SCHIZOPHRENIA-clinical characteristics & diagnosis Flashcards
define schizophrenia?
schizophrenia is a serious mental disorder that affects thought processes and ability to determine reality
what are certain clinical characteristics/symptoms associated with schizophrenia?
clinicans refer to them as type 1 and type 2 symptoms
what is type 1 symptoms?
acute,positive symptoms, and responds well to drug therapy with better prospects of recovery
what is type 2 symptoms?
chronic, negative symptoms and more difficult to treat with drugs and poorer prospects of recovery
research for type 1?
schneider 1959-detailed first rank symptoms
examples of type 1 symptoms?
passivity experiences & thought disorders, auditory hallucinations,primary delusions
what are primary delusions?
bizarre beliefs or inflated beliefs about power/importance e.g individ thinking they’re jesus christ.
types of hallucinations?
hallucinations consist of auditory,visual,olfactory
what do hallucinations occur with?
occur with concurrent delusions could be hearing things seeing things/ smelling things, unreal perceptions of envirnment
what are passivity experience and thought disorders?
belief of external control such as god/aliens with thought disorders where there are feelings are thoughts inserted/withdraw/being broadcasted to others.
what do all type 1 symptoms occur in?
occur in excess of normal functions
research for type 2 symptoms?
slater&roth 1969
what are type 2 symptoms?
lack of violation, psycho motor behavior, disturbance of effect, thought process disorders
what is lack of violation?
lack of hygience and no mtoviation
what is physco motor behaviour?
stuesque poses
what is disturbance of affect?
laughing at bad news
what is thought process disorders?
create new phrases and words
what are all type 2 symptoms?
reflect dysfunction/lack of normal life
diagnosis intro?- what is there no such thing as?
normal schizo and there are several subtypes combined
diagnosis intro?- what was made for several subtypes combined?
ICD 10- 7 subtypes AND DSM -5 subtypes
diagnosis intro?- what was then proposed?
5 subtypes proposed subtypes to check to see if client matches disorder
what is dsm 5? (4)
- (apa) published with 5 revisions and published in 1952,
- it is global assessment functioning mental illness,
- works on disorders and health world wide,
- is more accurate and reliable than ICD.
what is icd? (4)
- medical classification list,
- coding diseases signs and symptoms.
- 10th edition of it.
- published by who and is cultural biased.
why did dsm 5 list 5 subtypes?
because of hugh variety of schizophrenic symptoms.
how long do symptoms have to be apparent and how many?
dsm 5 diagnosis says schizophrenia requires 2 or more of following symptoms being apparent for 1 month period ;
what are the 5 subtypes?
disorganised schiz paranoid schiz residual schiz undifferentiated schiz catatonic schiz
what is disorganised schiz?
weird behaviours- inchorent speech and thoughts- bizarre delusions and hallucinations
what is paranoid schiz?
organised and complexed delusions often auditory hallucinations
what is residual schiz?
gradual development of many minor probs e.g social withdrawal
what is undifferentiated schiz?
classification for those whose symptoms not classified under any of other subtypes (least useful)
what is catatonic schiz?
alternating between catatonic stupor or negativism and catatonic excitement- (violent behaviour)
what else with the presence of symptoms for dsm?
one of the symptoms must be
delusions, hallucinations or disorganised speech
with continuous disturbance persisting for 6 months which includes at least 1 month of symp