DOC PREVIEW
CORNELL HD 3700 - Schizophrenia
Type Lecture Note
Pages 4

This preview shows page 1 out of 4 pages.

Save
View full document
View full document
Premium Document
Do you want full access? Go Premium and unlock all 4 pages.
Access to all documents
Download any document
Ad free experience
Premium Document
Do you want full access? Go Premium and unlock all 4 pages.
Access to all documents
Download any document
Ad free experience

Unformatted text preview:

HD 3700 1st Edition Lecture 15Outline of Last Lecture I. Intro to mood disordersII. The players arriveIII. Stimulating the depressed brainIV. Approaching suicideV. Mania, hypomania, and bipolar variantsVI. Treating (and living with) bi-polarityOutline of Current LectureI. Bipolar DisordersII. Hamlet “associates” to the playersIII. Diagnostic criteria for SchizophreniaIV. The Schizophrenic SpectrumV. Case Study: JimCurrent LectureI. Bipolar Disorders- Here is an example of a smart, successful person in a hypomanic phase trying to inseminate his ideas into the public marketplace …- Bipolar people are famous for their grandiose ideas- Conservation of feelings hypothesis – must be an absolute balance of happy and sad emotions (the writer of this is hypomanic, he is writing about his experience)- Society is pushed forward by bipolar people—they are visionaries but off base – energy to push, to believe it’s true, to get people’s attention- Bipolar people are very charismatic when they’re upII. Hamlet “associates” to the players- Act II Scene II- The players are coming—the tragedians from the city- A new fad in the city—little boys doing songs and jigs and dances taking away from the great theater of the time- When Hamlet is hypomanic, Shakespeare lets the thin line between the play and his world fade- Self is composed of mental associations at any given moment- Hamlet is letting his mind wander—he is thinking back to a speech he heard by these players and it comes to mind- Shakespeare invented psychological drama- Hamlet associates to play about Trojan wars and to the murder of a king with a wife whowatches her husband be murdered- Shakespeare is saying this is how our minds work—if we have a trauma, we associate to them- Hamlet speaks to the audience: His character is abusing himself, screaming at himself, then he has an idea—he is going to put on a play (a play within a play)III. Diagnostic Criteria for Schizophrenia- Two or more of the followingo Delusionso Hallucinationso Disorganized speecho Grossly disorganized or catatonic behavioro Negative symptoms (diminished emotional expression)- SCZ is a failure of reality testing –failure to distinguish between internal experience and external experienceo Thought disorders (such as Alzheimer’s) also have failures distinguishing between internal and external realityo Hallucinogenic drugs blur the boundary between internal and external realityo We can enter into artistic experiences and forget where we are (Hamlet is havingthe opposite, his artistic experience is taking him directly to where he is)- Acute Onset vs. Prodromalo Acute Onset: it seems to happen suddenly … late teens/early twenties for men, a bit later for women Strikes 1% of the population, often will isolate themselves when acute onset strikeso Prodromal Onset: the person has always had odd characteristics, often socially-isolated, and then “slides” into a schizophrenic episode Know there is “something” wrong Often the break is brought on by a trauma, or even bad acid trips (because they are vulnerable to SCZ)- Positive symptomso Refer to the mental features which shouldn’t be there…o Delusionso Hallucinations – auditory/visual/olfactoryo Bizarre Speech – Neologismso Inappropriate Affecto Perseverations/Clang Associations Clang associations (rock, shock, lock) o Violent or threatening behavioro Positive symptoms linked to excess dopamine- Negative symptomso Refer to the loss or absence of mental functioning…o Flattened Affecto Paucity of thoughto Catatonia (restriction of movemento Lack of social awarenesso Poor hygieneo Negative symptoms linked to low levels of dopamineIV. Case Study: Jim- Michigan, 25 years ago- Since he was 14, he started having obsessive thoughts that bordered on delusionso Was terrified of germs—would wash his shirt and pants separately and always wore the same clotheso Could not handle physical contacto Everyone in school smelled—“I smelled them in my mind”o Preoccupied with end of the world scenarios – building a shelter in his basement- TAT—a boy looking at a violino Violin broke, boy sad because grandmother might die before he can play for hero His father gets the violin fixed, trying to think of what to playo Suffering from a thought disorder—he feels broken, feels like he can’t do what he’d like to do for his family, his father trying to help- TAT—an elderly woman o Woman hears noises, she hears rooms, I mean noiseso A ghostly image of her husband in her room, tries to talk to him, he doesn’t listen, realized ghost would not hurt hero Knew they were ghostly family members that lived in their houseo The ghost doesn’t know anything, just rocks back and forth, doesn’t know whyo Story about loss- TAT—dragon and castleo Dragon kills everyone but one mano He kills the dragon by poisoning bodies the dragon was going to eato Man was sad because everyone was dead, relieved that he stopped the dragon- Symptomso Anxiety about being touchedo Need to touch things twiceo Must wear same shirt and pants every dayo Sees things moving on carpeto Thinks about nuclear war continuouslyo Doesn’t want to walk in city for fear of nuclear attacko Socially isolated- Consider antipsychotic medications for Jimo Put him on Prozac – a mistake o Calls him “I brought a gun to school” with a plan to shoot over the heads of all ofthe students in his room to teach them of how dangerous the world iso Went home and smashed his gun with a hammero Put on antipsychotic—reduced his obsessive behavior by 70%o Hospitalized – inpatient treatment,


View Full Document

CORNELL HD 3700 - Schizophrenia

Type: Lecture Note
Pages: 4
Download Schizophrenia
Our administrator received your request to download this document. We will send you the file to your email shortly.
Loading Unlocking...
Login

Join to view Schizophrenia and access 3M+ class-specific study document.

or
We will never post anything without your permission.
Don't have an account?
Sign Up

Join to view Schizophrenia 2 2 and access 3M+ class-specific study document.

or

By creating an account you agree to our Privacy Policy and Terms Of Use

Already a member?