Lecture 20 Flashcards
hippocratic medicine
melancholic - water - glum
choleric - fire - irritable
phlegmatic - earth - slow
sanguine - air - healthy
psychosurgery during 16th century
excising stone of folly (madness)
(trepanation)
what amount of US population report symptoms of major psychosis
1/3
depression more prevalent in
women
factors that influence likeliness of developing psychiatric disorders
race, age, gender, environment, genetics
the word schizophrenia means
split mind
psychosis =
general lack of contact w/ reality
prevalence of schizophrenia =
1-2 % of population
schizophrenia accounts for ___ of all admissions to mental hospitals
1/2
positive symptoms =
abnormal behaviours that are gained
- hallucinations (mainly auditory)
- delusions
- erratic motor behaviour
paranoid delusions vs persecution delusions
paranoid = people talking about you persecution = people out to get you
negative symptoms =
loss of functions
- slow thought/speech
- emotional/social withdrawal
- blunted emotions
- chronic, do not respond well to drugs
Disorganized schizo.
Incoherence, grossly disorganized behaviour, bizarre thinking, and flat or inappropriate emotions
Catatonic schizo.
Marked by stupor, unresponsiveness, posturing and mutism
Paranoid schizo.
Preoccupation with delusions; also involves hallucinations that are related to a single theme, especially grandeur or persecution
Undifferentiated schizo.
don’t fit into any of the above
Stress-vulnerability hypothesis
combination of environmental stress and inherited susceptibility to cause schizophrenic disorders
- genetics, family environment, psychological trauma, deviant communication, etc.
_____ activity excessive in schizophrenic brain
dopamine
______ ventricles evident in schizo.
enlarged
twins have ____% concordance rate
48% - significant genetic component, but not entirely
T/f: patients w/ schizo. have perturbed eye behaviour
ture - amygdala?
structural changes with schizophrenic brain
- enlarged cerebral ventricles (especially in males)
- smaller hippocampus + amygdala
- pyrimidal cells in hippocampus in disarray
- loss of gray matter
- cotical thinning
- thicker corpus callosum
- decreased frontal lobe activity
- higher dopamine amounts
DISC1 gene
disrupted in schizophrenia 1
- appears in one schizophrenic family
- mice w/ mutated version develop enlarged ventricles
T/F: they have trouble w/ wisconsin card sorting task
yes
drugs can effect
Ca2+ channels, survival of NTs. reuptake/release of NTs, binding NT to receptors, etc
competitive ligand (antagonist)
binds to same receptor site as endogenous transmitter
noncompetitive ligand (antagonist)
binds to a modulatory site on
the receptor