Lecture_16_3_13_08 -...

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  Psych325/HD370 Introduction to Adult Psychopathology
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When Schizophrenia Starts, How it Appears, What is a Schizotype, The Limits of Medication Psych 325 Lecture 16 3/13/08
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Today’s Lecture  1. Review of Tuesday’s Lecture 2. Schizophrenia: It’s a Developmental  Disorder 3. Schizotopy – and Neurocognitive Deficits 4. First Generation (typical) Antipsychotics 5. Second Generation (atypical) Antipsychotics 6. Finally – back to the noble prince.
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From Last time … The following slides are taken from  Tuesday’s lecture. Any experience of déjà  vu, time travel, or flashbacks is simply  explained.  If you were here on Tuesday and don’t  remember these slides, consult your local  doctor.
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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 symptoms or two or more symptoms listed in Criterion A present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences). D. Schizoaffective and Mood Disorder exclusion: Schizoaffective Disorder and Mood Disorder With Psychotic Features have been ruled out because either (1) no Major Depressive , Manic , or Mixed Episodes have occurred concurrently with the active-phase symptoms; or (2) if mood episodes have occurred during active-phase symptoms, their total duration has been brief relative to the duration of the active and residual periods. E. Substance/general medical condition exclusion: The disturbance is not due to the direct physiological effects of a
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Lecture_16_3_13_08 -...

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