Schizophrenia

Question 1

What are negative symptoms in schizophrenia?

Answer 1

diminishment or absence of normal function

Question 2

What is affective flattening?

Answer 2

Lack of emotional expression

Question 3

what is Anhedonia?

Answer 3

Lack of pleasure

Question 4

What are positive symptoms of schizophrenia?

Answer 4

excess or distortion of normal function

Question 5

What are two examples of positive symptoms?

Answer 5

Hallucinations, delusions

Question 6

How many symptoms, and for what period of time, do you need to be diagnozed with scizophrenia?

Answer 6

Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be dellusions, hallucinations or disorganized speach.

Question 7

What are the five diagnostic criteria of schizophrenia?

Answer 7

• Delusions
• Hallucinations
• Disorganized speech
• Grossly disorganized or catatonic behaviour
• Negative symptoms

Question 8

What are some issues with child schizophrenia presentation?

Answer 8

Some symptoms that are considered psychotic at an adult age are considered normal in children under 6/7. eg imaginary companions and illogical thoight processing 9monster under the bed)

Question 9

How does schizophenia presentation change through development?

Answer 9

• After age nine, hallucinations, thought disorder and innapropriate affect are more present.
• Teens are less likely to have delusions and more liekly to have auditory hallucinations
• Both teens are childen are more likely to have less friends than the norm, be teased and withdraw from family.

Question 10

Who coined the schizophrenia spectrum?

Answer 10

Bentall et al., 2007

Question 11

What are the key points to come from the schizophrenic spectrum?

Answer 11

Paranoid attributional style and theory of mind probelms may be traced back to early attatchment patterns.
Source monitorring may be traced to early developemnts in frontal lobe function and development of private speach.

Question 12

Who talks about the development of audio-verbal hallucinations?

Answer 12

Fernyhough, 2004

Question 13

What did Fernyhough, 2004, say?

Answer 13

Verbal hallucinations are just innapropriately expanded inner dialogue.

Question 14

What are the DP two models of Verbal halucinations?

Answer 14

Disruption to the internalisation model and The re-expansion model

Question 15

What is the disruption to the internalisation model?

Answer 15

Disrupted process of inner speech development that explains auditory-verball hallucinations

Question 16

What is the Re-expansion model?

Answer 16

A DP model to expalin audiotry-verbal hallucinations. Inner speech is re-expanded under stress. It accounts for why trauma exacubates hallucinations.

Question 17

What is the gold standard for scizohrenia assesment?

Answer 17

• Multi informant interviews
• Observations + mental status examinations
• Symptoms rating scales
• Record reviews
• Comprehensive medical evaluation

Question 18

Name 4 asessment tests for schizophrenia

Answer 18

• Rorschach
• Thematic Apperception Test
• Sentence Completion tests
• MMPI (ages 14+)

Question 19

What are the two things needed for effective schizophrenia treatment?

Answer 19

1. Intensive psychopharmalogical intervention

2. Psychosocial intervention

Question 20

Who coined schizophrenia play therapy?

Answer 20

Green et al., 2015

Question 21

What are the main points of schizophrenia play therapy?

Answer 21

Psychosis effects fantasy and freeplay which is a central activity of childhood. Child centered play fosters self expression and aids communication. CB(Play)T gives examples of vrbal and non verbal ways to solve problems and elicits a sense of self control.

Question 22

What is behavioural clinical treatent for schizophrenia?

Answer 22

• The living/work enviormental structure is organised. organised extranal structure promotes an organised internal structure of thought.
• Contingency Management- reinforcement to shape behaviour change
• Adaptive Skills- Social, organization & self care deficits by teaching and modeling

Question 23

What are the problems with behavioural clincal treatments for schizophrenia?

Answer 23

They do not directly adress the cognitive, subjective components of shcizophrenia. Children are given little ability/room to purposely respond.