Chapter 12 - Chapter 12 Psychosis A state of being...

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Chapter 12 12/12/2007 09:58:00 Psychosis: A state of being profoundly out of touch with reality. Hallucinations : Abnormal sensory experiences such as hearing or seeing nonexistent things. Delusions: Fixed, false, and often bizarre beliefs. Grandeur: (Delusion of greatness; sometimes believe to have special powers) Nihilistic delusion (A delusion whose theme centers on the nonexistence of self or parts of self, others, or the world. A person with this type of delusion may have the false belief that the world is ending) Reference: (The person falsely believes that insignificant remarks, events, or objects in one's environment have personal meaning or significance) Persecution (Most common type of delusions and involve the theme of being followed, harassed, cheated, poisoned or drugged, conspired against, spied on, attacked, or obstructed in the pursuit of goals) Shared Delusional Disorder: Diagnosis involving delusions that develop in the context of a closing relationship with a psychotic person Dementia Praecox: An early term for schizophrenia, from the Greek for “premature dementia” Emil Kraepelin: Often referred to as “the father of modern psychiatry”. Proposed a useful classification system for different forms of psychosis, saying that psychoses could be divided into 2 broad classes : Manic-depressive psychosis (now called bi-polar disorder) Dementia Praecox (Dementia – think the Notebook) Phillipe Pinel: Wrote the first publications of a newer pattern of psychotic disorder. One that was more chronic and not associated with extreme mood fluctuations.
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Eugen Bleuler: Furthered Kraepelin’s work. He believed that schizophrenia was probably not a single disorder but a group of related “schizophrenias”. He focuses on the symptoms that have become known as the “4’s” of schizophrenia. Extreme Ambivalence (referring to a kind of paralysis of the will) Abnormal Associations in thinking Disturbed Affect (emotion) Autism (a withdrawl into fantasy instead of focus on reality) Schizophrenia: A disorder marked by psychosis and a decline in adaptive functioning. To be diagnosed you must have 2 or more of the following: Delusions Hallucinations Disorganized Speech Grossly disorganized or catatonic behavior Negative symptoms ( like a lack of emotion, speech, or motivation) Plus social/occupational dysfunction and decline and continuous signs of the disorder for at least 6 months. Positive/ Type I symptoms of schizophrenia: Symptoms that represent pathological excesses, exaggerations, or distortions from normal functioning, such as delusions, hallucinations, and disorganized speech, thought, or behavior. They Include: Hallucinations Delusions Disorganized Speech Disorganized Behavior Negative/ Type II symptoms of schizophrenia:
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  • Fall '07
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