Psych 380 1nd Edition Lecture 13 Outline of Current Lecture I. Psychotic Disorders; SchizophreniaII. Vocabulary from Ch. 6Current LectureI. Vocabulary:II. Schizophrenia – a disorder with a range of symptoms involving disturbances in content of thought, form of thought, perception, affect, sense of self, motivation, behavior, and interpersonal functioningIII. · Delusion – deeply entrenched false belief not consistent with the client’s intelligence or cultural backgroundIV. · Hallucination – a false perception not corresponding to the objectives stimuli present in the environmentV. · Remission – term used to refer to the situation when the individual’s symptoms no longer interfere with his or her behavior and are below those required for a DSM diagnosisVI. · Positive symptoms – the symptoms of schizophrenia, including delusions, hallucinations, disturbed speech, and disturbed behaviors; that are exaggerations or distortions of normal thoughts, emotions, and behaviorsVII. · Negative symptoms – the symptoms of schizophrenia, including affective flattening, alogia, avolition, and anhedonia, that involve functioning below the level of normal behaviorVIII. · Brief psychotic disorder – a disorder characterized by the sudden onset of psychotic symptoms that are limited to a period of less than a monthIX. · Schizophreniform disorder – a disorder characterized by psychotic symptoms that are essentially the same as those found in schizophrenia, except for the duration of the symptoms; specifically, symptoms usually last from 1 to 6 monthsX. · Schizoaffective disorder – a disorder involving the experience of major depressive episode, a manic episode, or a mixed episodeXI. · Neurodevelopmental hypothesis – theory proposing that schizophrenia is a disorder of development that arises during the years of adolescence or early adulthood due to alterations in the genetic control of brain maturationXII. · Command hallucinations – someone or something tells you to do something or else there will be consequencesXIII. · Prodromal phase – the beginning of the descent into schizophreniaXIV. Class notesa. Schizophreniai. Last for at least one month, 2 or more followingii. Including either 1, 2, or 3iii. Delusions – false perceptions 1. Paranoid, grandiosity, controlling device, reference2. Incorrigibleiv. Hallucination1. Most common is auditory2. Visual3. Olfactory4. Tactilev. Disorganized speechThese 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.vi. Disorganized/catatonic behavior (hard to understand what’s going on – immobilized body)b. Negative symptomsi. Diminished emotional expression, avolitionc. Impaired functioningi. Work, relations, self-cared. Continuous disturbance for at least 6 monthsi. Prodronal, active, residuale. Not due to another disorderf. Not due to substances or medical conditionXV. Case study: Beverlya. Brought into therapy by her fatherb. A student at Umass Amherstc. Lived in the dorms; had a room mated. 19 years old; Freshmane. She had had an episode with her familyi. Came home one day with a Walmart bag and asking where her mother was (nonchalantly)ii. Her father asked why/what do you mean?iii. She said that she had a hunting knife in the bag and needed to stab her mother/eradicate her in order to get rid of the bad spiritsiv. She was told to do so by “Paul”f. These are command hallucinations – she is being told to do something otherwise a horrible thing will unfoldi. Paul in this case was Paul McCartneyg. Dr. Halgin was wondering if it made sense to allow Beverly to attend/live at UMassi. She was having a disasterous fallii. She was getting terrible gradesiii. She would sit in her room with her headphones on all the timeiv. She listended to the Beatles and believed Paul was commanding herv. She would also just put her headphones on her head in order to preventher room mate from reading her thoughts or putting thoughts into her head.XVI. Another example;a. Man in Northamptonb. Used to wear aluminum foil on his head because he was afraid of the same thing as Beverlyc. This is common among people with schizophreniaXVII. Back to Beverlya. She was deteriorating in this environmentb. Lacked hygienec. She acted in peculiar waysd. She had hyper religiosity (always talked about Jesus, quoted Bible, etc – another common trend in people with schizophrenia)i. Very extremeii. Aberrante. She acted in peculiar waysf. RecluseXVIII. Padronal stageXIX. Some people can remain like this forever – others do recoverXX. Schizophrenia is not a singular disorder, there are many different typesXXI. One researcher named at least 8 different kindsXXII. Beverly a. Had seen a psychiatrist the summer beforeb. She had little interest in psychotherapyc. She was very withdrawn from othersd. She had no responsibilitye. She would often forget appointments, forget to call her parents…f. Forgot to take medication…g. Lost her license after getting pulled over so many timeXXIII. Example of another individual in Northamptona. Dr. Halgin was walking around and recognized a man on the streetb. It was a patient of his from back at New York Hospitalc. This man was very detached and had an unusual surname that he went byd. He was in the papers because he was arrested for yelling at people in a storee. Dr. Halgin addressed him but the man said he didn’t remember him and seemed like he didn’t want to be talked tof. How can two people take such different paths in life?g. This man came from a wealthy family… had the potential to live happily, healthily… but became very mentally ill from a congruence of variablesXXIV. Article in Amherst College Alumni magazinea. It was an obituaryb. The man had been murdered – was tied up, beaten, and strangledc. He was a graduate of Amherst colleged. Was former crew captaine. He developed the mental illness during his time at Amherst collegef. He went from jock  hippie over nightg. He lived in a windowless room in his frat househ. Was ostracized for smoking too much weedi. He lived under an expressway bridge for two years of his life, also lived in a crack housej. While at school, he had quit the crew team and had terrible gradesk. Schizophrenia made studying very challengingl. He was like Dean Moriarty in On the Roadm. He looked “scary”, had a crazy look in his eyesn. He had long and dirty hairo. He lost many of