diagnosis and classification Flashcards

1
Q

what is the word origin of the word schizophrenia

A

” split - mind”

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2
Q

what is schizophrenia best described as

A

schizophrenia is best described as a condition where personality loses it’s unity

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3
Q

give the definition proposed by stafford and clarke in 1964

A

schizophrenia is a generic name for a group of disorders characterised by a progressive disintegration of emotional stability, judgment, contact with and appreciation of reality, which produces considerable secondary impairment of the personality, relationships, intellectual functioning

schizophrenia is a mental disorder that affects a person’s thoughts and ability to determine reality

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4
Q

what are the 2 major systems for the classification of schizophrenia

A
  • international classification for disease ICD-10
    used by the WHO
  • diagnostic and statistical manual 5 (DSM-5)
    used in USA + UK
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5
Q

what is the name used for the manual to diagnose schizophrenia used by the WHO

A

international classification for disease ICD-10

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6
Q

what is the name used for the manual to diagnose schizophrenia used by the UK + USA

A

diagnostic and statistical manual 5 (DSM-5)

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7
Q

to be diagnosed with schizophrenia in the UK and US using the DSM-5 what are the criteria

A

patients must have at least 1 “positive” symptom

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8
Q

to be diagnosed with schizophrenia internationally using the 1CD-10 what are the criteria

A

patients must have 2 or more “negative” symptoms

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9
Q

define “positive” symptom

A

atypical symptoms experienced in addition to normal experiences

(e.g: hallucinations, delusions)

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10
Q

define “negative” symptom

A

atypical experiences that present the loss of a usual experience

(e.g: clear thinking, or “normal levels” of motivation, avolition, speech poverty)

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11
Q

give 2 “positive” symptoms of schizophrenia

A
  • hallucinations
  • delusions
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12
Q

what are hallucinations

A

they are a positive symptom of “schizophrenia”

they are sensory experiences that have either no basis in reality or are distorted perceptions of things that are there

e.g: voices heard criticising them, see distorted facial expressions, see people or animals that aren’t there

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13
Q

what are delusions

A

they are a positive symptom of schizophrenia

they involve beliefs that have no basis in reality

e.g: believe they: are someone else like Jesus, will be persecuted by government , have superpowers

PEOPLE WITH DELUSIONS TEND TO BE THE VICTIMS OF VIOLENCE
due to the person with the delusion behaving in a way that makes sense to them but may appear to be bizarre to others

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14
Q

give 2 negative symptoms of schizophrenia

A
  • speech poverty
  • avolition
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15
Q

what is speech poverty

A

it is a negative symptom of schizophrenia

it involves reduced frequency and quality of speech

this can be accompanied by a delay in a person’s verbal responses in conversation

emphasis is placed on speech disorganisation (a +ve symptom) where speech becomes incoherent or speaker changes topic mid sentence

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16
Q

what is avolition

A

a negative symptom of schizophrenia

it involves loss of motivation to carry out tasks and results in lowered activity levels

17
Q

what are the 3 signs of avolition proposed by Nancy Andreasen (1982)

A
  • poor hygiene and grooming
  • lack of persistence in work or education
  • lack of energy