cultures he could have been this particular patient, but by the way, shamanic, if he had, that is, if he didn’t have these abilities, then you would be stative to them with this mana or, most likely, you wouldn’t become a person in other cultures on the contrary. this is a holy fool who also needs to be listened to, because he himself contains some grain of truth. that is, he is the bearer of the herald of truth, but in the same cultures there is another opposite. in general, there was a point of view when he was possessed by the devil and, therefore, he needed to be expelled outside, to be evicted somewhere outside the city to isolate in a certain location and in general , and philosophers, researchers, among other things, talk about such a phenomenon as, for example, a phenomenon, like a ship of fools, that

is, in the renaissance there was a figure of an insane person, this is a figure of make-up, who were prescribed to travel to travel by water and i don’t know how true or not, but they tell eyewitness accounts, some that really were ships. at the sailors they were allowed to sail somewhere. here they wandered, somewhere. they end up turned out to be the same. well, the city was cleansed of sin, as it was believed? here and uh, on the other hand, the lunatics themselves could acquire some new, healthier status in this life. well, this is, of course, mythology after all. and when we talk about modern treatment, there was also a lot of variation here, and in fact, if you dive into the history of schizophrenia, in general, into the history of insanity. we see that the practices that were applied in relation to the sick often resemble

punitive practices, that is, in fact, with from our point of view, when we already apply psychopharmacology, these practices look like torture, that is, we are talking about lobotomy , we are talking about being treated with the help of electricity. yes, with ice water. and it was then used later. e by the nazis, that is, in many ways this is a broadcast of experience there from the inquisition, and in psychiatric clinics. xv century, then all these psychiatric clinics in the xx century, it was carried out in one way or another. that is, in fact , the same punitive the experience that is obtained at a psychiatric clinic turned into a kind of prison, only with torture. that is, it is in a certain period. they were considered, indeed, as a space of justice, as a punitive space, which should improve something or morality in society, and therefore there is also an interesting moment in history, when the insane

were in a special disciplinary space together. and with those who did not work, those who have an official way of life, that is, they were not singled out as a separate category. i mean, that's about it too. it must be said that they were considered as incapacitated, and the criterion of a normal person, the criterion of a rational capable being, or rather , with the criterion of a normal person, was precisely capacity. that's why the madness of the disease. they came out with some kind of diagnoses, beyond these limits of normality. that is, here are the variations. there were a lot of such attitudes, and it is clear that now we have more humane, milder forms of attitude towards patients. and of course, the story you need to study in order to prevent the repetition of these practices well, i hope that we won’t let it, but we

’ll talk about today’s uh, today’s realities, but after advertising, advertising on ntv hastening to freeze everything. gosha. and what is this church with horses? where are we already going? denis nikiforov bim how i look and his faithful bim and what did he just say? well, like everything from a beaver, do not expect good things to be on duty again. russian language said human lie live examples from tuesday at 20:00. good evening on ntv mask final april 30 at

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this is tanya although a week ago. her name was tanya teapot. alice turn on the kettle, and this dima was previously known as dima okno the window hasn't been closed yet. turn off the light ready and even dima the humidifier, but that was their name until the smart home appeared with alice, the sensor is configured, i turn on the smart home humidifier, and

all because of the toes in the family, crooked toes also refuses the child because the former wife confessed. she repeatedly told me that this is not your child, he thinks that we just feel sorry for the money for his only son, he doesn’t need it at all, they don’t have it. opportunities which side will the truth and genetic expertise with the first day for the last three years, i didn’t even see my own behavior at all. dna tomorrow at 16:45 on ntv airs a program

about how science will change our lives, in the next 10 years in 10 years science will defeat schizophrenia, but our expert professor kapustin does not believe in this because the causes of schizophrenia are unknown. the treatment of schizophrenia is aimed at combating the symptoms of the disease, which drugs and methods were not used for treatment. and only at the end of the last century , antipsychotics began to be used, by the way, chlorpromazine. first used as a tranquilizer for horses, and only then began to be used as a medicine for humans , they remain the most common drugs today, but not everything is so sad in about a third of patients with schizophrenia , the full version is observed. well, i don't know if that's sad or not. yes, well, igor valerievich but still

, what is schizophrenia, what does science know about it today and how is it diagnosed. actually. this is a very difficult question, because it directly concerns the fate and life of people, and i it seems that it is very important to follow a logical sequence here, so i allow myself to disagree with the opinion of the respected expert kapustin and colleagues, and i can say that humanity is dealing with schizophrenia in 1923, and not earlier, because this is the year when this diagnosis, in fact speaking, came in uh-huh reagentler, who led this concept of schizophrenia. yes slime sizov lines in greek splitting of the soul. he just laid the path. this is this slippery slope he began and gradually, that is, the idea was quailed in what, in what there is a very heavy psyche. diseases, when a person becomes feeble-minded, he

called it dementia prekloks such people are very few and therefore schizophrenics had a kripelin understanding. uh, precox dementia cents are very few of them, very few of them are less than a hundred percent. and they decided everything in his opinion. and why would we all be weird? uh, why is that also a mental illness? most likely, yes, it is, and it is somewhat similar to dementia very remotely. so let's count schizophrenia and then it's a diagnosis turned into some kind of garbage dump, because he dyed his hair an unusual color, this symptom of schizophrenia, get a tattoo, also a symptom of schizophrenia, dressed as an extravagant. they are also not in that schizophrenia according to the season, e was such a learned curdunaider who singled out clear symptoms. uh, negative first and second rank negative and positive. if possible, i will try. illustrate this with a drawing.

the diagnosis of schizophrenia is based primarily on e, negative symptoms. what it is? these are symptoms that begin with a letter, and apathy, autism ambivalence ambivalence, abulia, abulin. in my opinion. the most important symptom is when a person has an impulse to activity, an impulse to human communication , it is suppressed. and most importantly, it looks like apathy, it is also, well, apathy - it affects the emotional sphere, and pain affects the motivation, that is, the motivational sphere. it is more profound in terms of behavior negative symptoms. this is the main thing, this is the main axis of symptoms, according to which the diagnosis of schizophrenia is made; on the other hand , it is obvious that there are positive symptoms. well, this is nonsense, hallucination, melancholy. yes

, you can also maximize it. and here is the nonsense dragging. it's kind of in the positive, well, it's from a point of view. uh, psychiatry is positive symptoms , positive in the sense that there is something that happens before that in a normal person. no, that is, compared with a healthy person. brad bullshit. this is something new, he appeared, and the negative is the minus is the plus symptoms. you drew correctly. and these are the minuses, that is, some quality disappears. yes, the urge to life, it disappears here is added something appears simply negative, but is added, well, negative in the ordinary sense of the word, but from the point of view. yes, it's a productivity symptom. well, melancholy, for example, the board is also oddly enough, a productive symptom. and so, if we look, we can draw lines like these and it turns out that uh, well, we can be all schizophrenic. the so

-called is a group. diseases are the most severe group that is continuously flowing. well, according to the icd, the mcd-10 is a diagnostic system that we are now guided by. this roughly matches f20.0. this corresponds to f20.1. yes, it's 23. well, let's assume it's 25. that is, here one type of course is what kripelin called juvenile malignant schizophrenia, a severe form, when the most negative symptoms and practically traces, not hallucinations. not longing. it's just that a person is fading away to a person. gas. he turns. it just silently fades away, it becomes indifferent not only to the surrounding reality,

including very important social ones, but it doesn’t matter to him where to lie on the bed or under the bed he absolutely everything no matter what he looks like. he doesn't brush his teeth. he doesn't wash, he doesn't get up at all. it is formed quite quickly and quite early in life that dementia is attached to or a malignant form of schizophrenia. here is what is in this group. in my opinion. this is true schizophrenia. a large group , it occupies about 10 percent of all 15 of all schizophrenia, a large group before the so -called criminally pro-gradient course, when there are both productive and negative symptoms, which after each are not so not maximally, so to speak, expressed and after each attack they are aggravated by what is called a fur coat, the german word for hat-like schizophrenia. this does not mean that people in a fur coat walk in the summer, but this characterizes

the course of this disease, an attack against the background of more pronounced negative symptoms. that is, as if stepwise stepwise man goes goes to this part. that's who, as lucky , someone gets, and someone, especially with the help of modern all forms of psychotherapeutic means. no we can stop a man on some step to slow it down. and finally, this is what is called schizotypic. uh, schizoeffective disorder or intermittent schizophrenia. eh, in my opinion. eh, this is generally an artificially large group of disorders that are artificially far-fetched to some extent. that's how it is connected with their disease flows and there may be two or three attacks in a lifetime. yes , they continue, there is a month, two or three, sometimes 6 months, but in a lifetime a person has two or three

attacks between them. normal life between them is a complete remission of intermise. that is, they healthy people deteriorate, nothing here or all the same. well, again, this is a continuum here, if a person is closer to this border, then he can have it, especially with some socially unfavorable factors. yes marital status or wrong reactions. the psychiatrist, for example, did not send the doctors to the therapeutic group at the wrong time, and there is something else but there is no aggression at all. and this is a myth. well, any person has aggression, including a normal one, but there is such a myth, including everything. go among the psychiatrists, what schizophrenia patients schizophrenia people more aggressive is bullshit bullshit from uh, sixty thousand patients in moscow schizophrenia. and one whole two tenths of a percent.

1.2% committed a socially dangerous act. it's less. than health people do more. ivan yuryevich let's see where it comes from, that today science knows about the causes of schizophrenia, i don’t know how many there, it’s based on genetics as a percentage. how much is a purchased one? well , this is probably sad, but we have to admit that, despite more than forty years of history of the genetics of schizophrenia. uh , today biomedical science finds it difficult in most cases of this disease to answer the question relatively. causality and disease in a given individual, but if the good news is that genetic approaches to solving this problem allow us to carry out a kind of genetic e to composition of colleague schizophrenia quite right, but they mentioned that schizophrenia, as such, is such, generalizing or how our

foreign colleagues like to use an umbrella term that covers a very large number of mental health problems. and the task of the genetic composition is that we divide this mass into small rare, but in the aggregate, frequent diseases or mental problems that are caused by one or another genetic change. and here is just the way the most m-m. in my opinion, promising, but here again we are faced with such a very serious problem, namely the problem of modern biomedical science, the problem is that modern medical science. she ceased to be a system for generating the creation of obtaining knowledge , it has become just a banal industry for the accumulation of data, and in fact, this data is accumulated, accumulated , analyzes are accumulated. they are exposed, but extremely rare. mostly. it's just data collection and unfortunately psychiatric genetics in that direction. there are

already a lot of leaders, but no one follows them, firstly, it is extremely difficult to study. secondly, since we are talking about a rather complex disease in every sense. that is, the indie approach makes sense here, and when you work like a factory? yes, that is, you first conduct a study with thousands of people, then with 10,000, then with a hundred thousand, here we are talking about an individual approach, well, it just can’t go. it’s just that they work long hours here, only there are no specialists who could process this whole mass of data from the point of view of helping specific individuals as a result of this, but since this process is very commercially beneficial for transnational corporations, what to collect data is because transnational corporation. they sell consumables sells appliances. this is a gigantic business, worldwide profitable. it's not even testing. this is just an accumulation of data, the patient can get some result, based on these data, then, most likely, he will carry information regarding the risk

of schizophrenia. and this again rests the question. and what is risk, how much is small, again, this is probabilistic. and this is where the individual approach comes in. could solve this problem, but corny commercially not profitable, and this is the main the problem of modern biomedical science olga vladimirovna and why is schizophrenia dangerous for society ? yes, but there are very complex issues here, and it seems to me that igor valerievich correctly mentioned that, in general, healthy people turn out to be more dangerous to society than schizophrenics, because here they are, some apathy is often found and generally incapacitated. eh, and i would have put the question in a different way. and why is society dangerous for schizophrenics, because, but in fact we do not live in the happiest society, not in the most, and not in the best society of the best. so, uh,

schizophrenics are constantly faced with neighboring matization. they are faced with the fact that society interprets the diagnosis in a certain way. and this is what is causing it. well, certain negative emotional backgrounds sometimes cause addiction . there are studies that people are sicker than schizophrenia, often use alcohol or drugs, and this is precisely due to this signaling process, that is, because it's about stigmatization. they make their diagnosis easier, not with the help of some kind of pharmacology. yes, e treat, and with the help of drugs or alcohol in such a terrible way , or simply isolate yourself, close yourself to commit suicide. and this is very scary, that is, and when we raise the question in this way that schizophrenia needs to be investigated not only as a separate zoology. it needs to be further explored in context. that's all social development considers these correlations. how

society affects the lives of the sick we, can we improve the life of the sick through the improvement of social life, and the life of the sick and if we do not treat the society itself. that we will not achieve the results that we could have achieved if we had worked directly on purpose, we cannot still put a radiodiagnostic, we cannot determine why we cannot accurately identify people and must tell society, but treat it well is incomprehensible. who doesn't understand. what is unclear? because of what here too, how we will be a society. i think that we do not have such growing norms, it is not clear. still, there are classifications. there is a treatment. here i think that relativism is not much here, a large database and knowledge has already been accumulated enough, but here are the norms of ethical norms for the attitude of mentally ill people. they have to be they have to be very clear. and this, of course, should be a certain policy of building relationships common to people who are so sick. not necessarily sick

with a psychiatric diagnosis, in general, sick people are scared, therefore, yes, like no other there are no rules, so everything that is scary everything is rejected. i hope that still in the next 10 years. we will somehow overcome this fear. let's fix everything that is incomprehensible, everything is scary, as soon as the society explains exactly what it is, why? what kind of consequences will not be so scary, it will be clear. all. i'm sure they will explain, but after advertising on ntv, they served the rich and famous artists. what did you get for the exam? no one came up and gave nothing a penny. why the author of the first hit pugacheva died homeless from the beginning. well you gotta be funny for everyone, as well as agent galkin survived the main housekeeper from the country married no more how long will i live? how many

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and mom told you about moscow producers and told white roses for yuri shatunov new circumstances of his sudden death. for me. it was a secret hit in a million. i always dreamed of having power over this button on saturday at 21:25 on ntv the program science and we is on air, a program about how science will change our lives in the next 10 years, in 10 years science will defeat schizophrenia and there is hope, by the way, our expert believes professor kapustin schizophrenia. this is a severe chronic mental disorder. science has not yet established any cause of the development of the disease. how to treat unknown? how to treat it is not clear cases of cure are not described, although

not. here is a recent japanese psychiatrists. they described the incredible case of a patient with schizophrenia cured by a bone marrow transplant. the patient had schizophrenia, the medicine did not help. in addition, the patient had acute lung disease, in order to save his life , a bone marrow transplant was needed, the transplantation was successful here and a miracle happened, the patient disappeared all hallucinations feeling of anxiety. his schizophrenia was completely gone. several years have passed and the patient does not show the slightest sign of schizophrenia. after the publication of this case in the scientific journal it turned out that this is not an isolated case at all, most likely, a bone marrow transplant rebooted the immune system. after all, it is an incredible assumption that immunity is associated with the brain. even though it was in the 19th century. doctors have noticed that when a psychiatric

hospital starts a fungus, well , the temperature rises, it causes an improvement in the condition of all patients. alexander vladimirovich well, we have already understood that the diagnosis of schizophrenia is quite complicated. so maybe some breakthroughs will appear. well, they are waiting for us in the next 10 years so that the diagnosis is accurate . and they will connect some electrodes like this. here's one side. ah, indeed, we can say that everything is bad. and it's better not to deal with this topic, but on the other hand. there are also enthusiasts , scientists, researchers who identify new forms, and use various, maybe even non-traditional drugs. drugs are attempts to help relieve symptoms that have already manifested themselves and really. appreciate these patients in time. and suddenly a combination of some drugs will come to the point that there will be no new symptoms or a new episode and there are successes. we had dozens at the beginning

of drugs that just acted on the whole brain. and now the main hypothesis is , uh, that there are many factors. there are , uh, immune factors , autoimmune inflammation processes that can damage the blood-brain barriers, disrupt the subtle the organization of the brain of nations in the last century proposed the theory of two blows, that there is a certain predisposition, and there are trigger factors that trigger this calm, resting process. so , just, uh, it seems that schizophrenia fits this rule very well. it is possible that several thousand of them have been described for genetic factors. maybe, separately, each family has its own gene for its schizophrenia. well, here are the triggers that are now being described as some, again, factors. this can be very serious and stress. it could be an infectious disease. this may be the use of even a single drug. they are able to launch this resting god to launch, and he to diagnose. yes, we are starting

to explore mediator systems. that is serotonin. dopamine in separate, taken structures to apply the methods of visualization of the processes of the holo. in the brain, that is, not only eeg, not only mri, but combining these 2 methods functionally, mri is now one of the means of obtaining fundamentally new data. we see that at this very moment, when a person is shown an image that caused, for example, that same stress. uh, we see a structure in the brain that starts to activate prices or, on the contrary , slow down, and we select such targeted drugs for a specific group of patients and get rid of symptoms. that is, there is hope that we have this division from one big diagnosis into many subgroups with precise treatment that leads to the fact that we select the right therapy for the right center. let's break through advertising on this positive note, probably tv is dedicated to the good kid concepts, antokha

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the new seasons fan card for public services.ru science science program on how to will change our lives in the next 10 years igor valerievich a. what breakthroughs in the treatment of schizophrenia do you expect in 10 years in many mental illnesses using, for example, animals. we talk a lot about the materialistic side of this disease. i mean, there are neurotransmitter receptors, neural connections and their disconnections. and all this, of course, is very important, but according to my feelings, the smell. i have been working in psychiatry for 30 years, and i remember how, uh, when new drugs came to our clinic for testing and which ones we connected expectations is a revolution in psychiatry, well, the revolution did not happen, and that's my deep conviction. uh, pharmacotherapy, it's

close to its limit. we will never find a cure for schizophrenia in the form of some chemical. and so ivan yurievich expressed a very correct idea of ​​what we are looking for. uh, in genetics. we're looking for a dark black cat in a dark room and most likely it's not there. but, most likely, everything, most likely, although, of course, there are some mechanisms that accompany this suffering, but i can give an optimistic example, i have been driving for 8 years alekseev's psychotherapeutic hospital group and i have been in this group for 8 years. she was for permanent. so to say, 45 people visited the patients of the participants of 8 years old, and most of them were diagnosed with schizophrenia, with which i do not always agree, in my opinion, schizophrenia. there were

23-30 percent of people, however. i took e. simple five-year er, looked 5 years before visiting the group. how long have these people been in the hospital? how often were they hospitalized ? it turned out that the average number of hospitalizations in five years was seven point 6? i compared after how a person visited this group and it turned out that 1.8 visits per person times fell such socialization helped. i'm not saying that i cured schizophrenia psychotherapy apparently does not cure psychozophrenia. but we see it, i feel it, and it is statistically shown that we published this article with a colleague. uh, everything is clear there, all very clear data, and communication is regular communication. we led this

group together with a colleague, because it is not important to eat. it must take place, even if you died, if one of us fell ill, the second is obliged to lead me if we were called by our chief, all the same, one remained to lead this group. it's very important here. this is the regularity of constancy methodicalness, while we discussed such things. what most psychiatrists would consider egyptian, we talked about the manifestation of aggressive behavior there was such a patient who scolded me for more than a year. he cursed me in the group. well, verbally, he didn't go to action, but he cursed me for this this for a year, but after well, in this, during this period, he stopped appearing in him, uh, signs in the family, he ceased to be aggressive in the family. you see, schizophrenia, probably, has not gone away. and again , what does schizophrenia mean, but he leads a completely different life now. i haven't

been working there for a long time, but he calls me from time to time and says igor ivanovich how can i help you? uh, and i would like to talk about another non-trivial approach to the treatment of schizophrenia with your permission. well, the ncsp mental health research center released such a training manual in its time. it is called the organization of psychological assistance to specialists in psychiatric institutions. that is, roughly speaking, the psychiatrist himself. it seems to me that this is a very important very important topic for the treatment of schizophrenia patients by the doctor to heal himself. that's what hippocrates said the doctor heal yourself. i think that doctors in psychiatry burn out very quickly 2-3 years and the process of burnout. e. in this manual , the process of burnout is associated with stress, but stress is also a myth in fact. the mechanism of burnout is different and, uh, the burnt out doctor treats the patient in a completely different way. it seems to me that as paradoxical as it sounds

, the cure of psychiatry. this is the cure doctor the doctor himself regular systematic persistent and not only a doctor, but also psychotherapy and a psychologist. ivan yuryevich maybe genetics will help us somehow. what icons can help? quite right, as a colleague noted, that there is, relatively speaking, no cure for schizophrenia, that is , the schizophrenia gene does not help - even i will say this, not a myth, but such an advertising duck. it exists, so to speak, such terminology in order to promote some of your projects. well, in general, uh, research. get funding. in eventually. this very concept is antibiological antigenetic, especially if we consider schizophrenia, we consider schizophrenia as a complex disease. and what is a complex disease? a complex disease is such a kind of mosaic, therefore, genetics actually approaches to identify,

on the one hand, the mechanisms of processes that occur abnormally in the body in human cells. this is in my opinion. optimal way. instead of saying some single change, a genetic change that should cause a disease. actually speaking, we just came to this limit in the genetics of all diseases in which some specific mutation is detected separately. they are almost all described. well, not all, it remains only to describe those cases that, well, quite exclusively, that is , relatively speaking, one in eight billion, yes , the case, but everything that has, relatively speaking, that can fall under the definition of a syndrome. that is, under the definition of pledge, it is practically described, but practically again, well, 100% does not exist in nature. this is us should be well understood. and therefore , as a matter of fact, here again the question arises as to what do we want from genetics? that is, how we want to deal with schizophrenia, roughly speaking, we want to deal with the prevention of schizophrenia. but, if we use genetics for this.

here, by the way, it is necessary to mention such a thing as free diagnostics. yes, when it reveals a genetic pathology, e does not terminate the pregnancy, but if we consider this moment in the context of schizophrenia, i will quote the classics, so to speak. how many cinema is ordinary fascism? this is completely unacceptable in any adequate society, another issue regarding treatment and genetics. here, too, there are a lot of interactions. just in my opinion, the most optimal option is when we are looking for exactly the processes that are disturbed in an individual . here in this individual, and in this case it does not even matter what form of schizophrenia she has. i can say from the point of view of clinical medicine a seditious thing, but for genetics, a clinical diagnosis. he. well, like this say optional important description. and the fact that the symptomatology, yes, is absolutely true even at the moment when we have this description on the one hand, so to speak, from the clinical side, we have a description from the molecular side in a certain place. we conditionally

speaking, meet and understand. what processes are disturbed in this individual, do you know the processes. we can influence them not well, then i have a question for our guests from an optimist to a skeptic. in general, is there absolutely today? mentally healthy people i think yes there is. i even know a few people such. uh, i'm in the center of this frame of my coordinates, so i'm a blind spot, so my judgment of my own mental health. just not relevant will be, but i know, but i know yes healthy people. and if you are interested in the criteria for this in addition to age. i think these people are happy. a and a are people who live not only for themselves, they live for other people and for themselves at the same time. and these are people

who do not interfere in another. if they do not interfere, and yet these are people who are filled with creativity is very important, as well, to these here are the paradigms of the existence of a healthy happy person. it's hmm to create something that will outlive his individual biological life, that will go into circulation it will be. a chenille film or a piece of music or a sculpture or some piece of literature doesn't matter what matters what it is, uh, what, it's like that. hmm, it will dissolve into other people. he will. eh, life will give. this is the mental impulse for the existence of other people. so i think that these people are just healthy, i understand correctly, that means, uh a person who feels comfortable. he is psychologically healthy it seems to me, yes, if he is satisfied with his combination, then he,

probably, can be considered healthy. here is another matter. isn't he dangerous here, after all, for society. this is another huge question. well, i didn’t even want to say that the norms of health are pathology. in general, they vary , you should always take this into account that we have our own internal picture of health, and it often does not correspond to this generally accepted one. picture. also, here's how with genetics we can actually eliminate this disability at the prenatal level . yes. but will we create a healthy society in this way? this is also a huge problem for some ladies syndromes, it's just an exclusivity. this is a feature of no relation, not having an unhealthy pathology. and for others, this is already a reason for abortion. it seems to me that it is worth thinking about what it is for us. what this is does not need to be considered mental health. how a given or some kind of stationary thing , in general, health and mental love is a dynamic process that can both

worsen and improve, so it seems to me that it is logical here, so to speak, to divide into some categories. i would actually single out three main ones. the first is mentally ill people, the second is less mentally healthy people. and the third is more mentally healthy people. not at all healthy. well, again, yes, 100% unfortunately in nature, well, we have not met. dear guests, optimists and skeptics, i have a all question. what is the probability that science will defeat schizophrenia in 10 years, son, let's get to you. i think that uh, so 50 percent. this will happen plus or minus, well, 70 percent . i think yes, we will win in 10 years, this sometimes unknown discovery in medicine happens absolutely spontaneously by chance and suddenly the whole picture of the world opens up . everything was so simple, yes, it was enough. i believe in maybe in randomness there can be a pattern, but i remain optimistic optimism

we are positivism. thanks a lot. modern biomedical science, at least from my point of view, but it's not only my point of view that goes completely in the wrong direction and this is just related to the commercialization of the process. we are now, so to speak, we have in russia the domestic schools of psychiatry, the school of psychiatric genetics, we have a historical chance to break out of this vicious circle , to break out, and if we do this, but there is a chance of interest. well, maybe up to 100, if we don’t do it, then 0 percent is more likely to be zero in the middle of 50%. thank you big. although there is a skeptic. well, i would really like to hope that it does, but if it doesn’t win, then let the attitude of the schizophrenia society change and actually change. here is the intensity of stigmatization and such contempt

for even a certain pathology of psychopathology. yes, when people start talking about it. in general, schizophrenia is just that, and the diagnosis that has always caused some kind of interdisciplinary discussion, because we cannot say that it is associated with organic brain lesions, that we cannot say that it is caused by some kind of genetic mutation. that is, here you really need to consider a person in some kind of complex way, so call in specialists from different fields, and it seems to me that if there are more such discussions like this, and the better is the complexity of the situation in relation not only to schizophrenia, but also other diagnoses understanding their understanding of the prognosis. well let's 50%, thank you very much. provided that medicine and society jointly ensure the continuity of care for such people, integrity, namely the biopsycho-social approach, that is, along with

medical. as a matter of fact, pharmacotherapeutic intervention, also psychotherapeutic help and psychological correction, and will provide a social event for the social adaptation of the rehabilitation of these people, their inclusion in society, the removal of this stigmatization, in which society must first of all start itself, then i think that here i will based on this scheme, then those types of what we call schizophrenia can be effectively, if not completely cured, then they can be effectively stopped. suspend. and this is 80%. here such a forecast is 80%. thanks a lot. what is the positive outcome of our today's disco with a probability of 62.5% in 10 years, science will defeat schizophrenia, you know, for me personally

, the discussion turned out to be very useful. firstly, i realized for myself that i am completely in this stigmatization, i am in some cliche attitude of the rustle of schizophrenia and schizophrenics, but in fact, after all, these are people simply deprived of happiness and suffering, and this society treats them aggressively. they are aggressive towards society. it is amazing that, in fact, how it would help us all that people.