341 Study Guide Test 2

341 Study Guide Test 2 - 341Psych/MentalHealthTEST2...

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341 Psych/Mental Health – TEST 2 Schizophrenia Characterized by withdrawal: pt not able to talk, to socialize, other people  can withdrawal from schizophrenic, not just schizophrenic from others.  Others are scared that person is no in touch with reality, unpredictable, not  hygienic. Pt. doesn’t know boundaries 1. Nature of the disorder Disturbances in thought process, perception and affect Severe deterioration of social and occupational functioning Develops late adolescence or early adulthood 2. Development of Schizophrenia Phase I- Schizoid Personality o Indifferent, cold and aloof o No desire for sexual or social involvement  o Suspicious and mistrustful Phase II- Prodomal Phase o Marked social isolation or withdrawal o Marked impairment in role functioning o Marked peculiar behavior o Disturbance in communication, ideation, and perception Phase III- SCHIZOPHRENIA o Positive symptoms (something that is there) Hallucinations, delusions, disorganized speech and  behavior o Negative Symptoms (something that’s not there) Flattened affect Alogia- brief verbal responses Avolition- loss of will to do things Anhedonia- hard to get pleasure from anything Phase IV- Residual Phase o Symptoms are similar to prodomal phase o Flat affect and impairment in role functioning are prominent  o Usually follows active phase
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3. Predisposing Factors Genetic Influences o 10% of first degree relatives with schizophrenia are diagnosed  with the disease o Twin studies show both genetic and environmental factors are  important Biochemical Influence o Excess of dopamine-dependent neuronal activity in the brain Brain Structure Abnormalities  o Enlarged ventricles o Cerebellar atrophy o Abnormalities: hippocampus, temporal lobes and basal ganglia Viral Infection o Decrease in vitamin C and B Orthomolecular Hypothesis o Abnormalities in diagnostic testing 4. Psychosocial Theories Disturbances in the mother child relationship: premature termination or  prolonged dependency Freud o Oral phase fixation or regression Erikson o Trust vs. Mistrust Sullivan o Parent-child relationship fraught with intense anxiety which  results in dissociated self system  Double Blind Communication o Inconsistencies between verbal and non-verbal messages  Expressed Emotion o Three main communication and behavioral factors in family  relationships: criticism, hostility, and over involvement Transactional Model-Combination: everything combined 5. Types of Schizophrenia
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Catatonic o Stupor-waxy flexibility: put a person into a position and they will  stay there o Excitement Paranoid o Argumentative, hostile, aggressive, suspicious
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341 Study Guide Test 2 - 341Psych/MentalHealthTEST2...

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