Ch13 - Ch. 13 Schizophrenic Disorders 02/03/2009 20:13:00...

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Ch. 13 Schizophrenic Disorders 02/03/2009 20:13:00 Schizophrenia : a severe form of abnormal behavior that encompasses what most of us have come to know  as “madness”  Loss of touch with reality; hear voices; several forms of the disorder Most common symptoms: change in the way a person thinks, feels, and relates to other people and the  outside environment  Officially defined by various combinations of psychotic symptoms in the absence of other forms of  disturbance, such as mood disorders (esp manic episodes), substance dependence, delirium, or  dementia  Second leading cause of disease burden Paranoid subtype of schizophrenia- preoccupation with one or more delusions or by frequent auditory  hallucinations Case Study: A New Mother’s paranoid schizophrenia Ann: first signs appeared during pregnancy, when she accused her husband of having an affair with her  sister; based on a convo of two women on a bus Became more socially isolated after birth of son Preoccupied with belief that pics of her were  stolen and used for voodoo; someone was trying to kill her  and her children No insight into the nature of her problems Onset typically during adolescence  -Prodromal   phase : precedes active phase, marked by an obvious deterioration in role functioning as a  student, employee, or homemaker; change in personality -Active   phase : hallucinations, delusions, and disorganized speech  -Residual   phase : defined by signs and symptoms that are similar to those in Prodromal; most dramatic  symptoms of psychosis have improved, but person is still impaired in various ways -Disorganized type of schizophrenia: say things that are difficult to understand, behave in disorganized way,  and fail to express expected emotions Case Study: Edward’s Disorganized Schizophrenia 39 years old; first psychotic episode at age 26, after that remained socially isolated saw people arguing violently on the sidewalk in front of his house, believed it was the onset of WWII
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This note was uploaded on 01/18/2011 for the course PSYCH 270 taught by Professor Chang during the Winter '07 term at University of Michigan.

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Ch13 - Ch. 13 Schizophrenic Disorders 02/03/2009 20:13:00...

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