Schizophrenia and Psychosis Flashcards
Psychosis
The inability to distinguish between reality and unreality
Egen Bleuler’s take on Schizophrenia
Splitting of usually integrated psychic functions of mental associations, thoughts, emotions not splitting of personalities
Psychotic symptoms
- Negative Symptoms
- Delusions
- Hallucinations
- Disorganized thought
- Disorganized behaviour
Schizophrenia Spectrum
Number, severity and duration of symptoms can vary
- Distinguishes the psychotic disorders form one another
- cognitive deficits also common
Delusions
- False, unshakable beliefs that are held with strong conviction despite contradictory evidence
- Inappropriately high meaning and attention to irrelevant events
- Different from self-deceptions (possible, attended to occasionally, acknowledged that could be incorrect)
Hallucinations
- False or inaccurate perceptions that cause one to sense what others do not
- Auditory verbal hallucinations are most common (70-80% of people with schizophrenia)
- Visual hallucinations (24-72 with schizophrenia)
Prevalence of types of hallucinations
MOST COMMON
Auditory
Visual
Somatic, Tactile
Olfactory, Gustatory
LEAST COMMON
Neuroscience and Hallucinations
- Auditory hallucinations produce signals of sound - brain ‘hears’ them
- Activity in Broca’s area (production of sounds, including speech)
- Activity in areas that perceive sound
- Recognized as sounds coming from within
Formal thought disorder
Disorganized thinking
- Not a disorder, thought is in disorder
Loose associations
Slipping from one topic to seemingly unrelated topic
Neologisms
Made-up words that mean something only to the speaker
Clangs
Words associated by sound not content (rhyming)
Disorganized thought and speech
- Formal Thought disorder
- Loose associations
- Neologisms
- Clangs
- Can be incoherent, speaking in ‘word salad’
- Men show more language deficits than women
Disorganized Behavior
- Unpredictable, apparently untriggered agitation
- Difficulty organizing daily routines
- socially unacceptable behavior
- Catatonia
Catatonia
Noticeable psychomotor dysfunction; decreased or excessive peculiar motor activity
- Negativism: lack of response to instructions
- Mutism: lack of verbal or motor responses
- Catatonic excitement: purposeless excessive motor movement