TEST 1 MOD 1-6 Flashcards
Bizarre delusions
Could not possibly be true K-pax
Delusional jealousy
Conviction of unfaithful partner
Erotomanic delusion
Another higher authority person is in love with them
Grandiose delusion
Inflated self importance
Delusions of reference
beliefs that events, people, or things in the immediate environment have a special and unique significance for the individual
Persecutory delusions
Plotted against
Derailment
Shifting mid topics
Circumstantial thinking
Talking in circles
Tangential thinking
Unrelated to question
Loose association
Illogical thinking
Clang associations
Choosing word for sound over meaning
Incoherence
Word salad
What is social cognition? How does schizophrenia impair it?
Ability to perceive interpret and understand social information
Inability to perceive social nuances, engage in basic conversation, inability to identify emotional states of others, comprehend sarcasm and lies, and reduced emotional response
How has the DSM-5 change regarding Schizophrenia?
Concept has changed to encapsulate all subtypes as the same diagnosis; schizophrenia is a spectrum
Does schizophrenia have biological influence? What?
Changes in the brain; ventricles swell, and cortex smaller, twins
- Delusions
- Hallucinations
- Disorganized speech
- Grossly disorganized or catatonic behavior
- Negative symptoms
Persist for 1 month
1,2,3, must be present
Schizophrenia
K-pax
Alien schizophrenic movie
As Good As it gets
OCD ASSHOLE MOVIE
Dirty filthy Love
Tourette’s and OCD
Lars and the real girl
Delusion disorder; whole town pretends to see her until he gets over it
Antipsychotic meds, psychotherapy, family therapy, social therapy, community approach
Treatments for schizophrenia
Acute phase, stabilization phase, stable phase
No hallucinations
Typically not bizarre, everyday situations
1 mo no other psychotic symptoms
Delusion disorder
delusions
hallucinations
disorganized speech (e.g., frequent derailment or incoherence)
grossly disorganized or catatonic behavior
1 day but less that 1 month
Brief psychotic disorder
delusions
hallucinations
disorganized speech (e.g., frequent derailment or incoherence)
grossly disorganized or catatonic behavior
negative symptoms,(i.e., diminished emotional expression or avolition)
At least 1 month but less than 6 mo
Schizophreniform disorder
Symptoms of schizophrenia couples with mood disorder
Schizoaffective disorder
Prominent hallucinations or delusions.
B. There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct physiological consequence of a general medical condition
C. The disturbance is not better accounted for by another mental disorder.
D. The disturbance does not occur exclusively during the course of delirium.
E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Psychotic disorder due to a general medical condition
Can develop during 1 mo of substance intoxication or withdrawal
Substance/medication0induced psychotic disorder
Symptoms characteristic of schizophrenia spectrum but do not meet any full criteria
Other unspecified diagnoses
Parents & schizophrenia?
Double-messages, Double-bind = no win situations, no boundaries
What kind of disorder is schizophrenia
Psychotic
Most common type of hallucination?
Auditory
What are positive symptoms of schizophrenia
Add to experience; disorganized speech and behavior, loose associations, tangentiality
Negative symptoms of schizophrenia
Alogia, poor attention, abolition, loss of social interest
Who was John Nash
Nobel prize for economics, A Beautiful Mind, overcame schizophrenia
What stress levels produce best performance
Moderate
What’s negative stress?
Distress
Good stress is called
Eustress
Develop significantly distressing emotional or behavioral symptoms in response to stressor
Exceeds “normal”
Functional impairment
Can hav depression, anxiety, and conduct disturbances
Adjustment disorder
Persistent Complex Bereavement
Grief response distress/impairment
Disorders of childhood
Reactive attention disorder
Social engagement disorder
Triggered by traumatic event
Relived through nightmares, etc
Causes significant physiological stress
At least 1 mo since event=t
PTSD
Exposure to traumatic event
Requires 9/14 symptoms
-recurrent intrusive thoughts/memories
Dissociative symptoms
Sleep disturbances
After 3 days-1mo
Acute stress disorder
When is ASD more likely?
Involves sexual assault & women
Possession and identity fragmentation
Dissociative identity disorder
Fugue
Rare, always involves amnesia, but not always confused wandering and personality loss
What is depersonalization often occur with?
Derealization
Conversion disorder
Remain with somatic, but dissociative comorbid
Persistent and recurring feelings of detachment from body/mental processes
Coping mechanism to separate
“Outside looking in”
Depersonalization
Unable to recall important info (autobiographical, episodic memory)
Sometimes partial or complete
Extent varies
Usually resolves without treatment
Dissociative amnesia
Dissociative amnesia with fugue specifiers
Sudden unexpected travel away from hom/work
New identity
War/natural disasters
Unknown white male
Woke up on last stop of Coney Island, no idea who he was, retrograde amnesia, could still sign signature
Feel they have a horrid defect in one or more aspect of appearance
Go to extreme lengths to “fix’
Body dysmorphic disorder
Body dysmorphic disorder is which type?
OCD
Trucgitillomania
Hair pulling
Heightened arousal of sympathetic nervous system that it causes physiological symptoms
Panic attack
Fear o flowing control, having panic attacks, avoidance reinforces negative beliefs
Panic disorder
“Fear of marketplace”
Wanting to limit triggers
May be accompanied with panic disorder
Avoiding general environment
May become home bound
Agoraphobia
What kind of conditoning explains the etiology of anxiety disorder?
Operant
Why is OCD persistent
Negative reinforcement cycle
Intense fear of object/situation
Anxiety present with the phobic stimulant
Specific phobia
Social situations triggers
Paruresis
Performance anxiety
“Generalized” to almost every situation
Social anxiety disorder
Generalized anxiety disorder
Excessive anxiety for more days than not for 6
3 cognitive/physical symptoms
For children only 1
Fair insight
Recognizes beliefs are probably not true
Poor insight
Probably true
Absent insight
Completely convinced
“Rapid eye movement” unique
Paradoxical
Brain awake
Movements suppressed
REM SLEEP
Consciously fakes a disorder
Seeking secondary gain
Avoids treatment
Malingering
Consiously creates symptoms
Seeking primary gain
Willing to receive treatment
Munchausens
Factitious disorder
Complains of needling medical treatment
Has multiple complaints with no cause
Symptoms present for 6 mo
Somatic symptom disorder
Somatoform-like but doesn’t meet all criteria
Undifferentiated somatoform disorder
Motor or sensory symptoms
Psychological factors
Psychological stress converted into physica;
Conversion disoder
Hypochondriasis
Being or getting sick
Lack of evidence
Not specific complaints
Care seeking or care avoidant
Illness anxiety disorder
What psychology are movies typically based on?
Freudian
3 dominant themes
Traumatic etiology
Schixophrenic parent
Harmless eccentricity
Psychological crutch
Allows escape
Common stereotypes in films
Rebellious free spirit
Homocidal maniac
Enlightened member of society
Narcissistic parasite
Zoo specimen
