Novaco+P102+2010+Fall+lecture+6

Novaco+P102+2010+Fall+lecture+6 - 11/8/2010 Schizophrenia...

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11/8/2010 1 Abnormal Behavior Raymond W. Novaco University of California, Irvine Schizophrenia and Psychotic Disorders P102, Fall 2010 Schizophrenia and Other Psychotic Disorders Psychotic Disorder: “psychosis” - - diseased mind • schizophrenia schizophreniform disorder • schizoaffective disorder • delusional disorder brief psychotic disorder shared psychotic disorder psychotic disorder due to general medical condition substance-induced psychotic disorder psychotic disorder not otherwise specified (NOS) Dementia Praecox - cognitive disintegration Emil Kraepelin, German psychiatrist (1856-1926) 1896, he differentiated: dementia praecox (premature dementia) c thought disorder manic depression mood disorder co-discovered Alzheimer’s disease Schizophrenia - Bleuler Eugen Bleuler, Swiss psychiatrist (1857-1939) Director, Burghölzli Asylum in Zürich he recognized that the disorder was not a dementia 1908, introduced the term “schizophrenia” (“split mind”) disharmonious state of mind rather than brain deterioration Bleuler – Director of Zurich asylum his open-minded direction of Burghölzli Asylum enabled Freud’s ideas to reach psychiatry circles however, he broke from Freud in 1910, finding that Psychoanalysis had become rigid and dogmatic Bleuler’s view of psychotic symptoms: wishful, symbolic thinking archaic, primitive not influenced by reality; not logical brought about by morbid thought processes “split in personality” C disturbances in affect and association marked by autism and “ambivalence” (intense opposing tendencies) What is abnormal behavior? General criteria: ( unusualness social deviance faulty perceptions or interpretations of reality significant personal distress maladaptive or self-defeating behavior dangerousness
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11/8/2010 2 National Co-Morbidity Study Kessler et al. (2005) Archives of General Psychiatry. Lifetime Prevalence of DSM-IV Disorders World Health Organization Composite Diagnostic Interview c 9,282 respondents, aged 18 yrs. and older (response rate 70.9%; one-hour interview) % anxiety disorder (any) 28.8 mood disorder (any) 20.8 impulse control disorder (any) 24.8 substance use disorder (any) 14.6 any disorder 46.4 Diagnosed Schizophrenia – prevalence (i.e. lower bound estimate, because cases are diagnosed) Psychological Medicine Schizophrenia prevalence estimated through California Medicaid, Medicare, and VA statistics 2002 c 5.1 per 1000 lives (0.51%) slightly higher in males .54% than in females .49% higher in the VA population 1.41% 32% of schizophrenia patients covered by Medicaid 22% covered by Medicare 16% privately insured 30% do not have any health insurance significant personal distress “personal suffering” distressed emotions: fear, sadness, shame, anger however: c emotions have survival value and define humanness persistence after the activating source is removed or
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Novaco+P102+2010+Fall+lecture+6 - 11/8/2010 Schizophrenia...

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