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The Application Of Hallucination Management Using The Shutting-Out Technique For The Control Of Auditory Hallucinations In Schizophrenia Patients In The Angruk Ward Of Prof. Dr. Margono Soekarjo General Hospital, Purwokerto. Schizophrenia is a severe mental disorder often accompanied by auditory hallucinations. Auditory hallucinations may cause patients to talk to themselves, appear restless, and experience difficulty in controlling responses to internal stimuli. One non-pharmacological nursing intervention that can be applied is the rebuking technique, a strategy used to firmly reject or dismiss hallucinatory voices. This study aimed to examine the application of the rebuking technique in controlling auditory hallucinations in patients with schizophrenia. This research employed a descriptive case study design using a nursing process approach and was conducted from February 17 to 19, 2026, on a patient diagnosed with schizophrenia experiencing auditory hallucinations. The intervention was implemented over three days, with one session per day lasting approximately 15–20 minutes. The results showed an improvement in the patient’s ability to recognize and control hallucinations, as indicated by a reduction in self-talking behavior, increased awareness of hallucination onset, and the ability to independently apply the rebuking technique. In conclusion, the rebuking technique is an effective nursing intervention to assist patients with schizophrenia in controlling auditory hallucinations.

Schizophrenia is a severe neuropsychiatric disorder that affects approximately 1% of the population, and is characterized by serious impairments in cognition, emotion and social functioning. The MTHFR gene is a key enzyme in folic acid metabolism, which plays an important role in biochemical processes in the body. One of the common genetic polymorphisms in MTHFR is C677T (rs1801133). Relevant articles were searched through an electronic database, Google Scholar, using the keywords “Relationship Between MTHFR C677T Gene and Schizophrenia”. MTHFR C677T can affect homocysteine metabolism, which in turn can affect the production of brain neurotransmitters such as dopamine and serotonin. An imbalance of these neurotransmitters has long been associated with schizophrenia. Environmental factors, such as stress, trauma, and social factors, also play an important role in the development of mental disorders, along with genetic factors such as MTHFR C677T.  

This research examines the Denok Dance as Therapy for Schizophrenia Mental Disorders through a Psychoanalytic Approach at RSJ Prof Dr. Soerojo Magelang. The aim of the research is to find out the form of dance, the method of dance as therapy and the implementation of Denok dance in the media of therapy for patients with the mental disorder Schizophrenia. The research method is a naturalistic qualitative research method. The data collection process includes observation, interview and documentation techniques. The data validity technique used by researchers is triangulation techniques. The researcher used three stages of data analysis, namely data reduction, data presentation, and conclusion drawing. The results of the research show that the therapy method can increase awareness and emotional stimulation in patients with schizophrenia mental disorders.

Introduction: ED (Eating Disorders) is one of the most difficult mental disorders to treat and treat, and the cost is even higher than schizophrenia. Secondary somatic complications due to malnutrition, severe weight loss and low levels of micronutrients. Objective: To determine the effectiveness of a combination of interventions such as Expression Head Massage, Myofacial Release, Neurosenso Komplit, General Massage, Patterning, Play Therapy, Brain Gym, Oral Reflex Stimulation. Method: A single-subject study was conducted on a 22-month-old child with ED. Results: The results of the sensory examination evaluation showed an increase in sensory in the child. Conclusion: A 22-month-old child was diagnosed with Eating Disorder, initially given physiotherapy, the child did not want to eat rice at all, only wanted to drink milk and sometimes the child liked to hit and bite, but after doing routine physiotherapy and home programs, now the child is willing to feed 15 mouthfuls of rice and focus on the child has also begun to exist and the child's balance is increasing.

The most serious and chronic mental disorder is schizophrenia. Schizophrenia sufferers often have limitations that greatly affect the performance of daily activities, one of which is carrying out self-care. Increasing independence from self-care deficit problems can be overcome with non-pharmacological management, one of which is occupational therapy. Occupational therapy intervenes in limitations by seeking greater autonomy of the patient through certain activities. The aim of the case study is to determine the effect of occupational therapy on the patient's level of independence in the intensive care unit. The method used is a case study with a nursing care approach. A case study was conducted at a mental hospital in 2024 involving a 56 year old patient. The instrument used was the Activity of Daily Living questionnaire. Occupational therapy was carried out for 12 days. The results of the study showed that there was an increase in the level of independence in carrying out self-care from a score of 10 to 17 and a decrease in signs of self-care deficit symptoms in patients from 9 to 2. Based on the results, it can be concluded that occupational therapy can increase the level of independence and reduce signs of deficit symptoms patient self-care.  

Mental health problems that are still of concern to mental health practitioners in Indonesia are serious mental disorders, one of the serious mental disorders that we often encounter and treat is schizophrenia (Mashudi, 2021). According to the World Health Organization (WHO, 2022) there are 300 million people worldwide experiencing mental disorders such as depression, bipolar disorder, dementia, including 24 million people who experience schizophrenia. And one of the most common things found in schizophrenia is the risk of violent behavior. Violent behavior is a response to anger that is expressed by making threats, injuring other people and destroying the environment. To reduce the symptoms of violent behavior, appropriate treatment is needed. One of them is carrying out an implementation strategy. People with mental disorders in Sikka Regency, East Nusa Tenggara, especially in the Kopeta Community Health Center working area, also need nursing actions such as implementation strategies to speed up the healing process and clients can become independent. For this reason, research was carried out by implementing an implementation strategy as the main intervention, because so far only treatment and home visits were carried out but not routinely.

Schizophrenia is a serious mental disorder that affects the way an individual thinks, feels, and behaves. Family, as a source of support, is crucial for individuals with schizophrenia as an essential aspect of the recovery process. This support includes overseeing medication intake, providing continuous and optimal care, and empowering individuals with schizophrenia. The issue observed at the Mental Health Clinic of the Regional General Hospital dr. Murjani Sampit is the insufficient family support in accompanying patients for check-ups, leading to many patients experiencing relapses due to inadequate adherence to regular medication intake. This study aims to determine the relationship between family support and medication adherence in patients with schizophrenia at the Mental Health Clinic of RSUD dr. Murjani Sampit. The research design used is correlational with a cross-sectional approach. The instrument used is a questionnaire, and statistical analysis is performed using the Spearman's rho test. The sample consists of family members of patients, totaling 68 individuals. Statistical analysis with Spearman's rho shows a p-value of 0.000, where (α < 0.05), indicating that H1 is accepted, meaning: "There is a relationship between family support and medication adherence in patients with schizophrenia at the Mental Health Clinic of RSUD dr. Murjani Sampit." The conclusion of this study is that family support becomes a significant factor influencing individuals' beliefs and health values, as well as determining the treatment programs they will receive. Families also play a crucial role in providing support and making decisions regarding the treatment of their ill family members.

Background: Hallucinations are false perceptual distortions that occur in maladaptive neurobiological responses, sufferers actually experience sensory distortions as real things and respond accordingly. Hallucination sufferers will find it difficult to distinguish between stimuli that arise from internal sources such as thoughts, feelings, somatic sensations and external impulses and stimuli. According to the World Health Organization 2019 mental disorders around the world, according to data, there are 264 million people experiencing depression, 45 million people suffering from bipolar disorder, 50 million people experiencing dementia, and 20 million people experiencing schizophrenia. In this study, how to see an increase in the ability to control hallucinations by using the AHRS scale used to measure the score of auditory hallucinations Objective: Determine the results of the application of generalist hallucination therapy with increased ability to control hallucinations with hallucinatory sensory perception disorders Method: The application of generalist therapy was carried out using a case study descriptive method to 2 respondents for 2 consecutive days. The instrument used is the Auditory Hallucinations Rating Scale (AHRS). Results: based on the results of the application that has been carried out, there is a decrease in the symptoms of auditory hallucinations in patients, with a comparison of the final results between the two respondents for the level of auditory hallucinations, namely 29:34. Conclusion: Generalist therapy can be used as an intervention to improve the ability to control hallucinations in patients with auditory hallucination psychiatric disorders.

Supportive Group Therapy is a therapy consisting of several people who plan, organize and respond directly to issues and pressures as well as adverse circumstances and is also a significant method of dealing with hallucination problems. Hallucinations experienced by individuals can be caused by precipitation and predisposing factors. The objective of research was to determine supportive group therapy on the ability to overcome hallucinations in schizophrenic clients at RSUD Tombulilato. Quasi-experimental research design with a group pretest – posttest one group design. Sampling used total sampling with 15 respondents. Data collection used an observation sheet with the results, there were 15 (100%) respondents controlling low hallucinations before being given supportive group therapy by 12 (80.0%) respondents and controlling high hallucinations by 3 (20.0%) respondents. After being given supportive group therapy, it controlled low hallucinations by 2 (13.3%) respondents and controlled high hallucinations by 13 (86.7%) respondents. Statistical test results used the paired t-test showed a p-value = 0.000 with ? <0.05, there was a significant influence between the effect of supportive group therapy on the ability to overcome hallucinations in clients with schizophrenia. It is expected the influence of supportive group therapy can improve the ability to deal with patient hallucinations.

Schizophrenia is a mental disorder that can end in the loss of a person's life. In handling this disease because the soul is disturbed, it is needed therapy, rehabilitation and counseling. The greatest effort to deal with mental disorders lies in the family and community, in this case the best therapy is a form of family support in preventing the recurrence of schizophrenia. In people with schizophrenia, there can be physical aspects of increased blood pressure, increased pulse and breathing, anger, irritability, tantrums and can injure themselves. Changes in cognitive, physiological, affective, to behavioral and social functions to cause the risk of violent behavior. This KIAN aims to provide an overview of Mental Nursing Care for Schizophrenic Patients at Risk of Violent Behavior. Violent behavior is a response to stressors faced by a person, this response can cause harm to oneself, others, and the environment. The function of the strategy for implementing violent behavior is to control the emotions of the hallucinations experienced by the client.

Schizophrenia is a neurological disease that affects the person's perception, thinking, language, emotional, and social behavior of a person. One of the symptoms of schizophrenia is hallucinations. Hallucination is a lost person's ability in distinguishing the stimulation from the outside or from within. The results of a survey obtained from RSJD Dr. Amino Gndohutomo central java province of hallucinations is the most common problem that is reaching 2.398 inhabitants. One of the efforts to deal with the hallucination is scolded. Scolded is an effort that can be done to control his hallucinations by way of rejecting the hallucinations that arise. The purpose of this case study to find out the decrease in the score of the hallucinations of schizophrenia patients have heard before and after the therapy done and scolded. This research uses descriptive analysis type by using the method of approach to the case studies. The subjects used are 2 subjects with impaired auditory hallucinations. The results showed there is a difference between before and after the therapy is carried out on the subject I from 42 became 37, and subject II from 39 became 30. It can be concluded that the result of this study indicate that scolded therapy able to reduce the level of hallucinations in schizophreia patients, therefore if done with a routine then the level of hallucination will come down and help the healing process.