PsychosesOrganic v. Functional (psychosocial)Organic: Alzheimer’s, people behave in very bizarre waysFunctional (psychosocial): form of psychosocial stressMechanisms for distorting realityHallucinations- false perceptionsbasic sensesVisual: most commonAuditory (hearing): most commonTactile (touch): skin sensations; bugs crawling on themOlfactory (hearing)Gustatory (taste)Delusions- false beliefs (7 categories)Self DestructiveSin & guiltCommitted terrible sins, ugly/horrible peopleNihilisticIdea that nothing exists, create it all in their headHypochondriacallyBelieves that strange things are going on in their bodiesThinks the roots of her teeth are going to grow and crush her brainSelf under attackReferenceFeel they’re being made fun of, called out by comic strips/TV showsInfluenceBeing influenced from the rays of the lights, or wall plugs… I’m being controlled by something elsePersecutionFeel they’re being persecuted by various external forcesThese three make up a “paranoid package”Self-EnhancingDelusions of grandeurRelated to Christ/LeBron JamesBrenham example: paranoid“My IQ is over 100”“I’m the only non-lesbian”The Four A’sAnhedoniaAbsence of pleasureAlogiaPoverty of speechAffectBlunted, depressed affectAvolitionApathy; unable to finishDon’t do things of their on initiative, don’t follow through on their plans… take some one out to kill them but don’t shootSchizophreniaBipolar and major depression lead to this (mood disturbance disorders/Affect disturbance)Thought process disorderSchizophrenia and other Psychotic DisordersSchizophrenia6 months of moreSchizophrenorm disorder1 to 6 MonthsSchizoaffective Disorder (schizophrenia and bipolar disorder)Delusional disorderWell worked out delusions and intact personality, person appears to be normal and selling their delusion to peopleDSM checklist to be categorized as schizophreniaAt least two of these during a 1-month periodDelusionHallucinationsDisorganized speechAbnormal psychomotor activityNegative symptomsDeterioration in work, family, hygiene and personal habitsKey concepts in schizophreniaProcess versus reactiveChronis v. acuteNegative v. positive symptoms (+.- prediction for success)Negative symptomsBlunted and flat effectPoverty of speech (Alogia)Loss of volition (Avolition)Social withdrawalPositive symptomsDelusionsDisorganized thought processesHallucinationsInappropriate affectThese things can at least be worked withParanoid v. non-paranoidType 1 (negative) v. type II (positive)One in which the symptoms are negative or positiveStatisticsWorld wide: 1%24 million2.5 million Americans.3% make about 70K$; 1.9 below 20K$Types of schizophreniaICD-10DMS 5 got rid of them, ICD10 kept them; SimpleSome think ICD will replace DSM 5Disorganized (hebephrenic)“Hebe” Greek goddess of YouthHebegebes: what goes on with this typeCatatonicWithdrawn, apathetic, muteWaxy flexibility: might take them 8 hours to turn their head back to the frontToday are usually detected and treated early but not in 1950/60/70ParanoidSuspicion, hostile, dangerousProjection is at the root of paranoia; take your hostile/negative/aggressive impulses and project them outwardStart seeing the world as hard/mean/sexual aggressive… makes you feel better about yourself.. problem isn’t with you but with everyone elseJustifies you aggressing against everyone elseUndifferentiatedDoes not have any symptoms of the other categories, or not enough.ResidualFind in people who just burned out in a mental hospital, become homelessExamplesBird nest on his head to avoid voicesGarbage hoardingWoman in trench coat walked 365 days in trench coatBenitaJohnny MaePseudo-communityMade up of people who are persecuting that individual, fake but it’s real to the crazy personCauses of SchizophreniaBiologicalGene studiesNo proof that it is hereditaryDopamine excessNeurophysiologyFreud… early psychic traumaSchizophrenogenic mothersDon’t talk about fathers? Mothers are around the children moreMarital schism/skewMarriages are out of whack in some wayDouble bling hypothesisPutting kids in a psychological bindExistential angstNothing exists; life isn’t worth livingExcessive stressNeuronanatomyVirusesSocioculturalChicken and egg argumentDownward DriftWhen you fail to adjust, you drop educationally, economically and end up in lower classElijah: A Case StudyDelusional Disorder (Paranoiacs)Seemingly “good” adjustmentReasonable intact delusional system“Believable”different from schizophrenia on two groundsbelievabilityCoherent“There is always a little bit of truth at the heart of every delusion” – Psychologist TurkingtonThese people have something to think about—-legit religious practitioners/or con artists / or delusional personalities, believe in what they are sayingReverend IkeLay Baptist Minister in south CarolinaBought movie house in ManhattanBlessed the Cadillac’s (more expensive cars)United Church of Science and Living Institute1.4 followers7,500 at each Sunday service2,500 listening by remote with blessing of Cadillac’s“The lack of money is the root of all evil”Salary of 40,000$ plus 1000$ per week clothing allowanceTwo tone rolls Royce with rose painted on trunk… has 16Get notes from LindseyHannibal Lector MaskPersonality Disorders:Inflexible and maladaptive traits that cause significant functional impairment or subjective distress for the individualClusters:Odd/Eccentric (cluster A)ParanoidUnwarranted suspiciousnessDoubts about loyalty, motives of othersReluctant to confide in othersReads threats out of innocuous commentsEager to counterattackCarry grudges that they think happened to themDoubts loyalty of spouse/partnerSchizoid“Loner”… avoids interpersonal relationshipLimited emotional expressive; reclusive; flat/cold; focuses on selfSchizotypalDelusions of referenceOdd beliefs, magical thinking, ESP, clairvoyance, telepathyOdd thinking and speechLack of friends/confidantsExcessive social anxietyDramatic/Emotional/ErraticAntisocialConsistently irresponsibly about work“psycho-path” or “sociopath”Must be 18, amorality, dangerous, manipulative (horrible for psychologists), no remorseConsistently irresponsibly about work, finances, etc.Lack of remorseExploits othersLow anxietyImpulsivenessIrritable and aggressiveReckless disregard for safety“Snakes in Suits” when psychopaths go to work….Maybe 10% in corporate worldBernie MadoffEnron Corporation“Normal” Anti-Social personalities?20 counts larceny,