Chapter 13_Schizophrenia %28compass%29

Chapter 13_Schizophrenia %28compass%29 - ChapterTHIRTEEN...

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Chapter THIRTEEN Chapter THIRTEEN Schizophrenia & Related Disorders
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Symptoms Differential Diagnosis Epidemiology Treatments Schizophrenia & Related Disorders
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Symptoms Differential Diagnosis Differential Diagnosis Epidemiology Epidemiology Treatments Treatments Schizophrenia & Related Disorders
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Schizophrenia Symptom Categories POSITIVE NEGATIVE DISORGANIZE D delusions anhedonia disorganized  speech hallucinations blunted/ flat affect disorganized  behavior alogia catatonic  posturing avolition
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Positive  (Psychotic)  Symptoms F unctions that are  present  that shouldn’t be HALLUCINATIONS   heightened sensory (perceptual)              experiences  that are not due to external stimuli experienced by 5 senses; most common,  auditory DELUSIONS   ( when is a belief delusional? ) rigidly held beliefs that are inaccurate or inconsistent  with how people experience reality 5 types: persecutory, referential, grandiose, somatic,  religious can be “bizarre” or “non-bizarre”
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Negative Symptoms Aspects of normal behavior and social relationships that  should be present, but are  absent   ANHEDONIA lack of pleasure or interest   ALOGIA lack of spontaneous speech   AVOLITION lack of will power   BLUNTED/FLAT AFFECT lack of expressiveness (e.g., facial)
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Disorganized Symptoms Do not fit characteristics of positive or negative symptoms   DISORGANIZED SPEECH             Clips: tangential speech, very difficult to follow conveys little meaning due to poor context  maintenance (word salad) Context maintenance  GROSSLY DISORGANIZED/BIZARRE BEHAVIORS ranges from child-like silliness to         unpredictable  agitation  CATATONIC MOTOR BEHAVIORS 1 2 3
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Criteria for Schizophrenia A. In the  ACTIVE  phase, must have IMPAIRMENT in  functioning + TWO or more of the following:   delusions     hallucinations   disorganized speech      negative symptoms  grossly disorganized    or catatonic behavior B. During the  PRODROMAL  and  RESIDUAL  phases,  may have only negative symptoms, or other  symptoms in less severity (e.g., odd beliefs instead  of delusions) Prodromal             Active               Residual AT LEAST 1 MONTH Duration of Entire Disorder AT LEAST 6 MONTHS
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PARANOID One or more delusions OR  frequent hallucinations; no  prominent disorganized behaviors/speech, catatonic behavior  or flat/inappropriate affect DISORGANIZED  flat/inappropriate affect CATATONIC UNDIFFERENTIATED
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This note was uploaded on 12/15/2011 for the course PSYC 238 taught by Professor Lyubansky during the Fall '11 term at University of Illinois at Urbana–Champaign.

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Chapter 13_Schizophrenia %28compass%29 - ChapterTHIRTEEN...

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