Dramatic / Romantic Movies

"A Beautiful Mind" - Historic and Authentic

Executive director Richard C. Birkel of the National Alliance for the Mentally Ill (NAMI) is already calling A Beautiful Mind a winner.

"A Beautiful Mind is a breakthrough of historic proportions. It is authentic. Although John Nash's story has been fictionalized, with some edges smoothed over, the essential portrayal is realistic. For our community, it hits home. It speaks many truths.  Director Ron Howard, actor Russell Crowe and screenwriter Akiva Goldsman deserve prizes for bridging the gap between entertainment and broad public education about schizophrenia-an illness which is too often misunderstood and marked by stigma in popular culture."

Xavier Amador, Ph.D., Director of NAMI's Center on Education, Research & Practice said: "The experience of having schizophrenia is nearly impossible for the average person to grasp. Understanding what is it like to believe that something is happening to you, when in fact it is not, is nearly impossible unless you personally know someone with this brain disorder. But not any more. This film takes you inside the mind of someone battling to separate reality from delusion. This is no small feat. The positive impact of A Beautiful Mind for people with severe and persistent brain disorders, and for society as a whole, will go far beyond what the filmmakers could ever have imagined."

Amador believes the movie's telling of the story of John Nash's recovery dispels many myths about schizophrenia and communicates important truths, such as:

  • Whenever people with schizophrenia are treated with dignity and respect recovery is optimized.

  • Many people with schizophrenia suffer from poor insight, or anosognosia, a symptom of the illness that understandably either delays their getting help or keeps them out of treatment all together.

  • The vital role of medication in treating the symptoms of schizophrenia and the risks of discontinuing medication. (In the movie, Nash's delusions and hallucinations return with a vengeance when he stops taking medication. Later, he takes newer medications, even though he continues to see-but ignore-hallucinations).

  • The vital role that social supports and tolerance plays in recovery and especially in regaining the capacity to work productively.

  • That there is good reason to have faith and hope. Alicia Nash (Jennifer Connelly) in the movie proclaims, "I need to believe that something extraordinary is possible." For many families today, extraordinary things are happening when access to state-of-the-art care is available. And the hope continues to be that scientific research will find a cure for schizophrenia.

  • The value of community reintegration: what Nash (Russell Crowe) in the movie calls "fitting in, being part of a community, a certain level of attachment to familiar places" when he asks for permission to "hang around" Princeton University's library and math department.

  • The tremendously positive impact employers: e.g., Princeton University can have when they go the extra mile to find a way to utilize the talents of persons with serious mental illness.

  • The effectiveness of the strategies used in cognitive therapy: or what Nash what calls "a diet of the mind," disciplining himself to ignore hallucinations and not to "indulge" certain habitats, enthusiasms, nightmares or dreams.

  • Schizophrenia is an "equal opportunity" disorder: you can be brilliant and have schizophrenia.

"There is hope that we can cure schizophrenia, but we're not there yet" Amador said. "But we have made monumental advances in the last two decades in helping people live productive and meaningful lives. State-of-the-art treatments and services are not as widely available as they should be - not by a long shot. If they were, we would see many more 'beautiful minds' freed from the prisons created by untreated illness, stigma and ignorance."


Understanding Schizophrenia

There is no known single cause of schizophrenia, although research is focused on several factors believed to contribute to its development, including genetics (heredity), chemical imbalance, and complications during pregnancy and birth. Schizophrenia is known to run in families, and people who have a close relative with schizophrenia are more likely to develop this illness.
 
Most people with schizophrenia are not diagnosed until a serious event or crisis happens. Diagnosis of schizophrenia is complex and can change over time as symptoms change.  A doctor may consider the following:

  • The types of symptoms

  • How severe the symptoms are

  • How long the symptoms have persisted

  • What life was like before the symptoms appeared

  • If medications have been used to treat the symptoms

  • If so:

    • Did the symptoms improve?

    • If the symptoms improved, how soon after treatment began?

    • Did any of the symptoms disappear completely?

A doctor may use blood tests and brain scans to eliminate other possible causes of the symptoms. Tests to identify alcohol or street drugs in your body are also used because these substances can cause symptoms that resemble schizophrenia or can make symptoms of schizophrenia worse.

Positive symptoms refer to thoughts, beliefs, and sensations that other people do not experience. Hallucinations, which are disturbances of perception, are examples of positive symptoms. Hearing voices that others do not hear is the most common type of hallucination in schizophrenia. Delusions, which are false, irrational beliefs not based in reality, are another form of positive symptom. Paranoid delusions, delusions of grandeur, and a belief that someone or something is controlling the patient’s thinking or behavior are all examples of delusions. Negative symptoms may be described as social withdrawal and a lack of energy or motivation to do the things the patient used to do when he was well. This type of symptom may be hard to explain to other people. Cognitive symptoms refer to problems with learning and concentration. It may be harder to concentrate on simple things, or it may be hard to learn new information the first time, like getting directions to a new place.

Use the Directed Reading Guide to begin exploring information concerning schizophrenia in the article, "A Troubled Mind……." (Newsbank, "A Trouble Mind, What it’s really like to live with schizophrenia," by Nancy Shute). Use the information you have gathered from the article and past knowledge to develop a working definition of schizophrenia and its symptoms.

Begin the movie Using the Two-Column Note method and list the symptoms, social ramifications, and possible dangerous actions that John Nash displays in the film A Beautiful Mind. Discuss the historical treatment of schizophrenics and whether it has been shown to be effective.

  • Was insulin shock therapy a viable clinical treatment?

  • Was John Nash an unusual case, or do you think that many schizophrenic patients can be taught to function in society with without medication?

  • What are the dangers and/or advantages of this type of treatment?

  • What is the difference between the treatment of schizophrenia in 1960-1970 and today?

  • What treatments are being pioneered today for schizophrenia?

 


SOURCE National Alliance for the Mentally Ill

/CONTACT: Bob Carolla or Anne Marie Chace, both of the National Alliance for the Mentally Ill, +1-703-524-7600/ /Web site: http://www.nami.org/

<< Copyright ©2002 PR Newswire >>