Psychopathology & Memory Flashcards
Delusions
False beliefs held in spit of contrary evidence
Paralytic dementia
Was actually syphillis
Positive symptoms
Abnormal behaviours that are gained eg. hallucinations
Negative symptoms
Loss of normal function eg. depression
Cognitive impairment
Changes in memory, attention, social perception
Concordance rate
Probability of a pair of individuals having the same genetics given that one has them
Concordance rate for schizophrenia in identical twins
50%
Other possible causes of schizophrenia
Lower birth weight, more physiological distress and more sensitive behaviour
People with schizophrenia often display _____ with smooth movement of the eyes and ______ motor coordination
difficulty impaired
Stressors that could cause schizophrenia
-Transition from childhood to adulthood
-Prenatal stress, maternal illnesses
-City living
Brain abnormalities in patient with schizophrenia
-Enlarged lateral cerebral ventricles
-Cortical abnormalities such as:
>Structure and function of the corpus callosum
>Accelerated cortical thinning
Hypofrontality hypothesis
Frontal lobes are underachieve in people with schizophrenia
Lobotomy
The surgical separation of the frontal lobes from the rest of the brain
Chlorpromazine
An antipsychotic that reduced positive symptoms of schizophrenia and lead to dopamine hypothesis
Dopamine hypothesis
Schizophrenia is caused by an excess of either dopamine release or dopamine receptors
Drawbacks to dopamine hypothesis
Drugs block dopamine receptors faster than symptoms are reduced and some effective treatments increase dopamine levels.
First generation (typical) antipsychotics
Block postsynaptic dopamine receptors (D2)
Second generation (atypical) antipsychotics
Lower affinity for dopamine receptors, their highest affinity is for another transmitter receptor
Clozapine
Blocks serotonin receptors
Dyskinesia side effects
Initial, maladaptive motor symptoms, disappear when the dose is reduced
Tardive dyskinesia side effects
Occurs after longtime use of the drug; repetitive, involuntary movements that are irreversible
Supersensitivity psychosis
An increase in positive symptoms of schizophrenia upon discontinuation of an antipsychotic drug
Glutamate hypothesis
Schizophrenia is caused by an under activation of glutamate receptors
Characteristics of depression
-Unhappy mood
-Loss of interests
-Changes in appetite and sleep
-Difficulty in concentration
-Restless agitation
-Pessimism and thoughts of death
Brain changes with depression
Increased activation in frontal lobes during cognitive tasks and amygdala during emotional processing. Decreased blood flow to areas controlling attention. Lastly cortex of right hemisphere is thinner
Electroconvulsive shock therapy (ECT)
When other treatments are not working then a strong electrical current is passed through the brain causing a seizure
Repetitive transcranial magnetic stimulation (rTMS)
More modern than ECT, alters cortical electrical activity, multiple treatments
Monamine oxidase inhibitors (MAOI)
Raise the levels of monamine at the synapses. Monoamine inactivates norepinephrine dopamine, and serotonin