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PSY 366 > Ch 12 schizophrenia > Flashcards

Ch 12 schizophrenia Flashcards

1
Q

what is psychosis

A

loss of contact with reality

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2
Q

prevalence of schizophrenia

A

1 in 100 people, men and women are equal

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3
Q

positive symptoms

A

delusions, disordered thinking, inappropriate affect, and hallucinations

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4
Q

delusions

A

beliefs that are not rooted in reality

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5
Q

disordered thinking

A

derailment, word salad, neologisms, preservation, clang

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6
Q

inappropriate affect

A

not able to read someones mood

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7
Q

hallucinations

A

unreal perceptual experiences

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8
Q

auditory hallucinations

A

hearing

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9
Q

tactile hallucinations

A

touch

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10
Q

somatic hallucinations

A

inside body

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11
Q

olfactory

A

smell

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12
Q

gustatory

A

taste

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13
Q

delusions of persecution

A

they want to hurt me

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14
Q

delusions of grandeur

A

i am god/ invincible

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15
Q

delusions of reference

A

false beliefs that random occurrences affect the person

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16
Q

delusions of control

A

someone/something is controlling my thoughts

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17
Q

alogia

A

reduction or absence of speech

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18
Q

flat affect

A

reduction or absence of emotional responses to their environment

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19
Q

anhedonia

A

loss of pleasure

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20
Q

avolition

A

lack of motivation

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21
Q

negative symptoms

A

alogia, flat affect, anhedonia, avolition, social withdrawal

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22
Q

psychomotor symptoms

A

catatonic stupor, catatonic rigidity, catatonic posturing, catatonic excitement

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23
Q

catatonic stupor

A

motionless and silent

24
Q

catatonic rigidity

A

upright posture

25
Q

catatonic posturing

A

odd postures

26
Q

catatonic excitement

A

waving arms and legs

27
Q

brief psychotic disorder

A

less than 1 month

28
Q

schizophreniform

A

1 to 6 months

29
Q

schizophrenia

A

6+ months

30
Q

schizoaffective

A

schizophrenia plus a depressive or manic episode

31
Q

delusional disorder

A

non-bizarre delusions lasting more than a month

32
Q

shared psychotic disorder

A

AKA folie a deux, delusion develops from a relationship with another person who has the delusion

33
Q

type I

A

positive symptoms, 80%

34
Q

type II

A

negative symptoms, 20%

35
Q

genetic studies

A

identical twin studies 48%, fraternal 17%, adoption studies, chromosome defects

36
Q

dopamine hypothesis

A

schizophrenia results from excessive activity of dopamine

37
Q

dopamine hypothesis support

A

-taking too much L-dopa produces schizophrenia symptoms
-removing dopamine reduces symptoms
-amphetamine psychosis

38
Q

dopamine hypothesis challenges

A

second-generation antipsychotics block other neurotransmitter receptors suggesting not just dopamine is the issue

39
Q

abnormal brain structures

A

enlarged ventricles (fluid-filled cavities)

40
Q

brain circuits

A

abnormal high/low interconnectivity in:
prefrontal cortex-hippocampus-amygdala-thalamus-striatum-substania-nigra
PHAT SSN

41
Q

viral exposure

A

born in late winter which means exposure to flu season as an infant or fetus

42
Q

expressed emotion

A

families who are overinvolved, over protective and critical

43
Q

traditional antipsychotic

A

treat positive symptoms but not negative

44
Q

traditional antipsychotic side effects

A

sedation, constipation, extrapyramidal, tardive dyskinesia, neuroleptic malignant syndrome

45
Q

tardive dyskinesia

A

involuntary face and mouth movements

46
Q

neuroleptic malignant syndrome

A

life-threatening reaction to anti-psychotics

47
Q

atypical antipsychotics

A

helps with positive and negative symptoms, fewer extrapyramidal side effects and less tardive dyskinesia

48
Q

atypical antipsychotics side effects

A

agranulocytosis-life threatening change in white blood cells
modest change in quality of life

49
Q

cognitive therapy

A

recognize and challenge delusions and hallucinations, view them as symptoms and not reality

50
Q

behavioral therapy

A

operant conditioning, modeling, token economies

51
Q

social interventions

A

increase effective social support, support groups, learn problem-solving

52
Q

family therapies

A

provide psycho-education plus help families learn how to be more supportive with less expressed emotion

53
Q

assertive community treatment programs

A

comprehensive monitoring, support, and treatment

54
Q

key features of effective community care

A
  • coordination of patient service
    -short-term hospitalization
    -partial hospitalization
    -supervised residences
    -occupational training
55
Q

problems with effective community care

A

-poor coordination of services
-shortage of services

56
Q

solutions to problems with effective community care

A

case managers and more funds

PSY 366 (4 decks)

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