schiz- defining schiz Flashcards

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1
Q

What did Bleuler find in relation to prognosis of schiz

A

Symptoms are most severe in early adulthood, during the first 5 years after onset

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2
Q

Bleuler found__% recover from positive symptoms of Schizophrenia__% can make a full recovery if diagnosed early __% continue to suffer from symptoms and distress for the rest of their lives

A

40
20
40

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3
Q

What did Bleulers research indicate about the validity of prognosis for schiz

A

It has poor predictive validity

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4
Q

What is a negative symptom of schiz

A

The absence/loss of a normal function

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5
Q

What is a positive symptom of schiz

A

The presence of an abnormal function

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6
Q

For schiz to be diagnosed there must be:_ or more of the following present for _ month -delusions -hallucinations -disorganised speech -grossly disorganised or catatonic behaviour -negative symptoms

A

21

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7
Q

For schiz to be diagnosed how long must the patient be having continuous signs of disturbance

A

6 months with at least 1 month on symptoms that meet criteria A

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8
Q

When diagnosing schiz, what does social/occupational dysfunction mean

A

For a significant portion of time since the onset of the disturbance, level of functioning in one or more major areas(e.g work or self-care) is marked the level below the level achieved prior to onset. Or when onset in childhood or adolescence there is failure to achieve the expected level of interpersonal, academic, or occupational functioning.

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9
Q

What is disorganised thinking or speech

A

This symptom makes it hard toconcentrate on anything. Thoughts drift from one thing to another although there will be no connection between them. Some people describe their thoughts as being ‘misty’ or ‘hazy’. They will have trouble finishing reading an article or watching a TV programme and may also struggle with college / work. Words may also become jumbled or confused making it difficult for others to understand what is being said - known as ‘word salad’.

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10
Q

What are hallucinations

A

False sensory experiences that may not have any identifiable source. The most commonly reported types are auditory (hearing voices) and visual (seeing people that aren’t there).

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11
Q

What are delusions

A

False beliefs not based on fact/evidence that are very difficult to disprove. There are many types: persecution, grandeur and control

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12
Q

What is a delusion of grandeur

A

Belief that you have great power, status and control

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13
Q

What is a delusion of control

A

Belief that your actions and thoughts are being controlled

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14
Q

What is a delusion of persecution

A

The belief that you are being victimised/spied on

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15
Q

What is flat effect

A

A reduction or flattening of emotions. The range and intensity of facial expressions, tone of voice and eye contact are reduced. Body language becomes difficult to interpret.

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16
Q

What is alogia

A

Reduction in communication, This often manifests as short, empty replies to questions. The patient has difficulty starting a conversation or finding it hard to speak to people, they have lost their spontaneity. Thought to result from the slowing/ blocking of thoughts.

17
Q

What is avolition

A

Lack of motivation. Severe lack of initiative to accomplish tasks as well as complete reduction of interest and desires. Could neglect household chores, personal grooming and/or hygiene. .

18
Q

What is apathy

A

Difficulty in planning and setting goals. No interest in socialising or hobbies. A person does not want to do anything and will sit in the house for hours or even days.

19
Q

What is inappropriate effect

A

When individuals appear to have lost the ability to have emotions occur in a normal and expected way. This is because their affect is a reaction to their hallucinations or delusions and their assumptions about the reasons for other people’s actions.

20
Q

What is catatonia rigidity

A

Loss of spontaneous movement- stuck in rigid positions

21
Q

What is catatonia flexibility

A

Excessive movement all the time