7 - Psychosis

Question 1

What are the types of symptoms associated with schizophrenia?

Answer 1

Positive
Negative
Cognitive

Question 2

What are the positive (psychotic) symptoms associated with schizophrenia?

Answer 2

Delusions
Hallucinations
Disorganised speech
Disorganised behaviour
Catatonic behaviour

Question 3

What are the negative symptoms associated with schizophrenia?

Answer 3

Flat affect - inappropriate response
Alogia - poverty of speech
Avolition - decreased motivation

Question 4

What are the cognitive symptoms associated with schizophrenia?

Answer 4

Memory
Learning
Understanding

Subtle; difficult to notice

Question 5

What are the phases associated with schizophrenia?

Answer 5

Prodromal
Active
Residual

Question 6

What is required for diagnosis of schizophrenia?

Answer 6

Two of:
Delusions, hallucinations, disorganised speech (at least one),
disorganised/catatonic behaviour, and negative symptoms

Ongoing for 2 months, active for 1 month

Not another condition

Question 7

What are some critiques of the diagnosis of schizophrenia?

Answer 7

Socially constructed artefact
Lacking validity and reliability
Pathologises experiences

Question 8

What forms the content of voices and delusions in schizophrenia?

Answer 8

Misplacement of own cognitions

Pre-existing fundmental life concerns
Significant life experiences
Core beliefs, perception of self, others and the world
Current circumstances, worries, anxieties, etc

Question 9

What does the revised CBTp treatment outline consist of?

Answer 9

1. Assessment and formulation
2. Psychoeducation
3. Cognitive restructuring of delusional appraisals of voices and/or external events
4. Behavioural intervention and coping skills practice
5. Self-management planning (relapse prevention, staying well planning)
6. Outcome evaluation