Psych 380 1nd Edition Lecture 13 Outline of Current Lecture I Psychotic Disorders Schizophrenia II Vocabulary from Ch 6 Current Lecture I 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 functioning Delusion deeply entrenched false belief not consistent with the client s intelligence or cultural background Hallucination a false perception not corresponding to the objectives stimuli present in the environment 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 diagnosis Positive symptoms the symptoms of schizophrenia including delusions hallucinations disturbed speech and disturbed behaviors that are exaggerations or distortions of normal thoughts emotions and behaviors Negative symptoms the symptoms of schizophrenia including affective flattening alogia avolition and anhedonia that involve functioning below the level of normal behavior Brief psychotic disorder a disorder characterized by the sudden onset of psychotic symptoms that are limited to a period of less than a month 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 months Schizoaffective disorder a disorder involving the experience of major depressive episode a manic episode or a mixed episode 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 maturation Command hallucinations someone or something tells you to do something or else there will be consequences Prodromal phase the beginning of the descent into schizophrenia III IV V VI VII VIII IX X XI XII XIII XIV Class notes a Schizophrenia i Last for at least one month 2 or more following ii Including either 1 2 or 3 iii Delusions false perceptions 1 Paranoid grandiosity controlling device reference 2 Incorrigible iv Hallucination 1 Most common is auditory 2 Visual 3 Olfactory 4 Tactile v Disorganized speech These 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 XV XVI XVII vi Disorganized catatonic behavior hard to understand what s going on immobilized body b Negative symptoms i Diminished emotional expression avolition c Impaired functioning i Work relations self care d Continuous disturbance for at least 6 months i Prodronal active residual e Not due to another disorder f Not due to substances or medical condition Case study Beverly a Brought into therapy by her father b A student at Umass Amherst c Lived in the dorms had a room mate d 19 years old Freshman e She had had an episode with her family i 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 spirits iv 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 unfold i Paul in this case was Paul McCartney g Dr Halgin was wondering if it made sense to allow Beverly to attend live at UMass i She was having a disasterous fall ii She was getting terrible grades iii She would sit in her room with her headphones on all the time iv She listended to the Beatles and believed Paul was commanding her v She would also just put her headphones on her head in order to prevent her room mate from reading her thoughts or putting thoughts into her head Another example a Man in Northampton b Used to wear aluminum foil on his head because he was afraid of the same thing as Beverly c This is common among people with schizophrenia Back to Beverly a She was deteriorating in this environment b Lacked hygiene c She acted in peculiar ways d She had hyper religiosity always talked about Jesus quoted Bible etc another common trend in people with schizophrenia i Very extreme ii Aberrant e She acted in peculiar ways f Recluse XVIII Padronal stage XIX Some people can remain like this forever others do recover XX Schizophrenia is not a singular disorder there are many different types XXI One researcher named at least 8 different kinds XXII Beverly a Had seen a psychiatrist the summer before b She had little interest in psychotherapy c She was very withdrawn from others d She had no responsibility e 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 time XXIII Example of another individual in Northampton a Dr Halgin was walking around and recognized a man on the street b It was a patient of his from back at New York Hospital c This man was very detached and had an unusual surname that he went by d He was in the papers because he was arrested for yelling at people in a store e Dr Halgin addressed him but the man said he didn t remember him and seemed like he didn t want to be talked to f 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 variables XXIV Article in Amherst College Alumni magazine a It was an obituary b The man had been murdered was tied up beaten and strangled c He was a graduate of Amherst college d Was former crew captain e He developed the mental illness during his time at Amherst college f He went from jock hippie over night g He lived in a windowless room in his frat house h Was ostracized for smoking too much weed i He lived under an expressway bridge for two years of his life also lived in a crack house j While at school he had quit the crew team and had terrible grades k Schizophrenia made studying very challenging l He was like Dean Moriarty in On the Road m He looked scary had a crazy look in his eyes n He had long and dirty hair o He lost many of his friends mostly because they didn t know how to help him or welcome him back XXV Beverly a What will happen to her b She is in a state of psychosis c Her former psychiatrist advised against her going to UMass d