Chapter 12-psychological disorders Flashcards
Inappropriate affect
Action inappropriate for situation
-uncontrollable laughter at wrong time
In schizophrenia
Schizophrenia
Split between thoughts and emotions
Nothing to to with split personality
Thinking is scattered
-loose associations
Bland/flattened affect
No emotions shown
Schizophrenia condition
Labile affect
Back and forth between inappropriate affect and no emotions
Schizophrenic personality
Schizophrenic psychosis
Hallucinations
- most common is auditory
Schizophrenic lucid/clear periods
In touch with reality
-occurs from time to time
Neologisms
Made up language between schizophrenics
Not understood by others
Coined expression or language
Schizophrenic religiosity
Push religion down someone’s throat
Always quote the bible
Fanatics
Children of schizophrenic patients
Double bind situation
-catch 22
Encouraged to give attention/affection to parent
Parent rejects child
-unable to give child proper care and attention
Schizophrenic positive/negative symptoms
Positive (severe)
- delusions
- hallucinations
- being out of touch with reality
Negative (minor)
- social withdrawal
- apathy
- showing no/blunt/affect emotions
Can only be on anti psychotic meds for so long
Tartive dyskinesia
Gumming
Fly catching motions
Myoclonus jerks
-spastic muscle jerks
What causes schizophrenia
Chemical imbalance
Excessive amounts of dopamine
Enlarged ventricles
-fluid filled cavities in the brain
Clang association
Schizophrenia
Always rhyming words
All schizophrenics fall in two categories
Reactive (acute)
- react to the situation stress
- temporary psychotic break
- when stress goes away, go back to being normal
Process (chronic)
- slow, gradual process of becoming schizophrenic
- always schizophrenic
- 50% of autistic children become schizophrenic by adolescence (18-19)
4 types of schizophrenia
Catatonic
Paranoid
Disorganized
Chronic undifferentiated
Catatonic schizophrenia
Motor disturbance
- agitated/hyper active
- catatonic stupor
Frozen mobility
- locked on one thought or object
- does not say anything
- can be for days, weeks, month at a time
- once they break the stupor, they finish the sentence
- waxy flexibility
- move arms and legs, they stay in that position
Either agitated or catatonic
-can not go back and forth
Paranoid schizophrenic
Highest emotional and intellectual level
Appear normal until you tap into their delusion
Always planning on how to “get you, before you get them”
Distrustful
Auditory most common
Disorganized schizophrenia
Show regression back to infantile behavior
-spit in face, vulgar, masturbate in public
Loose association
Inappropriate affect
Chronic undifferentiated affect
Can not diagnose type of schizophrenia
Show symptoms of all types
Catch all diagnosis
-waste bucket
Psychiatric interview
Unstructured interview
- no preconceived notions
- go with the flow
- no mental checklist
Establish and maintain a good rapport
- mutual respect and understanding
- good working relationship
Favorite three words
-tell me more
Avoid giving advice
Ask open ended questions
- let’s client talk about what is important to them
- don’t ask fixed questions
Never ask the question why
- makes you rationalize/justify position
- can bring up negative feelings
- embarrass the subject, put on the spot
- don’t always know why we do things
Make behavioral observations
- allows patient to comment on observation
- offers defense without demanding one
Focus on feelings
-what are you feeling right now
Don’t let patient manipulate the interview
-they may to try to control interview, interview you
Avoid killer statements
- “you don’t really believe that do you.”
- “I don’t believe you said that”
Anxiety
General apprehension or nervousness about something that takes place in the future
Fear
Present time
Rational
Put in immanent danger
Phobia
Irrational fear
Something in the past causes fear
Agoraphobia
Open spaces
Panic attacks associated with fear
Become shut ins
