Chapter 9 - Chapter 9 Schizophrenia - A disorder with a...

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Chapter 9 Schizophrenia - A disorder with a range of symptoms involving disturbances in content of thought, form of thought, perception, affect, sense of self, motivation, behavior, and interpersonal functioning. Phases of Schizophrenia - Active Phase- when symptoms are active, such as delusions, hallucinations, disorganized speech, disturbed behavior, and negative symptoms. - Prodromal Phase- a period prior to the active phase during which the individual shows progressive deterioration in social and interpersonal functioning. Social withdrawal, inability to work productively, poor grooming, and inappropriate emotionality are some symptoms seen in this phase. - Residual Phase- usually follows the active phase. In this phase there are continuing indications similar to the behaviors of the prodromal phase. - Positive Symptoms- exaggerations or distortions of normal thoughts, emotions, and behavior. Symptoms of Schizophrenia - Delusions- deeply entrenched false beliefs. Delusions can take many forms (i.e. person believes they are being followed, trying to be killed, etc.) - Hallucinations- false perceptions involving one of the five senses. They are not under voluntary control. - Disorganized Speech- may be hard to follow a conversation, some people stop talking altogether for days. - Disturbed Behavior- may move in odd and disturbing ways. May become catatonic. - Negative Symptoms- functioning below the level of behavior regarded as normal. o Affective flattening- individual seems unresponsive with relatively motionless body language and facial reactions and little to no eye contact. o Alogia- loss of words or notable lack of spontaneity or responsiveness in conversation. o Avolition- lack of initiative and unwillingness to act. o Anhedonia- a loss of interest in or ability to experience pleasure from activities that most people find appealing. - Social and Occupational Dysfunction- hard to function around others because of their bizarre behavior. People have a hard time understanding there problems. Types of Schizophrenia - Catatonic type- when the prominent symptom in a person is bizarre motor movement. - Disorganized type- characterized by a combination of symptoms, including disorganized speech, disturbed behavior, and flat or inappropriate affect. Person’s delusions or hallucinations lack an apparent theme. Noticeably odd and usually have serious impairment in work and other social contexts. - Paranoid type- preoccupied with one or more bizarre delusions or have auditory hallucinations related to a theme of being persecuted or harassed, but without disorganized speech or disturbed behavior. Have tremendous interpersonal problems.
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- Undifferentiated type- when a person shows a complex of schizophrenic symptoms, such as delusions, hallucinations, incoherence, and disturbed behaviors, but does not meet the criteria for paranoid, catatonic, or disorganized schizophrenia. -
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Chapter 9 - Chapter 9 Schizophrenia - A disorder with a...

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