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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 chronic mental disorder that requires long-term medication adherence to prevent relapse and improve patients’ quality of life. Caregivers play a crucial role in encouraging medication adherence through emotional, informational, instrumental, and supervisory support. This descriptive quantitative study with a cross-sectional design aimed to describe caregiver support and medication adherence among schizophrenia patients at the South Denpasar Public Health Center. A total of 100 respondents, who were family members or caregivers of schizophrenia patients, were selected using a consecutive sampling technique. Data were collected through structured interviews using questionnaires and analyzed descriptively. The results showed that most caregivers provided good support (63%), particularly in accompanying patients during medication intake, actively interacting with them, and following health workers’ recommendations. Furthermore, patients’ medication adherence was mostly in the moderate (45%) and good (35%) categories. These findings indicate that caregiver support plays a significant role in improving medication adherence among schizophrenia patients. Strengthening caregiver knowledge and optimizing health education by healthcare workers are essential to further enhance adherence.

Long-term treatment adherence is critical for schizophrenia patients, yet non-adherence remains a significant global challenge, contributing to relapse, re-hospitalization, and increased healthcare costs. Understanding the underlying multidimensional factors is crucial for developing effective interventions. This systematic literature review aims to identify and categorize the dominant factors contributing to medication non-adherence among schizophrenia patients, based on current quantitative evidence (2019-2024). A systematic search of Google Scholar and PubMed targeted quantitative cross-sectional studies using the PICOST framework. Article selection followed PRISMA guidelines, and quality was assessed using the JBI Critical Appraisal Checklist. Seven articles were included in the final narrative synthesis. The synthesis confirms that non-adherence is multifactorial. Identified factors were categorized into three groups: (1) Patient-related factors (e.g., poor illness insight, feeling cured, treatment fatigue); (2) Treatment-related factors (e.g., medication side effects, therapy duration); and (3) System and social factors (e.g., low family support, stigma, poor therapeutic alliance). Non-adherence is a complex issue arising from the interplay of patient, treatment, and social factors. Low family support and poor patient knowledge consistently emerge as key determinants. Interventions require a holistic approach extending beyond pharmacotherapy, focusing on comprehensive psychosocial education for patients and families, active side-effect management, and strengthening the family's role in care.

Schizophrenia is a serious mental illness that requires long-term treatment and carries a high risk of recurrence. The recovery process for patients relies not only on medical intervention, but also requires optimal involvement and support from their families. The presence of a supportive family is believed to strengthen patient motivation and contribute positively to their psychological well-being. This study aims to identify the relationship between family support and relapse rates in schizophrenia patients undergoing treatment at the Aceh Mental Hospital Polyclinic. This study uses a correlational design with a Cross-Sectional method. Through Accidental Sampling, 114 samples were selected from a population of 3,233 individuals. Data collection took place between April 14 and 28, 2025, using a questionnaire focused on family support and relapse rates. To analyze the relationship between the two variables, a Chi-Square statistical test was applied. The main findings of the study show that aspects of family support in general (p=0.000), informational support (p=0.000), appreciative support (p=0.000), instrumental support (p=0.001), and emotional support (p=0.002) are correlated with the recurrence rate of patients. Based on the analysis of the results, it can be concluded that there is a correlation between family support and the recurrence of schizophrenia patients at the Aceh Mental Hospital Polyclinic. The practical implications of this research are expected to serve as a reference for the families of schizophrenia patients to increase their understanding and activity in providing support, including consulting with mental health professionals as an effort to prevent possible recurrence.

Schizophrenia is a severe mental disorder characterized by a decline in cognitive abilities and social skills, an inability to care for oneself, and potential brain function impairment. One of the consequences often observed in schizophrenia patients is social isolation, where the individual is unable to interact with others around them. This study aims to assess and provide psychiatric nursing care for Sdr. A, who is experiencing the primary issue of social isolation: withdrawal due to paranoid schizophrenia at the Gatotkaca ward of RSJD dr. Gondohutomo in Central Java Province. Initial assessment of the patient revealed that Sdr. A is experiencing social isolation, particularly withdrawal from their social environment. Four nursing problems were identified, including social isolation: withdrawal, low self-esteem, sensory perception disturbances such as hallucinations, and self-care deficits. A nursing care plan was developed based on the Indonesian Nursing Diagnosis Standard , Indonesian Nursing Service Standard, and Indonesian Nursing Information System , tailored to the patient's condition at the time. The care plan includes interventions to enhance social interaction, improve self-esteem, address sensory perception disturbances, and promote self-care abilities. The nursing implementation was carried out using a holistic approach involving psychosocial support and appropriate medical therapy based on the patient’s needs. It is expected that through this approach, the patient can reduce social isolation symptoms and improve their quality of life. This study emphasizes the important role of psychiatric nursing care in addressing social issues in patients with paranoid schizophrenia and how a structured nursing care plan can support patient recovery.

Criminal liability, also known as "criminal responsibility," is a legal assessment that is made after all elements of a criminal act are met or evidence of a criminal act is proven. The purpose of this assessment is to determine whether the defendant can be held accountable for the criminal act committed. This study specifically focuses on criminal liability for the perpetrator of murder who is a person with paranoid schizophrenia, as well as the factors that influence the act of murder. The approaches used in this study are normative juridical and empirical juridical juridical The research involved the Judge of the Gedong Tataan District Court and a Psychiatrist at the Regional Psychiatric Hospital of the University of Lampung as the main speakers. Data collection was carried out through literature studies and field studies to obtain a comprehensive picture related to the legal, medical, psychological, and social aspects of the case being studied. The results of the study show that the defendant, even though it is legally proven that he committed a criminal act as stated in Decision No. 105/Pid.B/2023/PN.Gdt, is bound by the provisions of Article 5 letter a juncto Article 44 Paragraph (3) of Law Number 23 of 2004 concerning the elimination of domestic violence. However, based on judicial, medical, and psychological considerations, the defendant cannot be criminally held liable for his actions for excused reasons related to mental disorders. Factors that affect this act of murder include psychological aspects, psychological conditions, mental health, traumatic experiences, and the social and family environment in which the perpetrator grew up. The analysis shows the importance of an integrative understanding between criminal law, psychiatry, and social conditions in determining criminal liability.

Adolescents living in families where a parent has schizophrenia are at risk of experiencing significant psychological distress. This study aims to gain an in-depth understanding of the subjective experiences of a teenage boy in dealing with the psychological burden of having a mother with schizophrenia. The research employed a qualitative approach with a phenomenological method and utilized Interpretative Phenomenological Analysis (IPA) for data analysis. The participant in this study was a 16-year-old male adolescent who lives with his mother diagnosed with a chronic mental illness. The findings reveal that the subject experienced psychological burden in both objective forms, such as caregiving duties and domestic responsibilities, and subjective forms, including feelings of shame, anxiety, limited social interaction, and emotional conflict. Despite these challenges, the subject developed adaptive coping strategies through social engagement, sports activities, and support from peers and the surrounding environment. These findings highlight the psychological dynamics faced by adolescents in families affected by mental disorders and emphasize the importance of experience-based approaches in psychological intervention efforts.

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.  

Hubungan antara Resiliensi dan Stigma keluarga sangat penting terhadap kekambuhan pasien skizofrenia karena penderita skizofrenia sering kali mengalami kesulitan dalam bersosialisasi, yang diartikan sebagai kemampuan untuk membentuk hubungan kooperatif dan saling bergantung dengan orang lain.Tujuan dari penelitian ini untuk mengetahui hubungan antara resiliensi dan stigma keluarga terhadap kekambuhan pasien skizofrenia di Poliklinik Rumah Sakit jiwa Daerah dr.Samsi Jacobalis Provinsi Kepulauan Bangka Belitung Tahun 2024. Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah keluarga orang dengan gangguan jiwa yang tercatat dan terdaftar berkunjung di Poliklinik Rumah Sakit Jiwa Daerah dr.Samsi Jacobalis Provinsi Kepulauan Bangka Belitung sebanyak 58 orang. Analisa data menggunakan uji chi square dengan derajat kepercayaan 95%. Hasil penelitian ini didapatkan nilai p-value= 0,028, pada variabel resiliensi, dan untuk nilai p-value = 0,001, pada variabel stigma. Disimpulkan ada hubungan resiliensi dan stigma keluarga terhadap kekambuhan pasien skizofrenia di Poliklinik Rumah Sakit Jiwa Daerah dr.Samsi Jacobalis Provinsi Kepulauan Bangka Belitung Tahun 2024.Saran dari penelitian ini adalah diharapkan hasil penelitian ini digunakan sebagai literatur dan acuan untuk meningkatkan penyuluhan kepada masyarakat tentang pentingnya stigma keluarga dan resiliensi terhadap kekambuhan pasien skizofrenia.  

Skizofrenia merupakan suatu psikosa fungsional dengan gangguan utama pada proses pikir disertai distorsi terutama karena waham dan halusinasi. Untuk meminimalkan gejala halusinasi maka dibutuhkan penatalaksanaan seperti pemberian terapi okupasi menanam sehingga pasien tidak terfokus dengan halusinasinya. Tujuan penelitian ini untuk mengetahui pengaruh terapi okupasi menanam terhadap perubahan halusinasi pada pasien skizofrenia. Penelitian ini yaitu pre-experimental dengan pendekatan one group pretest posttest design. Populasi adalah seluruh pasien skizofrenia sebanyak 177 orang. Teknik pengambilan sampel menggunakan metode purposive sampling, sehingga jumlah sampel sebanyak 15 orang. Hasil penelitian menunjukkan bahwa dari 15 responden sebagian besar perubahan halusinasi sebelum diberikan terapi okupasi menanam (pretest) yaitu kategori sedang sebanyak 8 responden (53,3%) dan setelah diberikan terapi okupasi menanam (posttest) yaitu kategori ringan sebanyak 13 responden (86,7%). Kemudian dari hasil uji stastistik uji parametik didapatkan p-value = 0,000. Kesimpulan penelitian ini yaitu ada peingaruih sebelum dan sesudah terapi okupasi menanam terhadap perubahan halusinasi pada pasien skizofrenia.

Schizophrenia is a syndrome characterized by a disturbance in an individual's behavior that makes the individual's behavior strange. Individuals will also experience delusions, hallucinations and emotions. This study aims to analyze the expression of emotions of families who have family members with schizophrenia. Then also to find out the dynamics and impact on the family. This research is a qualitative research with literature review method by collecting and analyzing relevant articles published from 2014-2024. The form of article collection uses the Google Scholar database. Based on the source of the article, the results obtained show that the emotional expression of the family of schizophrenia patients can affect the frequency of relapse in patients. High emotional expression in patients such as excessive criticism and hostile behavior can cause intense relapse in patients. While low emotional expression and providing more support to patients can reduce the frequency of relapse and improve the recovery process in schizophrenia patients. This study focuses on the importance of emotional management in families and providing more support as an effort to care for schizophrenic patients

Psychopathology, especially mental disorders in Indonesia that are not treated properly can potentially increase the risk of criminal acts by people with mental disorders. This qualitative case study examines the case of child homicide by a mother diagnosed with schizophrenia, revealing the complexity of the interactions between mental disorders and environmental factors. This research emphasizes the role of forensic psychopathology in understanding the relationship between mental disorders and criminal behavior. Schizophrenia, as a serious mental disorder can increase the risk of criminal behavior, especially if adequate treatment is not provided. Symptoms of schizophrenia include delusions and hallucinations which affect emotional control and lead to criminal acts. Social stigma and lack of family awareness of mental disorders worsen the situation. In addition, this research highlights the urgency of increasing awareness and access to mental health services to prevent similar incidents.

Schizophrenia is a chronic mental disorder known for unclear thoughts, strange behavior and unreal sensory experiences that affect a person's thinking, feeling and acting and can make it difficult to distinguish between what is real and what is not. Patients with schizophrenia who experience delusions often feel angry and may be violent towards people they believe have hurt them. Uncontrolled anger in patients with schizophrenia will cause the risk of violent behavior (Auliati & Lubis, 2023; Wulandari et al., 2024).    

This article is a review of Noviyana Prasati's research on Intervention in patients with Schizophrenia with Auditory Hallucinations who are treated in 2023. Schizophrenia is a psychiatric disorder when a person has difficulty thinking causing hallucinations. Schizophrenia can be cured but it takes a long time with the support of family, people around and education. Hallucinations are caused by a change in the perception of a person due to a stimulus that actually does not exist or something that actually does not happen. This study uses qualitative and quantitative methods and the author uses the literature review method. The result of this study is that the patient experiences auditory hallucinations caused by a small patient who has broken home and the patient fails to marry.

The stigma against schizophrenia is still a major challenge in efforts to increase public understanding and support for individuals who experience this disorder. Psychoeducation through mass media, such as radio broadcasts, has been proven effective in reducing stigma and increasing knowledge about schizophrenia. Psychoeducational outreach through radio mass media is an effective strategy to increase public understanding about schizophrenia. This research aims to explore the potential of radio as a means of disseminating accurate and educational information about schizophrenia. The research methods used were interviews with psychiatric experts and radio producers, as well as content analysis of existing radio programs. Findings suggest that through a creative and structured approach, radio can be an effective platform for conveying information about symptoms, treatment, and support to individuals experiencing schizophrenia and their families. Psychoeducational outreach via radio can play an important role in reducing stigma, increasing awareness, and promoting social support for individuals with schizophrenia.

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.  

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: Schizophrenia is a disease that affects various areas of individual functioning, including thinking, communicating, receiving, interpreting reality, feeling, and showing emotions. Based on data from 32% of schizophrenics who commit acts of violence, and 16% of violent behavior towards clients results in death. One of the treatments that can be done is Sensory Stimulation therapy which is an effort to stimulate all the five senses (sensory) in order to provide an adequate response so as to increase the ability to control violent behavior in schizophrenic patients. schizophrenia Method: applying sensory stimulation therapy applied to 2 patients in the form of a case study. Results: The results showed that there was an increase in the patient's ability to control violent behavior which resulted in an increase in the score of the ability to control angry behavior by 10 and 9 points. Conclusion: Based on the data generated by the two patients, after the sensory stimulation therapy strategy was carried out, the risk of violent behavior decreased. With different amounts but with the same treatment.

Background: Skizofrenia is a mental disorder where the prevalence is actually small, affecting about 1% of the world's population. In Central Java alone, there are 8.7% of the population who have schizophrenia, this is one of the fifth highest number of professions. Planting occupational therapy aims to minimize the patient's interaction with his unreal world, bring out thoughts, feelings, or emotions that have influenced unconscious behavior, provide joy, entertainment, and distract the patient from the hallucinations he is experiencing so that the patient's mind is not focused on his special hallucinations. in patients with auditory hallucinations (Yuniar N.S et al., 2019). Objective: To find out the results of the implementation of the application of occupancy therapy to control the level of hallucinations. Method: The method used in this application is descriptive with a case study research design totaling 2 respondents, the research instrument is the AHRS questionnaire observation sheet. Findings Before being given occupational therapy, Mrs. G was planted in the category of moderate hallucinations and Mrs. M was in the category of severe hallucinations. After being given occupational therapy, planting for 6 times, Mrs. G was in the category of mild hallucinations and Mrs. M was in the category of moderate hallucinations. Implication:  Planting Occupational Therapy has an effect on controlling the level of hallucinations in patients with auditory hallucinations.

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.