M5: Schizophrenia Flashcards

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1
Q

relationship b/w schizophrenia and psychotic disorders

A

schizophrenia is one of many psychotic disorders

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2
Q

characteristics of psychotic disorders (2)

A

(1) out of touch w/ reality (2) possessing abnormal thinking and sensory processes

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3
Q

schizophrenia (+) symptoms

A

symptoms not found in normal people

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4
Q

schizophrenia (-) symptoms

A

absence of normal behaviors

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5
Q

common (+) symptoms of schizophrenia (4)

A

auditory hallucinations + delusions: persecution, grandeur, control

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6
Q

common (-) symptoms of schizophrenia (3)

A

avolition, alogia, anhedonia

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7
Q

avolition

A

severe lack of motivation

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8
Q

alogia

A

inability to speak

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9
Q

anhedonia

A

inability to feel pleasure

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10
Q

natural course of schizophrenia (4)

A

4 phases: (1) premorbid (2) prodromal (3) psychotic (4) stable

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11
Q

Kraepelin: “dementia praecox”

A

premature dementia; refers to schizophrenia

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12
Q

DSM subtypes of schizophrenia (5)

A

paranoid, disorganized, catatonic, undifferentiated, residual

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13
Q

schizophrenia is associated with what characteristic?

A

creativity

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14
Q

brain difference found in children who developed schizophrenia prior to puberty (2)

A

larger ventricles in brain + loss of gray matter

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15
Q

differences found in DNA of people w/ schizophrenia

A

increased deletions and duplications of base sequences

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16
Q

neuromotor abnormalities of eyes found in schizophrenics and relatives

A

schizophrenics follow smooth movements of objects w/ periods of quick jerky movements (appear to be catching up w/ objects)

17
Q

default network of brain in schizophrenics

A

reduced suppression of default network during cognitive tasks

18
Q

auditory hallucinations appear to involve problems with …

A

transferring info from left inferior gyrus to Wernicke’s language understanding area

19
Q

evidence that supports dopamine overactivity as causing schizophrenia

A

(1) drugs that reduce dopamine&raquo_space; ease symptoms (2) stress + amphetamine&raquo_space; raise dopamine&raquo_space; triggers symptoms (3) creativity related to dopamine production

20
Q

schizophrenic symptoms are associated w abnormal activity in what brain region

A

prefrontal lobes

21
Q

role of glutamate in schizophrenia

A

un-blocked glutamate receptors influence dopamine

22
Q

Charlie Chaplin Illusion applied to top-down evidence for schizophrenia

A

schizophrenic people cannot recognize a mask from the back side which suggests they have trouble imposing sensory expectation on a stimulus

23
Q

psychotic symptoms of psychiatry first appear in …

A

adolescence or early adulthood

24
Q

relationship b/w schizophrenia, smoking, + substance abuse

A

schizophrenics more likely to be smokers and substance abusers

25
Q

factors that predict poorer outcomes in schizophrenic patients (5)

A

(1) male (2) early symptoms (3) going w/out treatment for a long time (4) having many cognitive symptoms (5) more (-) than (+) symptoms

26
Q

treating schizophrenics out of the hospital has resulted in …

A

a large number becoming homeless

27
Q

chlorpromazine best treats schizophrenics w …

A

(+) symptoms

28
Q

tardive dyskinesia (2)

A

(1) side effect of 1st generation antipsychotics (2) involves involuntary movements, esp. tongue and lip movements

29
Q

major advantage of 2nd generation antipsychotics

A

work better for bother (+) and (-) symptoms

30
Q

example of maladaptive cognitive appraisals of schizophrenics

A

“I’m not as good as other people”

31
Q

maladaptive cognitive appraisals lead to …

A

nonfunctional behavior (i.e. social withdrawal, reduction of task effort)

32
Q

therapeutic alliance (2)

A

(1) strong, trusting relationship b/w therapist and client (2) important to est at onset of therapy