Classificaiton Of Schizophrenia Flashcards

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1
Q

What is schizophrenia?

A

A type of psychosis characterised by a profound disruption of cognitive and emotion.

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2
Q

How many people does schizophrenia affect?

A

1% of the population at some point in their lifetime.

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3
Q

When is schizophrenia most commonly diagnosed?

A

Between the ages of 15 and 35, with men and women affected equally.

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4
Q

How do you diagnose it?

A

A clinician would use a diagnostic manual such as DSM-V, or the ICD

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5
Q

What’s the DSM-V?

A

The diagnostic and statistical manual of psychiatric disorders.

Its a classification of over 200 mental disorders, grouped in terms of their common features. 
Version 5 (DSM-V) is the most recent update. 
Its mostly used in the US.
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6
Q

What’s the ICD?

A

International classification of diseases

Mostly used in Europe
The most recent update is ICD-11, published in 2018.

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7
Q

What are the two types of symptoms?

A

Positive

Negative

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8
Q

What is meant by positive symptoms?

A

Appear to reflect an excess or distortion of normal functioning.

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9
Q

What’s are positive symptoms?

A

Hallucinations
Delusions
Disorganised speech
Grossly disorganised or catatonic behaviour

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10
Q

What are hallucinations?

A

Distortions or exaggerations of perception in any of the senses, most notably auditory hallucinations.

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11
Q

What are the types of hallucination?

A

Auditory - hearing voices
Visual - seeing lights, objects or faces
Olfactory - smelling things
Tactile - feelings such as bugs crawling on you, or something is touching you.

Many people report a voice telling them to do something - harm themselves or someone else, or commenting on their behaviour.

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12
Q

What are delusions?

A

Firmly held erroneous beliefs that are caused by distortions of reasoning or misinterpretations of perceptions or experiences.

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13
Q

What do delusions involve?

A

Can sometimes be paranoid in nature - belief that their phone is tapped or someone is following or spying them.

May also involve inflated beliefs about the person’s power and importance - they may believe they’re famous

May also experience delusions of reference, when events in the environment appear to directly related to them - special personal messages are being communicated through the tv or radio.

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14
Q

What is disorganised speech?

A

The result of abnormal thought processes, where the individual has problems organising his or her thoughts and this shows up in their speech.

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15
Q

What’s an example of disorganised speech?

A

They may slip from one topic to another (derailment), even in mid-sentence, and in extreme cases their speech may be so incoherent that it sounds like complete gibberish - something that is often referred to as ‘word salad’.

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16
Q

What is grossly disorganised or catatonic behaviour?

A

Includes the inability or motivation to initiate a task, or to complete it once it is started, which leads to difficulties in daily living and can result in decreased interest in personal hygiene.

17
Q

What’s an example of grossly disorganised or catatonic behaviour?

A

The individual may dress or act in ways that appear bizarre to others, such as wearing heavy clothes on a hot summers day.

Catatonic behaviours are characterised by a reduced reaction to the immediate environment, rigid postures or aimless motor activity.

18
Q

What is meant by negative symptoms?

A

Appear to reflect a diminution of loss of normal functioning

19
Q

What are negative symptoms?

A

Speech poverty
Avolition
Affective flattening
Anhedonia

20
Q

What is speech poverty?

A

The lessening of speech fluency and productivity, which reflects slowing or blocked thoughts

21
Q

What is avolition?

A

The reduction, difficulty, or inability to initiate and persist in goal-directed behaviour, often mistaken for apparent disinterest

22
Q

What is affective flattening?

A

A reduction in the range and intensity of emotional expression, including facial expression, voice tone, eye contact and body language.

23
Q

What is anhedonia?

A

A loss of interest or pleasure in all or almost all activities, or a lack of reactivity to normally pleasurable stimuli.