social functioning Flashcards
social function
function in societal roles such as homemaker, worker, student, spouse. family member or friend
community function:
social competence and behavior, independent living skills, overall adjustment to community living
what factors also play a role in functional disability?
motivational factors
factors influencing motivation type: (3)
- psychological needs
- external forces
- lack of agency
psychological needs factors:
autonomy, competence, relatedness
external forces factors:
towards praise/reward (positive)
away from punishment or criticism (negative)
lack of agency factor (ability to act in any given environment)
overall disconnect with actions and environment
relatives of schizophrenia also appear to have slightly diminished functioning true or false:
true
deficits are evident ____ the onset of symptoms
BEFORE
what is social functioning?
persons interactions with their environment and ability to fulfill role within environment such as work, social activities, and relationships with partners and family
social dysfunction:
deterioration of functioning in one or more of the following: interpersonal contacts, work, self care
social functioning is important for which functioning ?
relationships with others, many forms of work, psychological impact of consequences
common social functioning difficulties in sz: (3)
- decreased quality of social interactions
- difficulties in maintaining relationships with others
- diminished performance in work place
social cognition and social competence difficulties:
- affect recognition difficulties
- weaker verbal and nonverbal skills
- less assertive in social situations
- social problem solving challenges
factors that impact social functioning in SZ: (3)
psychotic symptoms, cognitive dysfunction, sex
which symptoms are the primary predictors of social functioning performance?
negative
negative symptoms are strongly associated with:
deterioration in functioning, decreased quality of life, and reduced emotionality
positive symptoms often revolve around:
characteristics of social environment and elicit discomfort from observers and stigma
impairments in cognition often lead to:
social withdrawal aka, avoidance of social contact
although there are no differences in sex in symptomatology, which gender fares better in social functioning?
females
why do females fare better in social functioning
milder range of interpersonal issues, more likely to marry, more likely to live independently and be employed
females also appear to perform better in overall social skills because:
more skilled in the appropriate duration of their speech, turn taking abilities during convos are better, verbal content in role play scenarios better
consequences of social functioning difficulties: (5)
- social isolation
- low rates of marriage and meaningful long term relationships
- unemployment/occupational difficulties
- residential/housing problems
- stigmas
sz stigma:
often perceived by public as in comprehensive, nonsensical, neglectful of appearance and behavior
experiencing social stigma is associated with:
worse clinical outcomes
social stigma of sz + social skill difficulties=
social isolation and rejection by others
what does psychoeducation do? (3)
- reduces level of auto stigma
- increases patient knowledge of disorder and intervention options
3.improves family attitudes toward a persons behaviors and difficulties
