Tutorial 10 Flashcards
differentiate ASPD and psychotic disorders? (Whats the key difference)
ASPD - no remorse, violent antisocial behavior etc.
psychotic disorders - delusions and hallucination, out of touch w/ reality, not necessarily antisocial behavior
psychotic disorders symptoms?
- hallucinations
- delusions
- disorganised thinking/ speech
- disorganised or abnormal motor behavior
- negative symptoms
- 2 required for schizophrenia, 1 … (missed it)
schizophrenia?
- severe psychotic disorder
- disabling pattern of disturbed thinking, emotion, perception, behavior
- positive symptoms (hallucinations, delusions, disorganised speech)
- negative symptoms (absence of something normal ie. flattened affect or lack of emotion, lack complex thought)
- often lifeline
- 6 month duration (with at least 1 month active phase)
- active symptoms often remit and relapse
- residual symptoms often remain
delusions?
- strongly held belief with no evidence, but believed with certain truth, can be possible but unlikely or can be “bizzare”
- delusions of persecution: they’re out to get me, paranoia and anxiety
- delusions of influence: the CIA is controlling my brain with a signal
- delusions of grandeur: superiority, believe self to be god/ jesus, believed to have “special” knowledge
- the patient is unaware that people think differently
hallucinations?
- disturbances in perception
- perceptual experience in absence of stimuli (seeing/ hearing things that aren’t there)
- most often auditory hallucinations
- can be in any sensory modality
t/f: delusion and hallucination symptoms tend to reduce with medication
t
disorganised thinking?
- most important prognostic symptom
- inferred from speech, this is why the two (speech and thinking) grouped
- loose associations –> jump between ideas, clang associations –> sound of words (
- neologisms (
- word salad –> chaotic/ non-sensual
- paralogic –> seems logical but is seriously flawed
grossly disorganised behavior/ abnormal motor behavior?
disorganised –> behavior inappropriate for situation (ie. sexual), silliness, agitation
catatonic (extreme) –> unresponsiveness to enivronment, lack speech, flat affect, resistance to instructions, maintenance of bizzare posture
negative symptoms?
- reduced emotional expression
- avolition (inability to initiate and maintain goal oriented action)
- alogia (lack of speech, not refusal to talk)
- anhedonia (lack pleasure)
t/f: schizophreniacs 5-6% complete and 20-30% attempt suicide
t
3 subtypes schizophrenia? (old version not DSM 5)
paranoid
disorganised
catatonic
t/f: shizophrenia has a large genetic component
t
vulnerability theory?
Vulnerability in schizophrenia is an integrative concept, which tries to explain the development of schizophrenia as an interaction between different individual susceptibility factors and environmental risk factors
Social and emotional model of wellbeing for indigenous australians?
It takes a holistic view of health as it recognises that connection to land, sea, culture and spirituality all influence wellbeing. Protective factors include…
- social connectedness and sense of belonging
- connection to land, culture, spitiuality, ancestry
- living on or near traditional lands
- self-determination
- strong community governance
- passing on of cultural practices
- focus on role as traditional healers –> heal the spirit
