Mod 6 Schizo Flashcards
Psychosis:
the loss of touch with reality, symptoms are hallucinations and delusions
- Dementia praecox was coined by
Kraeplin
Schizophrenia was coined by___ as a ___
Suegen Bleuler in 1911
group basic symptoms of disorganized communications, motivational impairments, mood disturbances and withdrawal from the world
Accessory: delusion/hallucs (positive symptoms today)
schizophrenia affects about
1% of general pop
the main difference between schizophrenia and schizophreniform is
temporal (6 months cutoff)
List 3 Positive symptoms
hallucinations
Delusions
disorganized speech
List 3 negative symp
Anhedonia
Asociality
Avolition
disorganized behaviour
alogia (poverty of speech)
Affective flattening (lack of emotional/facial expression
Delusions can come in the form of (name 3) and are classified as either
persecutive
religious
somatic
referential
Bizarre or non-bizzare
neurological theories on Schizo posit that DA is:
in excess in subcortical regions
deficient in cortical (Frontal lobe #1)
Aberrant salience is___ and might be caused by _____
inappropriate assigning of importance
too much DA in the V3 cortex, making DA neurons fire to innocuous stimuli
many SZ patients have reduced ____ in____a
grey matter
temporal and frontal lobe
sociallly, those with SZ have trouble with ____ of mind and can’t ID other’s emotions easily
Name 3 cognitive bias in SZ patients
jumping to conclusions
bias against disconformity evidence (BADE)
Source monitoring (INT vs EXT)
4 factors that increase SZ risk
city life, childhood trauma, low intelligence, drug abuse
Social defeat theory:
repetitive adverse childhood experiences sensitize the DA systems
Four stages of SZ illness
Premorbid
Prodromal
Psychotic
Residual
typical FEP is between
20-30 years of age
Recovery is categorized as either
personal or functional
Early treatment of SZ used, which can cause
DA antagonists
Tardive Dyskinesia (grimacing, tongue out, lip smacking), dystonia, akathisia
2nd gen drugs for SZ were_____ and still had_____
Da antag + 5-HT-Agonists
Tardive risk
Clozapine is the treatment choice for resistant SZ, but it can cause ________
agranulocytosis (low white b-cell, infection rates)
psychosocial treatment is either
skills training or personal therapy
CBT for psychosis (CBTp) can reduce the continuation from ____ to ____ by 50%
prodromal to FEP
Medical model for SZ is:
vs
Recovery Model
– med practitioner in charge/meds/symptoms
- patient informed/psychosocial, peer support
