diagnosis and classification Flashcards
What is schizophrenia?
S is a severe mental illness where contact with reality and insight are impaired, an example of psychosis. This leads to maladaptive and bizarre behaviour.
What is psychosis?
a severe mental disorder in which thought and emotions are so impaired that contact is lost with external reality
Define classification.
The process of organising symptoms into categories based on which symptoms cluster together in sufferers
Define diagnosis.
Diagnosis refers to the assigning of a label of a disorder to a patient
Explain the difference between Type one and Type two schizophrenia.
Type one schizophrenia is an acute type, whereas Type two is a chronic type of schizophrenia
Type one is characterised by the the positive symptoms, whilst Type two is characterised by the negative symptoms
Type one has better prospects of recovery, Type two has poorer prospects of recovery
Explain what positive symptoms are.
Involves displaying behaviours concerning loss of touch with reality:
-hallucinations and delusions
-occur in acute, short episodes
-responds well to medication
Explain what negative symptoms are.
The disruption of normal emotions and actions
Occurs in chronic, long lasting episodes
Resistant to medication
Contributes to sufferers not being able to function effectively in society- FFA link.
Can affect work, relationships etc.
What did Schneider do in 1959?
He detailed the first rank of symptoms of schizophrenia
(check if Schneider is m/f/o)
Describe thought disturbances.
insertion= individual believes thoughts are being inserted to their mind by external forces
withdrawal= individual believes their thoughts are being withdrawn from their mind by external forces
broadcasting= believes thoughts are being broadcasted by a special transmitter
Describe hallucinations
false or distorted sensory experiences that appear to be real perceptions to schizophrenics
auditory, visual, tactile, olfactory
Describe auditory hallucinations.
experiencing voices often insulting and obscene, in their head
form running commentaries
often occur with simultaneous delusions
Describe delusions.
Ideas and beliefs individuals believe are true but are impossible or very unlikely to be true
Delusions of:
Grandeur-> false belief in one’s power or importance
Reference-> random events are a meaningful pattern of events.
Guilt-> believing you’ve done something wrong e.g. killing someone
Control-> thoughts, feelings etc controlled by someone else
Persecution-> friends, family etc plotting against them
Who added four new symptoms and when?
Slater and Roth in 1969.
Most were negative
Avolition
Psychomotor disturbances
Disturbances of effect
Thought process disorder
Describe thought process disorder.
Sufferers wander off their point, invent new words and phrases, stop mid-sentence, interpret language literally and indulge in speech poverty.
Describe disturbances of effect.
Sufferers appear uncaring for others -> displaying inappropriate emotional responses
E.g. giggle at bad news