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Ch 8_Schizophrenia_Student version

Ch 8_Schizophrenia_Student version - Schizophrenia...

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Schizophrenia
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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
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Some History Schizophrenogenic Mother Treatments: Lobotomies Insulin Shock Treatment
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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
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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
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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
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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.
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