schizophrenia clinical

Question 1

what was the original name for schizophrenia

Answer 1

dementia praecox

Question 2

what does term schizophrenia refer to

Answer 2

splitting different psychological functions within a single personality

Question 3

what were the main symptoms of dementia praecox

Answer 3

reduced congitive function
blunting of affect
apathy and impaired goal orientated behaviour

Question 4

what are the negative symptoms of schizophrenia (4)

Answer 4

impaired coherence of thought content /flight of ideas
blunting affect and interference
autism

Question 5

what are some of the positive symtpoms of schizophrenia

Answer 5

delusion
acoustic hallucinations
influence of will

Question 6

what are 5 symptoms from DSM5

Answer 6

delusions
hallucinations
disorganised speech
disorganised behaviour
negative symptoms

Question 7

what are 4 delusion types

Answer 7

grandeur- being a famous person
persecution- others against them
reference- radio or television is speaking to them
control- thoughts controlled by external forces

Question 8

what do hallucinations affect

Answer 8

visual
auditory
olfactory
somatosensory domain

Question 9

what is a hallucination

Answer 9

perception in the absence of external stimulation or sensory input that has the properties of a real perception

Question 10

what are four negative symptoms

Answer 10

affective flattening
anhedonia
avolition
asociality

Question 11

what is affective flattening

Answer 11

limited range and intesity of emotional expression

Question 12

what is anhedonia

Answer 12

inability to react to enjoyable or pleasurable events

Question 13

what is avolition

Answer 13

inability to carry out normal day to day goal orientated activities

Question 14

what is asociality

Answer 14

withdrawal into an inner world

Question 15

what are the three difference disease onsets

Answer 15

acute onset
sub acute onset
slow or chronic onset

Question 16

describe acute onset

Answer 16

prodromal stage shorter than 3 months

starts directly with positive symptoms

Question 17

describe sub acute onset

Answer 17

early stage between 1 month and a year

Question 18

describe slow or chronic onsey

Answer 18

slow progression

Question 19

how are twin studies used to show schizophrenia

Answer 19

high risk adoption stats= lead to dopamine hypothesis

Question 20

what is the dopamine hypothesis

Answer 20

amphetamine is dopamine agonist that elevates dopamine by inhibiting reuptake

Question 21

what does amphetamine do

Answer 21

produces positive symptoms and worstens symptoms in schizophrenics

Question 22

what are three psychological theories

Answer 22

double bind
expressed emotions
camberwell family interview

Question 23

describe double bind theory

Answer 23

paradoxically u cannot do what sign asks and implies simultaneously

Question 24

describe expressed emotions theory

Answer 24

anecdotal observation;

social group after ischarge from hospital had influence on relapse rate

Question 25

what is a critique of camberwell family interview

Answer 25

expression of contempt and anger towards the patient verbally and non verbally

Question 26

what is milieu therapy

Answer 26

used to counter social breakdown

Question 27

what is token economy

Answer 27

based on operant conditioning

Question 28

what are antipsychotics

Answer 28

class of psychiatric medication used to treat schizophrenia

Question 29

what do antipsychotics and atypical antipsychotics do

Answer 29

block receptors in brains dopamine pathways but atypical also act on serotonin receptors

Question 30

what is a long term side effect of antipsychotics

Answer 30

tardive dyskinesia

Question 31

why is social skills training required

Answer 31

negative symptoms impair social interactions with others and prevent learning of vital social skills

Question 32

what are three examples of social skills in training

Answer 32

role playing
modelling
eye contact

Question 33

why is family therapy a priority

Answer 33

expressed emotion research highlights importance of appropriate and functional social interaction within the family
stressful family interaction increases relapse rate