IUB PSY-P 324 - schizo outline (11 pages)

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schizo outline



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schizo outline

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Pages:
11
School:
Indiana University, Bloomington
Course:
Psy-P 324 - ABNORMAL PSYCHOLOGY
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Schizophrenia Definition group of psychotic disorders characterized by major disturbances in I THOUGHT EMOTION BEHAVIOR In Greek division of two often confused with DID disorder break from reality Brief psychotic episode typically happens under extreme stress and has to last less than a month and no prior symptoms does not happen commonly pilot yelling bomb on plane II III Features A prevalence 1 higher in 1st degree relatives parents siblings kids B onset early mid 20s in males earlier severity is higher females late 20s early 30s C gender equally male and female Symptoms A NO essential symptoms very heterogeneous Lack Insight don t know that your belief is out of proportion B Positive Symptoms positive excess 1 Types of positive symptoms a delusions a fixed false beliefs can t talk someone out of a delusions they believe that what they want 1 persecution belief one is being punished or followed or someone is trying to hurt you 2 grandeur belief one is someone special or has special abilities those things can t happen in real life Ex Mary thought she was a spy for Jesus can control the weather 3 Christs of Ypsilanti Someone thought they were the emperor of Antarctica SUBSET of grandeur Erotomania eros sexual love YOU believe that someone of higher status is in love with you o Ex celebrity stalkers letterman got into his house stole his car and called herself Mrs Letterman Truman show delusion people are watching you constantly reality feeds into this FAIRLY NEW 3 reference Irrelevant stimuli has some special meaning to you Ex when a dog barks Jesus has a message for her billboard advertise TV o yates watching cartoons and thought she was a bad mother daughter prostitute and sons pimps drug dealers 4 control outside forces control self Mircochips in head teeth and listening to their thoughts Amanda Bynes thought someone put a microchip in her head Govenrnment People who behave violently are prone to these delusions anger 1 Delusion of persecution 2 Belief being spied on 3 You are the victim of a conspiracy Eda s presentation symptoms Presentation Looks greasy lack of hygiene Repetitive behaviors twitching of hands Symptoms Disorganized thinking actively psychotic Hearing noises god sending her a message Eagle part of GM check from them is trying to hurt her shoot her post office Government is trying to hurt you 25 on the clock knew Jesus was talking to her o answered all of Jesus s messages and wrote on notebook paper to him o getting messages around the clock from Jesus Lucid moments in her conversation Without the diathesis she won t develop the schizo also stressors needed Reference nurse she was talking to need to get a guard dog then on the news the guard dog killed a child b hallucinations sensory perceptions in the absence of adequate any stimulation 1 auditory most common hearing voices a usually extremely negative usually accusatory unpleasant b may affect auditory center lights up like a normal brain does if there is a real sensation near limbic system Book question what do we think is happening 2 visual much less frequent a result of severe alcohol withdrawal c loose associations vague connections of thoughts Dogs guard dog kills child Jesus Eagle wants to kill her 25 on the clock d disorganized speech e 1 neologisms made up words neo new logi study of a literally can t find the word they want 2 word salad string together a series of unrelated words a example the sun is red dog Tuesday 3 perseveration persistent repetition of sound word a repeating the same words over and over again 4 clanging stringing together words that rhyme derealization separation from sense of reality no insight f inappropriate affect your mood or emotion doesn t match the context situation not distressed that someone is out to get Eda the eagle 2 What causes positive symptoms a Impaired perception 1 alterations of 2 difficulty filtering sensory stimuli sensation reticular formation what to pay attention to and what not to cocktail party effect a External sights sounds smells b Internal thinking body sensations c Overload sensory stimuli floods into brain b difficulty interpreting and responding to stimuli perception a brain attempts to derive meaning in the world a misinterprets environmental cues 2 inability to sort interpret respond like normal brains Example eda and dog barking Gerald C Delusion of persecution Disorganized speech Loose associations Mood is absent Delusion of grandeur Constant twitching moving Negative symptoms negative deficits absences in normal behavior 1 avolition lack of will motivation purpose Lack of hygiene 2 alogia absence of speech 3 anhedonia lack of pleasure just like in depression 4 flat affect lack of emotional responsiveness a showed movie clips to schizophrenia and normal to elicit emotions i many possibilities just not having these emotions having them but can t express them ii normals laughed and cried appropriately iii Schizo didn t show affect but reported feeling the emotions just couldn t express them 5 IV catatonia motor freezing waxy flexibility don t see now as much because of meds DSM Criteria 6 months with at least 1 month of symptoms characterized by severe social occupational dysfunction Characteristic symptoms 2 or more of the following each present for a significant portion of time during a 1 month period or less if successfully treated 1 2 3 4 5 delusions hallucinations disorganized speech grossly disorganized or catatonic behavior negative symptoms can receive diagnosis with only positive or only negative symptoms can also have both V Etiology A Biological 1 Genetics a Family studies risk will increase the more genes you share increase with closeness of relatives b siblings 9 Twin studies identical 48 vs fraternal 17 and we also watched the video of Gerald to note positive and negative symptoms he has mostly positive symptoms a lot of loose associations with his speech quoting song lyrics snoopy s dead trying to communicate but isn t processing on the same level gets very frustrated we watched another video that portrayed some negative symptoms and changes after frontal lobotomy s The patient displayed waxy flexibility a nurse would move his arms into a position and he would stay in that position like setting a mannequin in a department store c adoption studies 1 Heston 66 had to have biological predisposition genes to develop schizophrenia a As adults 17 with biological mom predisposition b 0 of nonbiological mom with schizophrenia 2 2


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