Schizophrenia Flashcards
Classification of mental disorder
The process of organising symptoms into categories based on which symptoms frequently cluster together
Schizophrenia
A severe mental disorder where contact with reality and insight are impaired, eg psychosis
Positive symptoms of schizophrenia
Atypical symptoms experienced in addition to normal experiences they include hallucinations and delusions
Hallucinations
Positive schizophrenia symptoms. They are sensory experiences that have either no basis in reality or are distorter perceptions of things that are there
Delusions
A positive symptom of schizophrenia they involve beliefs that basis in reality e.g. a person believing that they are someone else or a victim of conspiracy.
Negative symptoms of schizophrenia
Atypical experiences that represent the loss of a usual experience such as a loss of clear thinking or a loss of motivation
Speech poverty
A negative symptom of schizophrenia involving reduced frequency and quality of speech
Avolition
A negative characteristic of schizophrenia involves a loss of motivation to carry out tasks and results in lowered activity levels.
Comorbidity
Comorbidity describes people who suffer from two or more mental disorders.This makes it more difficult to confidently diagnose schizophrenia.
Symptom overlap
Occurs when two or more conditions share symptoms where conditions share many symptoms this calls into question the validity of classifying the two disorders separately.
issues in diagnosis - Good reliability
Osorio et al (2019) reported excellent reliability for the diagnosis of sz of 180 individuals using DSM-5, pairs of interviewers achieved inter-rater reliability of +.97 ant test re-test reliability of +.92.
issues in diagnosis - Low Validity
Criterion Validity, Cheniaux et al (2009) had two psychiatrists independently assess the same 100 clients using ICD-10 and DSM-5 criteria and found that 68 were diagnosed with sz under the ICD and 39 under DSM.
issues in diagnosis - Low Validity Counterpoint
Osorio et al reported above there was an excellent agreement between clinicians when they used two measures to diagnosis both derived from the DSM.
issues in diagnosis - Comorbidity
Sz is commonly diagnosed as with other conditions, meaning sz may not exist as a single condition.
issues in diagnosis - Culture bias
Things like hearing voices in the diagnosis of sz maybe abnormal in western cultures in other cultures its a norm, even a positive thing.