<![CDATA[Hebephrenic schizophrenia is characterized by disorganized behavior, a tendency toward flat affect, and actions that appear to lack a clear purpose. Complicated grief and insecure attachment have been linked to psychotic symptoms; however, qualitative research examining the experiences of individuals with a history of repeated losses of significant figures remains very limited. This study aims to understand how complicated grief emerges following the repeated loss of attachment figures and how such experiences may serve as a triggering factor for hebephrenic schizophrenia. A qualitative approach with a case study design was employed, focusing on a man in his 40s receiving treatment at a psychiatric hospital in East Java. Data were collected through in-depth interviews with the subject and those close to him, as well as through observations and an analysis of medical records. The data were then analyzed using a thematic approach and validated through triangulation. The findings indicate that the subject experienced the loss of attachment figures beginning in childhood and tended to suppress his emotions rather than expressing his grief directly. Relapses occurred following subsequent losses or interpersonal conflicts. Viewed through the lens of Freudian psychoanalysis, this pattern can be understood as a process of recurring repression, in which the grieving process resembles "melancholia" rather than a completed, resolved state of "mourning." Thus, complicated grief appears to be a contributing trigger, alongside non-adherence to medical treatment.]]>
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