Chapter 12 Flashcards

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1
Q

What is Alogia?

A

Speaking less than do most other people. They will take a while to muster the mental effort necessary to respond to a question.

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2
Q

Those with schizophrenia have cognitive difficulties how?

A

Sustaining and focusing attention.

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3
Q

Research has found that the underlying causes of auditory hallucinations is…?

A

They have difficulty distinguishing between verbal info that is internally generated and verbal info that is externally generated. They may also mis-attribute they’re thoughts to other people.

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4
Q

Difficulties in attention may show an impairment of what?

A

Working memory. - they do not organize info efficiently.

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5
Q

What is the Deficit subtype of schizophrenia?

A

Severe neurocognitive deficits in attention, memory, and exec. Functioning as well as the pos. and neg. sxs that are the manifestations of these deficits.

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6
Q

What is the prognosis of non-deficit pxs compared to deficit ones?

A

Non-deficit pxs have a better prognosis.

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7
Q

What is the non-deficit subtype of schizophrenia?

A

Has pos. sxs in conjunction with relatively intact cognitive functioning.

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8
Q

Pxs with the deficit subtype are thought to be impaired in part because…

A

Parts of their brain do not work together properly. They also have abnormalities In their white matter (connects brain areas).

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9
Q

Explain the Cognitive deficits seen in schizophrenia?

A

They endure over time. They set the stage for the disorder, but do not cause it.

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10
Q

What is Schizophreniform Disorder?

A

Diagnosis given when a person’s sxs meet all the criteria for schizophrenia except that sxs have been present for 1-6 months. In addition, daily fxn may or may not have declined over that period of time.

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11
Q

When does Schizophreniform Dx become Schizophrenia?

A

If the sxs persist for more than 6 months (and daily fxn has significantly declined).

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12
Q

What is Brief Psychotic Disorder?

A

Sudden onset of hallucinations, delusions, or disorganized speech or behavior that last between 1 day and 1 month and are followed by full recovery. No neg. sxs can be present during episode.

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13
Q

How else is Brief Psychotic Disorder characterized?

A

Intense emotional episodes and confusion, during which the px may be so disoriented that he or she cannot fx safely and independently. Have increased risk for suicide.

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14
Q

What is the prognosis for Brief Psychotic Disorder?

A

Once recovered, they have a good prognosis for full recovery.

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15
Q

What is Delusional Disorder?

A

Only symptom is delusional beliefs that has persisted for at least 1 month.

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16
Q

What are the five types of delusions found in delusional disorder?

A

Erotomanic, Grandiose, Persecutory, somatic, jealous.

17
Q

What is a Erotomanic delusion?

A

The belief that someone is in love with the patient. Usually focuses on romantic or spiritual Union rather than sexual attraction.

18
Q

What is a jealous delusion?

A

The belief that the pxs romantic partner is unfaithful. This is based on tiny amounts of evidence, such as the partner’s arriving home a few minutes late.

19
Q

Prevelance of Schizoprenia

A

1% of population.

20
Q

Comorbidity of Schitzoprenia

A

90% suffer another psych. Dx. Most are substance related, mood, anxiety.

21
Q

Gender differences of Schizophrenia

A

1.4 men to 1 women. Women generally function at higher levels before illness develops. Women have fewer neg. sxs. And women develop the disorder later.

22
Q

Culture differences in Schizoprenia?

A

More common among people in rural areas and lower ses.

23
Q

Prognosis of schizophrenia.

A

1/3 improve significantly. 1/3 stay the same. 1/3 become chronically and severely disabled. 10-15% die by suicide. Those with paranoid are at higher risk.

24
Q

What are the brain structures involved in schizophrenia.

A

Enlarged ventricles. Impaired Frontal lobe. Smaller hippocampus. Decreased size of temporal lobe and thalamus.

25
Q

Brain Interactions in schizophrenia.

A

Disrupted interactions among frontal lobes, thalamus, and the cerebellum. Thalamus fails to screen out sensory info which overwhelms subsequent processing.