Ch 8_Schizophrenia_Student version - Schizophrenia...

Schizophrenia

Debunking
•
Schizophrenia is NOT Dissociative Identity
Disorder (Multiple Personality Disorder)
•
Most people with schizophrenia DO NOT tend to
be violent towards themselves or others
•
Not all cases are chronic
–
1/3 complete remission
–
1/3 episodic
–
1/3 chronic

Some History
•
Schizophrenogenic Mother
•
Treatments:
–
Lobotomies
–
Insulin Shock Treatment

Course of Disorder
•
Usually emerges between late teens and mid-
30’s
–
Later onset for women
•
1% of population, men = women
•
Course varies, but generally 3 phases
–
Prodromal phase
–
Active phase= psychosis/psychotic
–
Residual phase

Course of the Disorder

Prodromal –

symptoms, particularly positive ones are not yet prominent

signs of subtle disorganization (functioning begins to
deteriorate, social withdrawal, some signs of strange ideas)

Active phase –

symptoms become pronounced; this period is often triggered
by a stressor (e.g. DRUGS)

Important to appreciate that this is individual’s perception of a
particular event as a stressor.

Residual phase –

marked by a return to prodromal functioning

often look exhausted with lots of negative symptoms

DSM-IV Schizophrenia
A. Core symptoms: two or more of the
following present for at least a 1-month
period
1. Delusions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized or catatonic
behavior
5. Negative symptoms

DSM-IV Schizophrenia cont…
B. Social/occupational functioning: significant
impairment in work, academic
performance, interpersonal relationships,
and/or self-care
C. Duration: continuous signs of the
disturbance for at least 6 months; at least
1 month of this period must include
symptoms that meet Criterion A.