CH. 15 Schizophrenia Flashcards
Schizophrenia causes disturbances in
Thought Processes
Perception
Affect
Psychosis
severe mental condition in which there is disorganization of the personality, deterioration in social function, and loss of contact with, or distortion of, reality.
Schizophrenia translates to
split mind
Phases of Schizophrenia
Premorbid
Prodromal
Schizophrenia
Residual
Phase I: Premorbid Phase
Social maladjustment Antagonistic thoughts and behavior Shy and withdrawn Poor peer relationships Doing poorly in school Antisocial behavior
Phase II: Prodromal
Lasts from a few weeks to a few years
Deterioration in role functioning and social withdrawal
Substantial functional impairment
Sleep disturbance, anxiety, irritability
Depressed mood, poor concentration, fatigue
Perceptual abnormalities, ideas of reference, and suspiciousness herald onset of psychosis
Phase III: Schizophrenia
In the active phase of the disorder, psychotic symptoms are prominent.
Delusions
Hallucinations
Impairment in work, social relations, and self-care
Phase IV: Residual
Symptoms similar to those of the prodromal phase.
Flat affect and impairment in role functioning are prominent.
get them bak to their pre-psychotic phase
Delusion
false belief
Prognosis of Schizophrenia
a return to full premorbid functioning is not common
factors of a positive prognosis of schizophrenia
old age female abrupt onset of stressful event family history Hallucinations under controll
biochemical influence of schizophrenia
excess of dopamine
Schizophrenia is a chemical imbalance in the brain that
alters perception of reality
Schizophrenia requires treatment that is
comprehensive and presented in a multidisciplinary effort.
long term
Of all mental illnesses, schizophrenia probably causes more
Lengthy hospitalizations
Chaos in family life
Exorbitant costs to people and governments
Fears
Delusional disorder
The existence of prominent, nonbizarre delusions
Erotomanic type
The individual believes that someone, usually of a higher status, is in love with him or her
Grandiose Type
You think you have friends + yourself in high places
Jealous Type
you think your partner is unfaithful
Persecutory Type
individuals believe they are being persecuted or malevolently treated in some way. Frequent themes include being plotted against, cheated or defrauded, followed and spied on, poisoned, or drugged
Somatic Type
believe they have some type of general medical condition.
Mixed Type
no single theme is predominant.
Brief psychotic disorder
Lasts at least a day but lasts less than 1 month
sudden onset of symptoms
Substance-induced psychotic disorder
The presence of prominent hallucinations and delusions that are judged to be directly attributable to substance intoxication or withdrawal
Psychotic disorder associated with another medical condition
Prominent hallucinations and delusions are directly attributable to a general medical condition.
catatonic disorder
Stupor and muscle rigidity or excessive, purposeless motor activity
Waxy flexibility, negativism, echolalia, echopraxia
Schizophreniform disorder
same symptoms as schizophrenia but duration of at least 1 month but less than 6 months
Schizoaffective disorder
associated with the mood disorders either mania or depression
Positive symptoms
tend to reflect an alteration or distortion of normal mental functions. Positive symptoms are associated with normal brain structures on computed tomography scan and relatively good responses to treatment.
Content of thought (positive symptoms )
Delusions
Religiosity
Paranoia
Magical thinking
delusions
False personal beliefs
religiosity
Excessive demonstration of obsession with religious ideas and behavior
paranoia
Extreme suspiciousness of others
magical thinking
Ideas that one’s thoughts or behaviors have control over specific situations