schizo

Question 1

schizophrenia characterised by

Answer 1

WITHDRAWAL - from other people + reality into
hallucinations/delusions
change motivation+emotional expressiveness;
changes in cognition
feelings of sensory bombarding

Question 2

Kraepelin’s descriptive psychiatry refers to__________

Answer 2

classify disorders by clustering symptoms

Question 3

Dementia praecox meant

Answer 3

thought it was a deteriorating illness - dementia and that is was a PRODROMAL stage

Question 4

The MAJOR distinction between Kraepelin + Bleuler is

Answer 4

Secodn thought that schizo does NOT all have same outcome. Was the one who coined schizophrenia

Question 5

DSM - criteria for schizo________

Answer 5

2+ for >1 month.
MUST incl - >1 of; delusions/hallucnations/ disorganised speech/thoughts

catatonia, disorganised behaviour, negative symptoms
social/occupational function has declined since onset, lack insight signs are present for >6months

Question 6

For the most part, schizophrneia characterised by________which are______

Answer 6

POSITIVE symptoms

hallucinations/delusions

Question 7

Delusions are;

a) beliefs
b) beliefs contradicting reality
c) beliefs contradicting reality despite evidence of the contrary

Answer 7

C

Question 8

Delusions are only present in schizo (T/F)

Answer 8

FALSE - also in MDD, bipolar

Question 9

Persecutory delusions refer to

Answer 9

thinking that someone wants to harm you

Question 10

thought alienation encompasses_______&_______

Answer 10

thought insertion - that their own thoughts were inserted by external source
thought withdrawal - thoughts taken from own mind

Question 11

Thought broadcasting refers to

Answer 11

delusion that your thoughts are being broadcasted via radio waves // that others know their thoughts

Question 12

Ideas of reference:

Answer 12

delusion where you take personal significance to environmental unrelated stimuli i.e. overhearing a conversation = means they are plotting against you

Question 13

Misidentification delusions mean

Answer 13

think that everyone around you is REPLACED with imposters

Question 14

the MOST common type of hallucination is

Answer 14

AUDITORY -
positive = from a known person
negative = in third person, last longer, are louder

Question 15

Hallucinations / delusions are compulsory for diagnosis (T/F)

Answer 15

FALSE

Question 16

Neuroimaging of schizophrenia tells us that_______

Answer 16

have HYPERactive broca’s area (production) + HYPERactive wernicke’s area. HENCE = those with auditory hallucinations FAIL to predict what sensations arise from their own actions and instead label own voice to ‘external source’

Question 17

Negative symptoms of schizo________

Answer 17

social withdrawal, decreased motivation, anhedonia, avolition,

Question 18

Avolition refers to _____________

Answer 18

apathy, lack of motivation/ interest in activities that used to show interest in BUT does NOT affect all goals
LESS motivation for autonomy, gaining new skills

Question 19

Asociality in schizo is________

Answer 19

negative symptom referring to SEVERE social impairment in social relationships + no desire for closeness

Question 20

Anhedonia types are -

Answer 20

Consummatory pleasure - pleasure experienced in the moment i.e. watching nice movie
Anticipatory pleasure - pleasure EXPECTED for a future event i.e. graduation
In schizo, consummatory is normal but ANTICIPATORY is low

Question 21

Blunted Affect is__________

Answer 21

a negative symptom of schizo where there is reduced outward expression of emotion i.e. dead eyes, blank stare, reduced muscle tone, flat tone

Question 22

Though schizo may show low external affect, INTERNALLY they show ___________emotion than controls

Answer 22

same or MORE internal emotions

Question 23

Alogia is __________

Answer 23

reduction in quantity of speech, schizo not likely to elaborate detail, MAY illustrate low content

Question 24

Negative symptoms can be classified into 2 types___________

Answer 24

(1) Motivation and pleasure: (motivation, emotional experienc, sociality)
(2) Expression: the outward expression of emotion

Question 25

Bleuler’s4 PRIMARY symproms were_________around which people could differ

Answer 25

1) loossened associations (disorganisation of thought)
2) ambivalence (carelessness for external world)
3) autism (social withdrawal)
4) affect (low emotion expression)

Question 26

Schneider’s first rank symptoms;
passivity experience
thought echo
mean________

Answer 26

passivity experience - belief that you are not in control over own body
thought echo - exp thoughts of echoes

Question 27

When can a diagnosis be made with only 1 symptom of schizophrenia?

Answer 27

if delusions are BIZARRE, not plausible at all i.e. sea monsters biz, CIA following = not biz;
hallucinations give running commentary
hallucinations comprise of >1 voice

Question 28

a) shcizo is often characterised by pos symptoms
b) pos symptoms are sufficiant for diagnosis
c) pos and neg symptoms must be present for diagnosis
d) there is a single pos symptom that is necessary for schizo

Answer 28

ALL WRONG as long as there is 2+ incl

Question 29

if a person has symptoms for <6 months, we call it_________

Answer 29

schizophreniform = because we cannot be sure that this is schizo yet. May be bipolar, MDD etc., (arbitrary cut off)

Question 30

Difference between DSM-IV/5 in schizo is__________

Answer 30

4 had subtypes - paranoid, disorganised, catatonic, indifferentiated, residual
5 does NOT have types

Question 31

Psychosis means _______

Answer 31

collection of symptoms where person cant distinguish between real and unreal

Question 32

nihilistic delusions are __________

Answer 32

belief that major catastrophe is coming