Schizophrenia Flashcards
Classification of schizophrenia.
2 major classification systems used for diagnosing SZ is = World Health Organisation’s International Classificationof Disease edition 10 (ICD-10) and the American’s Psychiatric Association’s Diagnostic and Statistical Manual edition 5 (DSM-5) / V
(symptoms vary throughout these classifications)
Positive symptoms of schizophrenia
positive symptons of schizophrenia are additonal experiences beyond those of ordinary existence.
Negative symptoms of schizophrenia
negative symptoms of SZ are those that appear to reflect a reduction or loss of normal functions
(Bonus- negative symptoms have been shown to weaken a sufferers ability to deal with everyday activities)
study for Reliability and validity in diagnosis
rosenhaan “on being sane in insane places” - entering mental institutions with no symotons of SZ to test admissions and release times.
testing reliability and validity of DSM
BONUS = ISSUE
subjectivity
speech poverty AKA alogia
is characterised by the lessenihng of speech fluency and productivity, this is thought to reflect slowing or blocked thoughts, they may produce fewer words in a given time
alogia can also be reflected a less complex syntax e.g fewer classes, shorter utterances etc. this type of speech appears to be associated with longer illnesses
avolition
this is reductions of interests and desires as well as an inability to initiate and persist in a goal directed behaviour
distinct from poor social functionor disinterest
abolition is specified as a reduction in self initiated involvement in activities that are available to the patient
psychomotor retardation
slowing of thought and physical movement (negative symptom)
lack of personal care
also another negative symptom, lack of personal hygeniene
apathy
social withdrawal (negative sympton)
anhedonia
(negatvie sympton ) lack of pleasure
affective flattening
lack of emption (negative emotion)
reliability
diagnosis of SZ must be repeatable (test retest reliability) or different clinicians must reach the same conclusion of inter rater reliability
reliability
diagnosis of SZ must be repeatable (test retest reliability) or different clinicians must reach the same conclusion of inter rater reliability
classifications systems such as DSM are useless unless they are reliable.
study on reliabilty and cultural differences
luhrmann et al. = 60 adults diagnosed w SZ 20 each in ghana India and USA