PSYC 1030H Lecture Notes - Schizophrenia, Thalamus, Exposure Therapy

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Patient: associated with biomedical model, hospital settings, client, associated with socio-dynamic model, social services. Social worker: therapist, behavioural technician, counselling psychologist, clinical psychologist. *psychiatrist: medical physicians, hospital setting, biological basis. Treatment consideration: theoretical outlook is a major factor in treatment approach, neuropsychological/medical, psychodynamic, behavioural/cognitive, humanistic, examination of schizophrenia treatment from different perspectives. Progression of schizophrenia: onset can be sudden or gradual, course is variable, sudden and/or later onset: Often successful treatment, full recovery: gradual and/or early onset: Difficult to treat: males more impacted than females (1. 4:1) Causes of schizophrenia: genetic predisposition, early environment, recreational drugs (?, dopamine receptors implicated, but, may be a bunch" of different disorders lumped together. Problems with approach: no more effective than no treatment or treatment as usual . Intervene with neurological messages: associated with problem behaviours, focus on disruptive. 1888 burckhardt removed cortex: 6 patients with hallucinations, 3 died, 1 cured, 2 quieter". 1930"s moniz developed the prefrontal leucotomy (nobel prize 1949)