Psychotic Disorders Flashcards
True about Schizophrenia
a. characterized in general by fundamental and characteristic distortions of thinking and perception, and affects
b. affect is generally blunted in schizophrenia
c. hallucinatory voices are common
d. AOTA
D
True of Schizophrenia EXCEPT
a. thought echo
b. thought insertion or withdrawal
c. thought broadcasting
d. thought disorders and negative symptoms
e. NOTA
f. AOTA
E
Schizophrenia occurs in young age, between __ to __ y.o.
16-25
Schizophrenia occurs with regular frequency nearly everywhere in the world in __% of population
1%
How long should signs and symptoms should be pressent for schizophrenia to be diagnosed?
at least 6 months
Definition of schizophrenia
a group of characteristic positive and negative symptoms, deterioration in social; occupational, or interpersonal relationships; continuous signs of the disturbance for at least 6 months.
This illness develops relatively early in life, and its course is likely deteriorating and chronic; deterioration reminded dementia is called
dementia precox
Who coined the term dementia precox?
Emil Kraepelin
coined the term schizophrenia
Eugen Blueler
He emphasized the role of psychotic symptoms, as hallucinations, delusions and gave them the privilege of “the first rank symptoms” even in the concept of the diagnosis of schizophrenia.
Kurt Schneider
Blueler’s Fundamental Symptoms (4)
- affective blunting
- disturbance of association
- autism
- ambivalence
AfAm AAss
Who called the symptoms of schizophrenia, 4A’s
Blueler
The following are among Blueler’s secondary symptoms
a. affective blunting
b. hallucination
c. association, disturbance of
d. autism
B remember 4 A's 1. affective blunting 2. disturbance of association 3. autism 4. ambivalence
Blueler’s secondary symptoms (2)
hallucinations
delusions
3 stages of schizophrenia
prodromal
active
residual
represented by cognitive disorders, having its origin probably in the disorders of associations of thoughts, combined with emotional blunting and small or missing production of hallucinations and delusions
negative symptoms
characterized by the presence of hallucinations and delusions
positive symptoms
5 negative symptoms
Alogia Affective flattening Avolition-apathy Anhedonia-associality Attentional impairment
4 positive symptoms
Hallucinations
Delusions
Bizarre behavior
Positive formal thought behavior
conditions for diagnosis of schizophrenia are fulfilled, but lasting less than one month
acute schizophorm disorder
schizophrenic and affective symptoms are developing together at the same time
schizoaffective disorder
characterized mainly by delusions of persecution, feelings of passive or active control, feelings of intrusion, and often by megalomanic tendencies also. The delusions are not usually systemized too much, without tight logical connections and are often combined with hallucinations of different senses, mostly with hearing voices.
Paranoid schizophrenia
is characterized by disorganized thinking with blunted and inappropriate emotions. It begins mostly in adolescent age, the behavior is often bizarre. There could appear mannerisms, grimacing, inappropriate laugh and joking, pseudophilosophical brooding and sudden impulsive reactions without external stimulation. There is a tendency to social isolation.
Hebephrenic schizophrenia
is characterized mainly by motoric activity, which might be strongly increased (hypekinesis) or decreased (stupor), or automatic obedience and negativism.
Catatonic schizophrenia
