II. Schizophrenia Spectrum and Other Psychotic Disorders Flashcards
Schizophrenia Spectrum and Other Psychotic Disorders
A spectrum as it applies to mental disorder is a range of linked conditions, sometimes also extending to include singular symptoms and traits
Schizophrenia Spectrum and Other Psychotic Disorders
- Pervasive pattern of social and interpersonal deficits
Cognitive or perceptual distortions. - Abnormalities of beliefs, thinking, and perception are below the threshold for the diagnosis of a
psychotic disorder.
Schizotypal Personality Disorder
- Characterized by at least 1 month of delusions but no other psychotic symptoms.
- The person has not met criteria for schizophrenia
- Functional impairment within the specific impact of the delusion
Delusional Disorder
One or more of the symptoms of schizophrenia that lasts more than 1 day and remits by 1 month.
Brief Psychotic Disorder
Characterized by a symptomatic presentation equivalent to that of schizophrenia except for its
duration (less than 6 months) and the absence of a requirement for a decline in functioning
Schizophreniform Disorder
Two or more of the following symptoms for at least 1 month; one symptom should be either 1, 2, or 3:
1) delusions
2) hallucinations
3) disorganized speech
4) disorganized (or catatonic) behavior
5) negative symptoms (diminished motivation or emotional expression)
- Functional impairment in one or more areas
- Signs of disorder for at least 6 months
Schizophrenia
A mood episode and the active-phase symptoms of schizophrenia occur together and were preceded or are followed by at least 2 weeks of delusions or hallucinations without prominent mood symptoms.
Schizoaffective Disorder
- Poverty of Speech
- Reflects lack of thinking or motivation to speak.
Alogia
- Abscence or insufficienct of normal behavior
- 25% Experience
Type 2 Schizophrenia
Negative Symptoms
- Blunted affect
- Face may remain immobile and body language is unresponsice.
Affective flattening
4 A’s of Schizophrenia
- Affect
- Ambivalence
- Autism
- Associations
Lack of pleasure
Anhedonia
- Difficulty in focusing and maintaining attention.
- deficits in the working memory (ability to hold information and manipulate it)
Attention impairment
Contrasting feelings towards the same person at the same time.
Ambivalence
False sensory perception
Hallucination
Very slow motor responses
Stupor
Loss of motivation
Avolition (or Apathy)
Abnormal lack of energy
Anergia
Disorganized behavior that affects unresposiveness to the world.
Catatonia
Lack of interest in social interaction
Asocial behavior (Asociality)
- Active manifestations
- Obvious signs
- Distortions of normal behavior
- 50%-70% experience
Type 1 Schizophrenia
Positive Symptoms
- Trouble organizing their daily routines of bathing, dressing properly, and eating regularly.
- Engage in socially acceptable behavior (e.g. public masturbation)
- Many are disheveled and dirty.
Abnormal or Disorganized Thought and Speech
- Trouble organizing their daily routines of bathing, dressing properly, and eating regularly.
- Engage in socially acceptable behavior (e.g. public masturbation)
- Many are disheveled and dirty.
Abnormal or Disorganized Thought and Speech
- Frightening to others
- Display unpredictable and apparently untriggered agitation.
- sudden shouting, swearing may be responses to hallucinations and delusions.
Bizaare or Disorganized Behavior
Part of the brain concerned with Hallucinations
Broca’s Area
Visual hallucinations involving geometric shapes such as tunnels and funnels, spirals, lattices, or cobwebs.
Geometric Hallucinations
A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light.
Visual Hallucinations
Belief that one is going to be harmed, harassed, and so forth by an individual, organization, or other group.
Persecutory Delusions