Class Notes (838,371)
Canada (510,867)
Psychology (1,975)
PSY 325 (99)
Lecture

PSY 325 NOV 09 2012.doc

18 Pages
155 Views
Unlock Document

Department
Psychology
Course
PSY 325
Professor
Karen Milligan
Semester
Fall

Description
PSY 325 L9 11/9/2012 **ADDED IN LECTURE CLASS #9: SCHIZOPHRENIA& DISSOCIATIVE DISORDERS PSYCHOSIS – INABILITYTO DISTINGUISH BETWEEN WHAT IS REALFROM WHAT IS NOT LEARNING OBJECTIVES • VIEW ONE PORTRAIT OF SCHIZOPHRENIA(ELYN SAKS) • LEARNABOUT THE DIFFERENT PSYCHOTIC DISORDERS, WITH AN EMPHASIS ON SCHIZOPHRENIA • DISTINGUISH BETWEEN POSITIVEAND NEGATIVE SYMPTOMS IN SCHIZOPHRENIA • DEFINE AND IDENTIFY HALLUCINATIONS AND • UNDERSTAND DIFFERENT CAUSALTHEORIES OF SCHIZOPHRENIAFROM BIOLOGICALAND PSYCHOLOGICAL FRAMEWORKS AND TREATMENT (PRESENTATION BY MADDIE BURLEY) LIVING WITH SCHIZOPHRENIA: ELYN SAKS HTTP://WWW.TED.COM/TALKS/ ELYN_SAKS_SEEING_MENTAL_ILLNESS.HTML PSYCHOTIC DISORDERS SCHIZOPHRENIA SHCIZOPHRENIFORM DISORDER SCHIZOAFFECTIVE DISORDER DELUSIONALDISORDER BRIEF PSYCHOTIC DISORDER SHARED PSYCHOTIC DISORDER SUBSTANCE-INDUCED PSYCHOTIC DISORDER 1 PSY 325 L9 DIAGNOSIS OF SCHIZOPHRENIA (DSM-5) • TWO + FORAT LEAST 1 MONTH (1) DELUSIONS *-BEILEFS NOT SET IN REALITY (2) HALLUCINATIONS * - SENSORY EXPERIENCES THAT DON'T EXIST IN REALITY (3) DISORGANIZED SPEECH* (4) GROSSLYABNORMAL PSYCHOMOTOR BEHAVIOR, INCLUDING CATATONIA (5) NEGATIVE SYMPTOMS, E.G., DIMINISHED EMOTIONAL EXPRESSION ORAVOLITION DSM-5 CON’T • MUST IMPACT ON FUNCTIONING (COMPARED TO PRE-ONSET LEVELS) • LASTAT LEAST 6 MONTHS (WITH 1 MONTH OFACTIVE SYMPTOMS) • CANNOT BEACCOUNTED FOR BY SCHIZOAFFECTIVE OR MOOD DISORDER WITH PSYCHOTIC FEATURES • CANNOT BE DUE TO THE PHYSIOLOGICAL EFFECTS OFA SUBSTANCE POSITIVE AND NEGATIVE SYMPTOMS POSITIVE SYMPTOMS VS. NEGATIVE SYMPTOMS POSITIVE SYMPTOMS (TYPE I) • DELUSIONS • HALLUCINATIONS • DISORGANIZED THOUGHTSAND SPEECH • DISORGANIZED OR CATATONIC BEHAVIOUR 2 PSY 325 L9 COMMON TYPES OF DELUSIONS PERSECUTORY DELUSION - GROUPAGAINST THEM DELUSION OF REFERENCE - THINK THAT THINGS YOU HEAR HAVE TOALWAYS DO WITH YOU GRANDIOSE DELUSION - EG: BEING G-D DELUSIONS OF BEING CONTROLLED • THOUGHT BROADCASTING – OTHERS CAN HEAR YOUR THOUGHTS, INSERTION, WITHDRAWAL DELUSION OF GUILT OR SIN SOMATIC DELUSION - PHYSICALBEILEIF OR DELUSION HALLUCINATIONS • CAN BEAUDITORY, VISUAL, TACTILE, SOMATIC • THOUGHT DISORDER – LOOSENING OFASSOCIATIONS, WORD SALAD DISORGANIZED OR CATATONIC BEHAVIOUR • AGITATED, , SHOUTING, SWEARING, PACING • UNKEPT • DIFFICULTY ORGANIZING THEMSELVES TO MEET PERSONALNEEDS (EATING, DRESSING, BATHING) • CATATONIA– OUT OFTOUCH WITH OUTSIDE WORLD SCHIZOPHRENIAAND INFORMATION PROCESSING • CHALLENGES WITH REASONING, COMMUNICATIONAND PROBLEM-SOLVING • DIFFICULTY INATTENTIONALPROCESSESAND CONCENTRATION • WORKING MEMORY – MAKES IT DIFFICULT TO SUPPRESS UNWANTED THOUGHTS OR IMAGES (DIVIDEDATTENTION) 3 PSY 325 L9 NEGATIVE SYMPTOMS (TYPE II) • ABSENCE OF BEHAVIOURS ◦ AFFECTIVE FLATTENING - MORE FLATTENING OF EXPRESSION, LACK OF MOTVATION ◦ ALOGIA– LACK OF SPEECH/MUTISM ◦ AVOLITION – DECREASED PERSISTENCE IN GOAL-DIRECTED ACTIVITIES, DECREASED MOTIVATION 5 SUBTYPES OF SCHIZOPHRENIA • PARANOID • DISORGANIZED • CATATONIC • UNDIFFERENTIATED • RESIDUAL - THEY STILLHAVE SOME SYMPTOMS BUT NOTALLPRESENT DSM 5 SCHIZOAFFECTIVE DISORDER • SYMPTOMS OF SCHIZOPHRENIAARE PRESENTAND THERE IS ALSO MAJOR DEPRESSIVE EPISODE ORAMANIC EPISODE. • DELUSIONS AND/OR HALLUCINATIONS ARE PRESENTAT LEAST FOR 2 WEEKS IN THEABSENCE OFA DEPRESSIVE OR MANIC EPISODE • AMAJOR MOOD EPISODE IS PRESENT FOR THE MAJORITY (≥ 50%) OFTIME WHEN CORE SCHIZOPHRENIASYMPTOMS AREN’T MET PROGNOSIS • CHRONICAND DEBILITATING 4 PSY 325 L9 • 50-80% EXPERIENCE READMISSION TO HOSPITAL • LIVINGARRANGEMENTS PROGNOSIS SHORTER LIFE EXPECTANCY • 10-15% COMMIT SUICIDE • BETTER PROGNOSIS FOR WOMEN ◦ FEWER NEGATIVE SYMPTOMS BETWEEN POSITIVE SYMPTOMS AND BETTER SOCIALADJUSTMENT • FUNCTIONING IMPROVES WITHAGE UNDERSTANDINGAND TREATING SCHIZOPHRENIA PRESENTED TO PSY 325 MADDY BURLEY RYERSON UNIVERSITY FALL, 2012 OUTLINE • WHY DO I STUDY PSYCHOTIC DISORDERS? • UNDERSTANDING PSYCHOTIC DISORDERS ◦ BIOLOGICAL FACTORS ◦ PSYCHOSOCIALFACTORS • TREATING PSYCHOTIC DISORDERS ◦ CBT • FOR PSYCHOSIS 5 PSY 325 L9 WHY STUDY PSYCHOSIS? PSYCHOTIC EXPERIENCES? THESEARE SAMPLE QUESTIONS FROM QUESTIONNAIRESABOUT PSYCHOSIS: DO YOU EVER SENSE THE PRESENCE OF YES NO ANOTHER BEING, DESPITE BEING UNABLE TO SEEANY EVIDENCE? DO YOU EVER HEAR VOICES COMMENTING ON WHATYOUARE THINKING OR DOING? DO YOU EVER FEELAS IF PEOPLE SEEM TO DROPHINTSABOUT YOU OR SAYTHINGS WITHADOUBLE MEANING? DO YOU EVER FEELAS IFTHERE ISASPECIAL PURPOSE OR MISSION TO YOUR LIFE? (BELLETAL., 2005; PETERS ETAL., 1999) PSYCHOTIC EXPERIENCES? WHEN QUESTIONS LIKE THESEARE GIVEN TO PEOPLE WITH NO HISTORY OF PSYCHOLOGICALDISORDERS, HOW MANYWILL SAYYES TO AS MANY QUESTIONS AS 6 PSY 325 L9 PEOPLE WHO HAVE DIAGNOSED PSYCHOTIC DISORDERS? A. 2-3% B. 10-15% C. 30-35% (BELLETAL., 2005; PETERS ETAL., 1999) WHY STUDY SCHIZOPHRENIA? BECAUSE IT’S IMPORTANT! BIOLOGICALFACTORS RETRIEVED FROM: HTTP://HEALTH.HOWSTUFFWORKS.COM/HUMAN- BODY/SYSTEMS/NERVOUS-SYSTEM/BRAIN- PICTURES.HTM ON 7 PSY 325 L9 CINGUALTE GYRUS- EMOTIONS FRONTALLOBE THALAMUS- REGULATING SLEEPCONNECTS ALLTHE SENSORIES IN THE BRAIN TEMPERALLOBE- PROCESSES SENSORY INFORMATION 8 PSY 325 L9 PSYCHOSOCIAL FACTORS • CORRELATED FACTORS ◦ POVERTY & LACK OFACCESS TO EDUCATION (SOCIAL SELECTION)? • HIGH POPULATION DENSITY? • STRAINED FAMILY RELATIONS? • BEINGACULTURALMINORITY? PSYCHOSOCIALFACTORS • COGNTIVE BIASES ◦ OTHER COGNITIVE BIASESASSOCIATED WITH PSYCHOSIS: ◦ ATTRIBUTION BIASES (POSITIVE TO INTERNAL, NEGATIVE TO EXTERNAL) (KANEY & BENTALL, 9 PSY 325 L9 1996; CANDIDO & ROMNEY, 1990; LYON, KANEY & BENTALL, 1994) ◦ BIAS AGAINST DISCONFIRMATORY EVIDENCE (MORITZ & WOODWARD, 2004; 2006) ◦ BELIEF INFLEXIBILITY (GARETY ETAL., 2005) CASE EXAMPLE: THOMAS • IMMIGRATED TO TORONTO FROM SOUTH AFRICAWHEN HE WAS 12. • FELLBEHIND IN HIGH SCHOOLAND STARTED SKIPPING CLASS AND SMOKING CANNABIS. • BEGANACTING SECRETIVE AND SPENDINGALOT OFTIMEALONE ON THE INTERNET. • ROBBED ON THE WAY HOME FROM SC
More Less

Related notes for PSY 325

Log In


OR

Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


OR

By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.


Submit