Ch 13 Flashcards
What did Kraeplin do?
Built on Haslam, Pinel, and Morel
Seperated catatonia, hebephrenia and paranoia (catagirized under dementia praecox)
Distinguised these disorders from BD
Who introduced the term schizophrenia?
Eugen Bleuler
Catatonia
Disorder of movement, immobility or excited agitation
Hebephrenia
immature emotionality
Paranoia
Delusions of grandeur or presecution
Schizo phrenia
Split mind
Associtive splitting
Seperation of human personality (cognition, emotion, and perception)
J. haslam
Wrote Observations on Madness and Melancholy, described symptomd
P.P
Described cases of schizophrenia
B. Morel
Used Latin words
Psychotic behavior
Hallucinations and loss of touch with reality
Positive symptoms
Distorted reality, hallucinations and delusions
Negative symptoms
Deficit in speech, emotions, and motivation
Disorganized symptoms
Rambling, erratic behavior, inappropriate emotion display
What is required for a schizophrenia diagnosis?
Two or more symptoms present for at least one month
Also 0 to 4 dimensional scale
What percent of people w szoa experience hallucinations? Delusions?
60 to 80, 70
Capgras syndrome
The belief that someone close to them has been replaced by a double
Cotards syndrome
They belivee they themselves are dead
Motivational view of delusions
These beliefs help with the stress of the world
Defecit view
Cause by brain dysfunction
What hallucinations are mist common here?
Auditory, 70%
SPECT was used to discover that the … area was most active during hallucinations
Brocas, speech production part of brain
Supports tehory that they are listening to their own thoughts
Wernicks area
Hearing
Negative symptoms are experienced by … of people
60
Avolition
Inability of persist in important activities
Alogia
Absense of speech
Anhedonia
Lack of pleasure
What other ngative symptoms remain?
Asociality, affective flattening
Catatonic immobility
Motionless, no bands
3 subtypes of schizophrenia
Paranoids , disorganized, catatonic
No longer used, it is now dimensional
Schizophreniform disorder
Symptoms only lasting 6 months
Schizoaffective
Symptoms of szoa and major mood disorder
Delulu disorder
Persistent belief that is opposite to reality, but no other symptoms of szoa
Delusional subtypes
erotomanic, grandiose, jealous, persecutory, and somatic
Shared psychotic disorder
Bluetooh transmitted delusion to your friends
Delusional disorder is..
Rare with late onset, affects more women than men
How do most people follow a course for developing sczoa?
Prodromal stage, 85%
Behaviors start ti appear for a year and then become more serious
Treatment of schizophrenia
Neuroleptic drugs and psychosocial treatment
What category of symptoms do neuroleptics help with the most?
Positive
What neurotransmitters do nueroleptics impact?
Dopamine, serotonergic, and glutamate
Antisychotics (neuroleptics) side effects
grogginess, blurred vision, and dryness of the mouth, akinesia, involuntary tongue movement and other oarts if face (this is iften irreversable)
Treatment used to treat hallucinations
Transcranial magnetic stimulation
How are psychosocial treatments used for szcoa patients?
Teach social skills, how to adapt to their disorder