Chp. 11-Schizophrenia

Chp. 11-Schizophrenia - Chapter 11 Schizophrenia I What is...

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Chapter 11: Schizophrenia I. What is it? --Psychosis: Loss of touch with reality --Typically: Impaired reality testing, thinking, perceptions, affect, motivation, behavior, and self-care The Schizophrenias: --Schizophrenia =>6 months II. Schizophrenia --Common psychotic disorder --90% seek treatment in a mental health facility --Health care costs at $20 Billion/yr --Typically a lifelong illness, continual services --US: 1-2% develop schizophrenia --40% of mental hospital beds --Stigmatized: "lepers of the 20th century" --Majority living independently or in family's home --Many in jails, prisons, or homeless --Rates: African Americans> European Americans > Hispanics --Misdiagnosis likely in ethnic minority groups --More common in men than women --Onset for women late 20s, for men late teens or early 20s --Termed introduced by Swiss Psychiatrist Bleuer in 1911 --Reference to split from reality
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--Split within intellect, between intellect and emotions, and between the intellect and external reality III. 2 Categories of Symptoms --Positive Symptoms: unusual perceptions, thoughts, or behaviors --Delusions, hallucinations, disorganized thought and speech, disorganized or catatonic behavior. IV. Positive Symptoms: Type 1 --Must be in the absence of mood disorders --Delusions: ideas the individual believes but are certainly false --Completely implausible --Preoccupy the person --Person takes actions based on them --Resistant to arguments against delusions --Persecutory delusion: believe being watched or tormented by people they know, agencies, or persons in authority --Delusion of reference: believe random events or comments directed at them --Grandiose Delusions: believe one is a special person or being possessing special powers --Delusion of thought insertion: believe thoughts being controlled by outside force --These symptoms can occur in other disorders --Hallucinations: unreal perceptual experiences --Auditory (most common): hearing voices, music --Visual (2nd most common): see things --Tactile: perception something is happening to the outside of one's body --Somatic: something is happening inside one's body --Content is culturally specific
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--Thought Disorder --Formal thought disorder: disorganized thinking characteristic of schizophrenia --Loosening of associations (derailment): slip from one topic to an unrelated topic --Word salad: disorganized and incoherent speech --Neologisms: words that mean something only to the patient --Clangs: associations between words based on sounds --Perseverate: say word over and over --Deficits in cognition and attention --Deficits in working memory: capacity to hold info in memory and manipulated it --Difficult to suppress irrelevant ideas and environmental stimuli --Impaired ability to learn and retrieve new info --Disorganized Behavior --Unpredictable and untriggered agitation --Socially unacceptable behavior (i.e. public masturbation) --Catatonia: disorganized behaviors reflection extreme unresponsiveness to outside world --Catatonic excitement: wild agitation for no apparent reason with difficulty to subdue
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This note was uploaded on 07/10/2010 for the course PSYCH 3144 taught by Professor Taylorlocker during the Fall '09 term at University of Florida.

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Chp. 11-Schizophrenia - Chapter 11 Schizophrenia I What is...

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