... client, and have as far as possible attempted to respect and incorporate their views and opinions. Confidentiality has been maintained at all times in deference to the NMC Code of Professional Conduct (2002). The Client The client is a forty-two year old male with a diagnosis of schizophrenia. Schizophrenia is a condition characterised by both positive and negative symptoms. Positive symptoms include delusions, hallucinations, disorganised speech/thought, and grossly disorganised behaviour. Negative symptoms include affective flattening, alogia and avolition (Fortinash & Holoday Worret 2003). The DSM IV Diagnostic criteria for Schizophrenia states that two (or more) of the above must be present for a 'significant period of time' during a one month period for a diagnosis to be made. The client under study experiences auditory hallucinations, hearing both benevolent and malevolent voices at differing times, and possesses little insight into the nature of his condition, 'I'm not ill it's just chemicals in my ...

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