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17 Pages
L15 - schizophrenia, part 2
Course: PSYC 360, Fall 2007School: USC
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overview Schizophrenia Today's Statistics Theories Treatments Schizophrenia Review of DSM-IV criteria Subtypes Other psychotic disorders Statistics Prevalence Comorbidity Onset Course Prognosis Gender differences Cultural differences 10 years after diagnosis Completely recovered Much improved, relatively independent Improved, require extensive support Hospitalized, unimproved Dead (mostly...
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overview
Schizophrenia Today's Statistics Theories Treatments
Schizophrenia
Review of DSM-IV criteria
Subtypes Other psychotic disorders
Statistics
Prevalence Comorbidity Onset Course Prognosis Gender differences Cultural differences
10 years after diagnosis
Completely recovered Much improved, relatively independent Improved, require extensive support Hospitalized, unimproved Dead (mostly suicide)
0 5 10 15 20 25 30 35
30 years after diagnosis
Completely recovered Much improved, relatively independent Improved, require extensive support Hospitalized, unimproved Dead (mostly suicide)
0 5 10 15 20 25 30 35
Where do they live?
30 25 20 15 10 5 0
Homeless Jails Hospitals Nursing With homes family On own Group homes
Biological approaches
Behavior genetics
High risk studies: Sarnoff Mednick Brain structure irregularities
Biological approaches
Dopamine hypothesis Drug treatment: "antipsychotics" Typical Tardive antipsychotics Dyskinesia Atypical antipsychotics Noncompliance
Cognitive approaches
Attention hypotheses Selective attention Attention to external stimuli
Cognitive treatment Process approach Content approach
Interpersonal approaches
Historical perspectives Expressed emotion Communication deviance
Family therapy
Cultural differences in EE
Percentage of families with high EE
70 60 50 40 30 20 10 0 Indian Mexican British AngloAmerican
Others approaches
Importance of stress
Behavioral theory and treatments Sociocultural treatments
Does treatment work?
% with major relapse after 2 years
70 60 50 40 30 20 10 0 Drugs + support or education Drugs + social skills training Drugs + family stress management
Looking ahead
Next Monday Substance abuse disorders, part 1 Guest speaker on methamphetamines RR Ch 17 due Next Wednesday Substance abuse disorders, part 2 Memoir paper due Monday, Nov 12!
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