historical perspectives Flashcards

1
Q

many people were being admitted to the asylum with a:

A

“general paralysis of the insane” characterized by dimensional, grandiose delusions and a wobbly gair

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2
Q

syphilis was reaching epidemic and 2 physicians ______ and ____, hypothesized what?

A

Krafft-ebing and hirschl, hypothesized that the rise of the paralysis of insane” may be related to syphilis

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3
Q

knowing that you could only be infected with syphilis once, what would they do to patients?

A

they would inject patients with pus taken from the sores of people with active syphilis

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4
Q

it was concluded that none of their test subjects developed symptoms of syphilis and the general paralysis of insane arose from:

A

previous infection of syphilis

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5
Q

this syphlis case was:

A

very first evidence for a biological cause of mental illness

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6
Q

European psychiatrists began describing disorders of unknown causes typically affecting:

A

the young and often progressing to chronic deterioration

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7
Q

many different names of schizophrenia were:

A

adolescent insanity, catatonic syndrome, hebephrenia

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8
Q

emil kraeplin believed that dementia was primarily cause of diseases in brain true or false

A

true

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9
Q

who was the first to coin the term schizophrenia?

A

eugen bleuler

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10
Q

the word schizophrenia was not meant to what?

A

convey the idea of split or multiple personalist but that remains a common misunderstanding

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11
Q

bleuler argued that the name dementia praecox was misleading because:

A

it did not always emerge in early life and was not always associated with the deterioration typically observed in dementia

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12
Q

bueler noted that schizophrenia should be spoken of in:

A

the plural

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13
Q

bluelar was the first to describe the symptoms as positive or negative true or false

A

true

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14
Q

blueler introduced a fundamental distinction between:

A

basic (obligatory) and accessory (supplementary)

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15
Q

basic symptoms:

A

delusions and hallucinations (positive)

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16
Q

accessory symptoms:

A

thought and speech derailment, ambivalence, incongruence and withdrawal from reality

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17
Q

kurt Schneider claimed that certain symptoms had:

A

a decisive weight in determining whether someone had a diagnosis of schizophrenia

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18
Q

first rank symptoms:

A

Schneiders symptoms which claimed that certain symptoms had a weight in determining whether someone had a diagnosis of schizophrenia

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19
Q

first rank symptoms were: (6)

A
  1. auditory hallucinations
  2. thought withdrawal, insertion and interruption
  3. thought broadcasting
  4. somatic hallucinations
  5. delusional perception
  6. feelings or actions experiences and influenced by external agents
20
Q

thought withdrawal, insertion and interruption example:

A

my thoughts are one except when Michael stops them”

21
Q

thought broadcasting example:

A

my thoughts filter out of my head and everyone can pick them up if they walk past

22
Q

the use of first rank symptoms to diagnose schizophrenia will:

A

incorrectly diagnose between 5 and 19 people in every 100 who do not have schizophrenia

23
Q

the major contribution of Karl jaspers was his proposal of a:

A

flexible psychiatric taxonomy

24
Q

Karl jaspers was less interested in the content of psychotic symptoms and more interested in the:

A

experience of them

25
Q

Karl jaspers did not agree with the idea that patients should be:

A

divided into categories based on the qualities of symptoms they were experiencing

26
Q

Karl jaspers argued that the form of the symptom was:

A

more important than the content of symptom when making a diagnosis such as specific auditory hallucinations

27
Q

what is a our current diagnostic system that Karl jaspers basically invented?

A

descriptive psychopathology

28
Q

descriptive psychopathology relies exclusively on:

A

the info communicated by the patient and on what is directly observed by the examiner

29
Q

schizophrenia appeared in the ancestry of only ___ percent of these patients but schizodia appeared in another ___ percent

A

10; 25

30
Q

the advent of chlorpromazine (thorazine) represented:

A

the first real breakthrough in understanding the biology of schizophrenia since syphilis

31
Q

chlorpromazine was developed to:

A

induce Anastasia for use during surgery but Henri laborite recognized its ability to produce disinterest without loss of consciousness

32
Q

chlorpromazine changes the way:

A

dopamine works in your brain

33
Q

dopamine hypothesis of schizophrenia:

A

dysfunction in brains dopamine system was the cause underlying the symptoms of schizophrenia

34
Q

who created the biological subtypes of schizophrenia and what are they?

A

time crow; type 1 syndrome and type 2 syndrome

35
Q

type 1 syndrome:

A

the positive symptoms such as delusions and hallucinations

36
Q

type 2 syndrome:

A

negative symptoms such as poverty of speech, loss of drive

37
Q

a critical distinction that attracted a great deal of attention was the:

A

difference in hypothesized brain based differences

38
Q

neurodevelopment hypothesis:

A

schizophrenia is the behavioral outcome of an aberration in developmental processes is caused by a combination of environmental and genetic factors

39
Q

neurodegenerative hypotheis:

A

schizophrenia results from the progressive deterioration of brain structure and function

40
Q

now we are not as far removed from historical perspectives as we might hope true or false

A

true

41
Q

research domain criteria:

A

integrates levels of info from genomes and circuits of behavior to explore dimensions of functioning that span full range of human behavior

42
Q

the goal of research domain criteria is to:

A

understand the nature of mental illness in terms of varying degrees of dysfunction in general psychological/biologicial symptoms

43
Q

positive valence systems:

A

priorly responsible for responses to positive motivational situations or contexts such as reward seeking, consummatory behavior, and reward/habit learning

44
Q

which domain is the most studied and how come?

A

positive valence domain because it can push to better understand negative symptoms

45
Q
A