PSYC 4620 Lecture 8 Outline of Last Lecture II. Disorders of Attachmenta. Etiologyb. Assessmentc. TreatmentOutline of Current Lecture III. Psychotic DisordersIV. Schizophreniaa. Main ways to diagnoseb. Differential DiagnosisV. General Informationa. Childhood Onset Schizophreniab. Diagnostic Criteriac. Appearance & FeaturesCurrent LectureII. Psychotic Disordersa. Schizophrenia (Childhood Onset – COS)b. Schizophreniform Disorderc. Schizoaffective Disorderd. Delusional Disordere. Brief Psychotic Disorderf. Shared Psychotic Disorderg. Psychotic Disorder Due to a Medical Conditionh. Substance-Induced Psychotic Disorderi. Psychotic Disorder NOSIII. Schizophreniaa. Main ways to diagnosei. Official1. Length of time symptoms are present2. Severity of symptomsii. Unofficial1. Base rate at which they occur2. Age at which they occurThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.b. Differential Diagnosisi. Schizophrenia significant impairment in 2 areas for an active 1 month period over the course of 6 monthsii. Schizophreniform lasts less than 6 months and does not have to impair functioning significantlyiii. Brief Psychotic Disorders last from 1 day to 1 month, involve unusual behavior and/or lack of reality, and may be with/without marked stressorsiv. Shared Psychotic Disorder is diagnosed when a child is drawn into someone else’s delusionv. Schizoaffective Disorder is diagnosed when mood and active psychosis co-occur but psychosis must precede mood by at least 2 weeksvi. Delusional Disorder is 1 month of delusions without other symptomsvii. Major Depression and Bipolar may involve psychotic featuresIV. General Informationa. Childhood Onset Schizophreniai. Pervasive – affects many areas of functioning (like PDDs)1. And often affects long-term developmentii. Varies a good deal between peopleiii. Once called dementia praecoxiv. Literally means split mindv. Prodromal1. Odd, unusual behavior occurring before psychotic breakvi. Active1. Ongoingvii. Inactive (remitted)1. Period of psychotic breaks followed by temporary normalityviii. Sudden onset tends to get treatment fasterb. Diagnostic Criteriai. Basically same criteria as in adultsii. Positive Symptoms1. Are there in excess, in an ideal sense wouldn’t be there2. Hallucinations (sensory properties), delusions (irrational beliefs), bizarre behavior, disorganized speech (loosening of associations, word salad), inappropriate expressions of affect, catatonic excitementiii. Negative Symptoms1. Things are missing or lacking, in an ideal sense would be there2. Mutism, poverty of speech (alogia), poverty of content of speech, increased latency to response, flat affect (affective flattening), catatonic stupor (rigidity of movements), waxy flexibility, trouble doing things (avolition)a. Sometimes a distinction is made with disorganized (more so with adults)c. Appearance & Featuresi. Developmental1. Fantasy vs hallucination (difficult to make distinctions between)2. Up to age 6, imaginary friends indicate higher IQsii. Hallucinations1. Most have theme related to life a. EX: religious family leads to religious hallucinations2. Children have more visual hallucinations than adults doiii. Delusions1. Inconsistent, unbelievable, not reality (not always bad or scary)a. Often about body and must be differentiated from BDD; other common themes include religion, death, the supernatural, etcb. Persecutory, grandiose, magical/bizarre thinking, ideas of reference, etc (positive