Ch9slidesandnotes - Schizophrenia and Related Disorders 1 2...

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1 Schizophrenia and Related Disorders
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2
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3 The Schizophrenias
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4 A disorder with a range of psychotic symptoms involving disturbances in content of thought, form of thought, perception, affect, sense of self, motivation, behavior, and interpersonal functioning. Schizophrenia Dementia praecox: The term coined by Kraepelin to describe what is currently known as schizophrenia. According to Kraepelin, this condition involves a degeneration of the brain that begins at a young age and ultimately leads to a disintegration of the entire personality.
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5 A disorder with a range of psychotic symptoms involving disturbances in content of thought, form of thought, perception, affect, sense of self, motivation, behavior, and interpersonal functioning. Schizophrenia Behavior involving loss of contact with reality. Psychosis
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6 Bleuler Bleuler coined the term schizophrenia . The four fundamental features are still referred to as Bleuler’s Four A’s: Association (thought disorder) Affect (emotional disturbance) Ambivalence (inability to make or follow through on decisions) Autism (idiosyncratic style of egocentric thought and behavior) •Bleuler’s ideas about schizophrenia are still influential.
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7 PHASES OF SCHIZOPHRENIA Residual Prodroma l Active Prodromal phase: A period in the course of schizophrenia, prior to the active phase of symptoms, during which the individual shows progressive deterioration in social and interpersonal functioning. Active phase: A period in the course of schizophrenia in which psychotic symptoms are present. Residual phase: A period in the course of schizophrenia, following the active phase, in which there are continuing indications of disturbance, evidenced by the same kinds of behaviors that characterize the prodromal phase.
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8 SYMPTOMS Perception Hallucinations Thoughts Lack cohesiveness and logic Language Incomprehensibility Actions Odd and disturbing Disturbances can be seen in . . . •Some instances are not as dramatic. Instead, the schizophrenic might speak in a peculiar way and use awkward speech, odd intonations. •They may lack normal expressiveness and gestures. •Or they may spent hours or days without talking.
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9 Negative symptoms: Positive symptoms: SYMPTOMS Exaggerations or distortions of normal thoughts, emotions, and behavior. Symptoms that involve functioning below the level of normal behavior. •Positive symptoms are viewed as direct lead-ins to full expression of psychosis. •Clinicians often find it difficult to diagnose negative symptoms, because most people at one time or another act in these ways, as when they are fatigued or depressed.
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10 affective flattening alogia avolition anhedonia delusions hallucinations disturbed speech disturbed behavior SYMPTOMS Delusions: Beliefs that are grossly out of touch with reality.
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