Schizophrenia Spectrum and Other Psychotic Disorders

Question 1

The startling disorder characterized by a broad spectrum of cognitive and emotional dysfunctions including delusions and hallucinations, disorganized speech and behavior and inappropriate emotions.

Answer 1

Schizophrenia

Question 2

In 1809, he outlined a description of the symptoms of schizophrenia in Observation on Madness and Melancholy.

Answer 2

John Haslam

Question 3

A French physician who described cases of schizophrenia in 1901/1809.

Answer 3

Philippe Pinel

Question 4

A physician at French institution who used the term demence precoce-dementia praecox in Latin, to describe schizophrenia.

Answer 4

Benedict Morel

Question 5

It means early or premature loss of mind.

Answer 5

Dementia praecox

Question 6

He is a German psychiatrist, who combined with several symptoms of insanity that had usually been viewed as reflecting separate and distinct disorders- catatonia, hebephrenia and paranoia under the name dementia praecox.

Answer 6

Emil Kraepelin

Question 7

Kraepelin distinguished dementia praecox from _.

Answer 7

Manic-depressive illness (bipolar disorder)

Question 8

A Swiss psychiatrist who introduced the term schizophrenia in 1908.

Answer 8

Eugen Bleuler

Question 9

Schizophrenia comes from the combination of the Greek words _ and _.

Answer 9

Skhizein (split) & phren (mind)

Question 10

It is referred to as alternating immobility and excited agitation.

Answer 10

Catatonia

Question 11

It means silly and immature emotionality.

Answer 11

Hebephrenia

Question 12

Delusions of grandeur or persecution.

Answer 12

Paranoia

Question 13

Behavior that has been characterized by many unusual behaviors, it usually involves delusions and/or hallucination.

Answer 13

Psychotic behavior

Question 14

Generally refer to symptoms around distorted reality.

Answer 14

Positive symptoms

Question 15

It involves a deficit in normal behavior such as speech, blunted affect and motivation.

Answer 15

Negative symptoms

Question 16

It includes rambling speech, erratic behavior and inappropriate affect.

Answer 16

Disorganized symptoms

Question 17

A diagnosis of schizophrenia requires how many positive, negative and/or disorganized symptoms be present for atleast how long? It also should have atleast one of these symptoms including delusions, hallucinations or disorganized speech.

Answer 17

Two or more;
1 month

Question 18

What does 0-4 severity of an individual’s symptom represent?

Answer 18

0 symptom not present
1 equivocal evidence (not sure)
2 present but mild
3 present but moderate
4 present and severe

Question 19

Delusions or disorder of thought concern and hallucination are examples of what symptoms?

Answer 19

Positive symptoms

Question 20

A mistaken belief that the person is famous or powerful.

Answer 20

Delusions of grandeur

Question 21

A common delusion in people with schizophrenia. It is the belief that others are “out to get them”.

Answer 21

Delusions of persecution

Question 22

The person believes someone he or she knows has been replaced by a double.

Answer 22

Capgras syndrome

Question 23

The person believes he is dead.

Answer 23

Cotard’s syndrome

Question 24

What are the 2 reasons that explain why schizophrenics believe such improbable things?

Answer 24

Motivational view of delusions
Deficit view of delusions

Question 25

The basic character of madness.

Answer 25

Delusions or disorder of thought content.

Question 26

The experience of sensory events without any input from the surrounding environment.

Answer 26

Hallucinations

Question 27

The most common hallucination experienced by people with schizophrenia.

Answer 27

Auditory hallucinations

Question 28

The part of the brain that is most active during hallucinations. It is known to be involved in speech production rather than language comprehension.

Answer 28

Broca’s area

Question 29

The area that is involved in language comprehension. People who are hallucinating are not hearing the voices of others but are listening to their own thoughts or their own voices and cannot recognize the difference.

Answer 29

Wernicke’s area

Question 30

Avolition, Alogia, Anhedonia and Affective flattening are what kind of symptoms?

Answer 30

Negative symptoms

Question 31

Disorganized speech, tangentiality and loose association or derailment, inaappropriate affect and disorganizer behavior are what kind of symptoms?

Answer 31

Disorganized symptoms

Question 32

It is the inability to initiate and persist in activities.

Answer 32

Avolition

Question 33

It refers to the relative absence of speech. They may have little content response to questions and may appear uninterested in the conversation.

Answer 33

Alogia

Question 34

It is the presumed lack of pleasure.

Answer 34

Anhedonia

Question 35

They do not show emotions when you would normally expect them to. Stare vacantly, speak in a flat and toneless manner and seem unaffected by things going on around them. They may be responding on the inside.

Answer 35

Affective flattening

Question 36

They often lack insight, an awareness that they have a problem. They experience “associative slippage” and “cognitive slippage”.

Answer 36

Disorganized speech

Question 37

Going off on a tangent instead of answering a specific question.

Answer 37

Tangentiality

Question 38

Changing the topic of conversation to unrelated areas.

Answer 38

Loose association or derailment

Question 39

People hold unusual postures as if they were fearful of something terrible happening if they move.

Answer 39

Catatonic immobility

Question 40

The tendency to keep their bodies and limbs in the position they are put in by someone else.

Answer 40

Waxy Flexibility

Question 41

What are the 3 Divisions/Subtypes of historic Schizophrenia?

Answer 41

Paranoid
Disorganized
Catatonic

Question 42

A disorder including onset of psychotic symptoms within 4 weeks of the noticeable change in unusual behavior, confusion at the height of psychotic episode, good premorbid (before psychotic episode) social & occupational functioning and absence of blunted or flat affect.

Answer 42

Schizophreniform Disorder

Question 43

A disorder requiring the presence of a mood disorder, delusions or hallucinations for atleast 2 weeks in the absence of prominent mood symptoms. Prognosis is similar for schizophrenia- do not get better on their own and are likely to continue experiencing major life difficulties for many years.

Answer 43

Schizoaffective Disorder

Question 44

A disorder with a persistent belief that is contrary to reality. They tend to not have a flat affect, anhedonia or other negative symptoms but may become socially isolated because they are suspicious of others. Delusions are often long standing and persisting over several years.

Answer 44

Delusional Disorder

Question 45

What are the 5 Delusional Disorder subtypes?

Answer 45

Erotomanic type
Grandiose type
Jealous type
Persecutory type
Somatic type

Question 46

Delusional subtype that has the irrational belief that one is loved by another person, usually of higher status.

Answer 46

Erotomanic type

Question 47

A delusional subtype that involves believing in one’s inflated worth, power, knowledge, identity or special relationship to a feity or famous person.

Answer 47

Grandiose type

Question 48

A delusional subtype that believes that the sexual partner is unfaithful.

Answer 48

Jealous type

Question 49

A delusional subtype that involves believing oneself or someone close is being malevolently treated in some way.

Answer 49

Persecutory type

Question 50

Delusional subtype where the person feels afflicted by a physical defect or general medical condition.

Answer 50

Somatic type

Question 51

What is the onset of Delusional Disorder?

Answer 51

Relatively late.

Question 52

The condition in which an individual develops delusions simply as a result of a close relationship with a delusional individual.

Answer 52

Shared psychotic disorder (folie a deux)

Question 53

A psychotic disorder with the presence of one or more positive symptoms such as delusions, hallucinations or disorganized speech or behavior lasting 1 month or less. It is often precipitated by extremely stressful situations.

Answer 53

Brief Psychotic Disorder

Question 54

They can be at high risk for developing schizophrenia and may be at an early stage of the disorder. They have some of the symptoms of schizophrenia but are aware of the troubling and bizarre nature of these symptoms.

Answer 54

Attenuated Psychosis Syndrome

Question 55

A related psychotic disorder that has characteristics similar to those experienced by people with schizophrenia but are less severe. They may be genetically related as part of schizophrenia spectrum.

Answer 55

Schizotypal Personality Disorder