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PSY240 Lec 10- Schizophrenia/ Mental health and the Law.docx

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Tina Malti

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ST PSY240 APRIL 1 - SCHIZOPHRENIA  Prevalence SLIDE 2  Might be culture free  A psychotic disorder  Psychosis most predominant symptom  Hallucinations  can be visual, auditory, tactile  Delusions, disorganized speech or thought  A complete break from reality not part of our reality is  Disorganized or catatonic behavior  ^ positive or type 1 symptoms SLIDE 4  Depends on how disorder develops  Negative or type 2 symptoms SLIDE 5  Less prominent and dominant  Affective flattening entire emotional responses are reduced or absent  Alogia absence of speech or severe reduction in language ability  Avolition reduced motivation or inability to achieve any goals  Anhedonia loss of interest in all realms of life  Impaired social skills  DSM-IV-TR for schizophrenia SLIDE 6  Needs to effect functioning  Schizoaffective disorder SLIDE 8 -9  Types of schizophrenia SLIDE 10  Paranoid everyone is out to get them,  Disorganized thoughts, behavior, motor functions  Catatonic vary distinctive features and like catatonic stupor or excitement  Undifferentiated some symptoms are there, but aren’t enough to meet other subtypes  Residual an acute episode had type 2 and mild type 1  Case study  Disorganized speech  Cognitions do not need to be impaired…intelligence may not be affected  His mannerisms  Paranoid thought, scared to be left alone  Wearing headphones to listen to music so they can drown out the voices they hear nd  2 case  She is talking to herself rd  3 case  Live in another time and space and experience the world as frightening  Start hearing voices start with a friendly voice and then the voices take over and tell you what to do  Lose sense of time and space  Example catatonia  Almost like a freezing  Can’t move…sometimes even extremely stressed ppl experience this but it’s a completely different state  Ppl usually present themselves with positive symptoms  Prognosis of schizophrenia  Age and gender factors  Women who develop this have a slightly better course than men  Sociocultural factors  Do not vary much in cultures  But more better in collectivist cultures than industrialized  roots are not culturally bound, but have more support from family ,  Bio theories of schizophrenia  Genetic theories  Disordered genes  Hard to disentangle environmental and genetic effects  Structural brain abnormalities  Reduced volume and neural density in frontal cortex  ^ temporal lobe and limbic system  Birth complications and prenatal viral exposure  Lose oxygen can damage brain  Neurotransmitter theories  Dopamine  Serotonin  Organic brain syndrome…  Some environmental factors may trigger the onset..interacts with genes  Brains are smaller than the brains of healthy ppl  Large brain ventricles that maintain uniform pressure throughout the brain  Psychosocial perspectives on schizophrenia  Stress and relapse  Chronically stressful environments promote schiz, stress may not cause it but help relapse into psychotic episodes  Communication patterns  Poor integrations of how ppl communicate with each oth
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