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ch 4 text Flashcards

1
Q

bizarre behavior

A

outlandish appearance, odd manerisms

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2
Q

inappropriate emotions

A

laughing at the wrong time

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3
Q

who first described schizo

A

john haslam at londons bethlehem hospital and philippe pinel

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4
Q

who termed shizophrenia

A

Eugen Bleuler
to mean split mind

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5
Q

postitive symptoms of schizo

A

distortions that produce excess behaviors like hallucinations, delusions, bizzare behavior, confusion, disorganized speech

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6
Q

negative symptoms of shcizo

A

diminution of normal function like
apathy, flat emotions, lack of self care, social withdrawl

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7
Q

DSM 5 diagnosis shcizo requirement

A

shows 2+ symptoms for over a month
delusions, hallucinations, hard to understand speech, unusual behavior, negative symptoms

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8
Q

delusion occurence during episode of bipolar disorder

A

66%

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9
Q

delusion

A

misinterpretations of reality

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10
Q

delusion causes (2)

A

may be a way to make sense of unusual sensory experience
may be to increase importance of ones lifes

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11
Q

what % of delusions have religous themes

A

20-60%

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12
Q

delusions of persecution

A

beliefs that the person is being tormented or harassed by someone or something
may lead them to be on gaurd

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13
Q

delusion of reference

A

misinterpreting sounds or stimuli to have a special meaning to them

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14
Q

delusion of reference example

A

tv static means aliens are trying to communicate with them

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15
Q

delusions of control

A

an enemy or foreign entity is controlling a persons thots, feelings, or behavior

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16
Q

delusions of grandeur

A

believe that they are famous or important
often they think they can save the world or something

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17
Q

white people experience what delusion more than other race

A

religious delusion/ delusions of grandiosity, persecution, mind reading, and thought withdrawl

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18
Q

illusions

A

sensory experience is misperceived

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19
Q

hallucination

A

false perceptions
difficulty discriminating between real and not real

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20
Q

hallucinations role in spiritual practices

A

like 62% of them bruh

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21
Q

hallucinations in schizo are

A

more severe and less treatment responsice

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22
Q

what percent of hallucin are adio

A

47-98

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23
Q

what percent of hallucin are not audio

A

14-69

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24
Q

auditory hallucinaiton occur in what percent of people with shizo

A

3/4

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25
auditory hallucinaiton in with shizo associated with
less likely to recover for the next 20 years
26
visual hallucination occurence in shizo
1/3
27
somatic hallucinations
feels bizarre sensations withing the body up to 1/4 feel it ex bugs crawling on skin
28
formal thought disorder
disturbances in how thoughts are formed, organized, controlled, reasoned, and processed
29
thought disorder
speaker cannot maintain a specific train of thought
30
what percentage of schizo people have thot disorder
80-90%
31
derailment/ cognitive slippage/ loosening of association
speech makes little sense
32
neoligisms
new words that only have meaning to the speaker
33
disordered behavior
makes it difficult to take care of ones self
34
disordered behavior examples
lip smaking, facial grimace
35
catatonia
virtually immobile and in a weird body position for hours at a time
36
anhedonia
inability to enjoy anything
37
shiczo negative symptoms
social withdrawal, anhedonia, flat affect, alogia, avlition
38
flat effect
blunted emotionality minimal eye contact, emotionless face, little tone, drab demeanor, stare ahead
39
alogia
failure to say much
40
avolition
sit for hours doing nothing, no motivtion
41
most common negative emotion
withdrawal
42
differential diagnosis
other possible sources of symptoms
43
psychotic disorder due to another medical condition
hallucinations/delusions from other stuff not shiczo
44
other psychotic disorders
delusional disorder, brief psychotic disorder, shcizophreniform disorder, shizoaffctive disorder usally more limited in duration than shiczo
45
delusional disorder
minimal impairment from persistant delusional beliefs no odd behavior
46
brief psychotic disorder
sudden episode of intense emotional turmoil, confusion, appearence of postitive schizo disorders epidsodes are 1 day to 1 month typically a reaction to a stressor
47
brief psychotic disorder caused by birth
post partum onset
48
schizophreniform disorder does not require
impaired social functioning symptoms present for more than 1 month but less than 6 months
49
what percent of schizophreniform disorder go to get a full blown dignosis of schizo
1/3
50
schizoaffective disorder
hallucinations and delusions but also mood disorders stuff durring episodes
51
when could schizo develop
15-40 typically
52
prodromal phase
nonspecific symptoms like lack of motivation, withdrawl, difficulty concentrating
53
active phase
psychotic symptoms occur
54
residual pahse
psychotic symptoms subside may resemble the prodromal phase
55
as people with schizo age, rehospitalization becomes
less often
56
worldwide, -% of people are affected by schizo
50 million people
57
prevalence of shiczo is - across cultures, gender, religion, region
stable, the same
58
culture does effect the - of schizo
prognosis, or outcome basically the culture will influence what type of hallucinations happen
59
people form developing countries show - rates of improvement than developed
higher
60
in the US, what gender is schizo diagnosed earlier in life
men
61
female schizo symptoms
less severe, premorbid stuff, less negative symptoms, lower cognitive impairment, lower rates of suicide
62
schizo causes
genetics, trauma, viral infections in the womb, hypoxia
63
season of birth effect
babies born in winter or early spring are more likely to have schizo bc like infections n stuff
64
schizo brain ventricels
larger than normal causing grey and white matter to be diminished in brain but not in every brain tho
65
schizo brain structures
frontal lobe, thalamus, temporal lobe and parts of limbic system
66
hypofrontality
diminished frontal lobe volume, neuronal and blood flow activity
67
hypofrontality linked with
low perfromance on problem solving and working memory
68
hypofrontality associated with
men and negative symptoms
69
temporal lobe volume changes correlate with
though disorder
70
temporal lobe/ auditory cortex abnormal activity associated with
halluncinations
71
thalamus defects relate to
attention lapses, unable to process info, get overwhelmed by stimuli, get hallucinations and delusions
72
increased dopamine in the brain of schizos leads to
intense symptoms
73
blocking dopamine in schizos brain leads to
relieving some symptoms
74
excessive dopamine may result in
positive sympotoms
75
not enough dopamine in frontal lobe may result in
negative symptoms
76
what two socioeconomic status correlates with having schizo
urban setting being lower class
77
social drift theory for schizo
symptoms of schizo make them fall to lower class
78
social causation theory for schizo
chronic psychological and social stressors, social disorganization, and environment associated with urban living and poverty cause schizo
79
migration status impact on schizo
increases it
80
expressed emotion
measure of the family environment describing criticism, hostility, and emotional overinvolvment with a person
81
high expressed emotion leads to - rates of relapse
higher
82
phenoathaizines
neuroleptic like drug that block specific neurotransmitters
83
neuroleptic/ antipsychotic
help with positive symptoms a lot, the negative ones not so much
84
Phenothiazine/ FGA
blocks dopamine receptors in limbic system
85
antipsychotic symptoms
dry mouth, sun sensitivity, constipation, sleepiness, and others
86
extrapyramidal symptoms
movement abnormalities like tremors, rigidity, spasms, agitation
87
parkinsonism
tremors, shuffling, blank facial expression, weakness affects about 50%
88
acute dystonia
head, neck, tongue, back, and eye spasms
89
acute akathisia
need to be constantly moving, constantly restless and agitated
90
tardive dyskinesia
20-25% involuntary jerks, tics, and twitches of the face tongue, trunk, and limbs lips will smack and suck, jaws will grind, and stuff
91
neuroleptic malignant syndrome
could be fatal high fever, muscle rigidty, irregular heart rate and BP
92
atypical antipsycotics
drugs that dont have same side effects as standard neuroleptics still got crazy side effects tho
93
mileu programs
resocialize patients with sever mental disorders to help strengthen skills
94
token economy
reinforcement system for desired behaviors essentially operant conditioning
95
family intervention
family is trained to increase awareness of EE and to encourage warmth,
96
elements of family treatments
reframe problem, focus on communication, focus of present interactions, learn good problem solving, create structure
97
recovery movement
promotes idea that recovering people can be successful
98
psychosocial rehabilitation
interventions that strengthen peoples competencies to maintain health, get a job, live in stable housing, and take care of ones self
99
assertive community treatment
care thru an integrated team thats available 24/7 to help people

abnorm p (17 decks)

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