Lecture_15_2008-1

Lecture_15_2008-1 - ThoughtDisorders Schizophrenia...

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Thought Disorders, Schizophrenia, Play within the Play Psych 325 Lecture 15 3/11/08
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  Psych325/HD370 Introduction to Adult Psychopathology
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Today’s Lecture  1. What is a “thought disorder?” 2. Full-Blown Schizophrenia – what does it  look like? 3. 4. Pro-dromal vs. Acute Onset 5. Case Study: “Jim” 6. The “spectrum disorders” and what they  suggest about the genetics of schizophrenia 7. Meanwhile, back at Elsinore …
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Diagnostic criteria for Schizophrenia ( cautionary statement ) A. Characteristic symptoms : Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated): (1) delusions (2) hallucinations (3) disorganized speech (e.g., frequent derailment or incoherence) (4) grossly disorganized or catatonic behavior (5) negative symptoms , i.e., affective flattening , alogia , or avolition Note: Only one Criterion A symptom is required if delusions are bizarre or hallucinations consist of a voice keeping up a running commentary on the person's behavior or thoughts, or two or more voices conversing with each other. B. Social/occupational dysfunction: For a significant portion of the time since the onset of the disturbance, one or more major areas of functioning such as work, interpersonal relations, or self-care are markedly below the level achieved prior to the onset (or when the onset is in childhood or adolescence, failure to achieve expected level of interpersonal, academic, or occupational achievement). C. Duration: Continuous signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Criterion A (i.e., active-phase symptoms) and may include periods of prodromal or residual symptoms. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative
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Lecture_15_2008-1 - ThoughtDisorders Schizophrenia...

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