Schizophrenia and Serious Mental Disorders

Schizophrenia and Serious Mental Disorders -...

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Schizophrenia and Serious  Schizophrenia and Serious  Mental Disorders Mental Disorders Module 7
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Definition Definition A group of disorders characterized  predominantly by impairment of cognition,  communication difficulties, disturbances in  sensory processing and functional  decline.    
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History History The common symptoms seen in  schizophrenia have been described for  centuries: Hallucinations Delusions Disorganized thinking Impaired reality testing
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Epidemiology Epidemiology Affects about 1-2% of the population world wide. Crosses all categories of individuals without regard  to race, social status or culture Some “peaks” seen in frequency of diagnosis Higher following stressful periods of history or trauma   (post WW II, times of famine etc) Those born during winter/spring months seem to have  slightly higher incidence.  
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History History Earliest western descriptions noted the  deteriorated thinking and functioning--- hence the term Dementia Praecox
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History History Subsequent descriptions focused more  on behavior: Blueler’s 4 A’s Associate Looseness Autism Ambivalence Affective disturbance
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Other classification attempts: Other classification attempts: Reactive vs Process Positive vs Negative symptom  pictures Schneiderian classification
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Reactive vs process Reactive vs process Pao described two different subgroups of the  illness characterized by differences in onset,  symptom picture and recovery    Process:  often early picture of      withdrawal,  shyness, isolation and abnormal thinking    Reactive: few prodromal signs and symptoms  but psychosis often followed a significant life  event like death of loved one etc.  
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This note was uploaded on 06/20/2011 for the course NURS 311 taught by Professor Norton during the Spring '11 term at St. Xavier.

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Schizophrenia and Serious Mental Disorders -...

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