Class Notes (807,641)
Canada (492,767)
Psychology (7,610)
PSYB32H3 (614)
Lecture 8

Abnormal Psychology Lecture 8.docx

5 Pages
Unlock Document

University of Toronto Scarborough
Konstantine Zakzanis

Abnormal Psychology: Lecture 8 Guest Speaker: Neil  Illness is schizophrenia, invisible disability  Exhilarating feeling  Always on the need for a mission  Need to be part of a movement  Medication has helped with delusions and keeping him safe Schizophrenia video  Affects 1% of the population in the earth  Affects women and men equally (inaccurate) but onset conditions appear earlier for men than in women  After every episode it becomes more difficult to return to a regular state  Often socially impaired th  Half of all schizophrenic’s attempt suicide and about 1/10 succeed Schizophrenia  Psychotic disorder characterized by major disturbances in thought, emotion and behavior  Disordered thinking in which ideas are not logically related, faulty perception and attention, flat or inappropriate affect and bizarre disturbances in motor activity  Most severe- because it’s more difficult to cope with. It puts both self and others at risk.  Schizophrenia most common in men *, typically found in adults sometimes teen.  Earlier onset conditions in men earlier than in women  There is also late onset schizophrenia.  Acute episodes- are characterized by positive symptoms also known as psychotic symptoms. These symptoms bring the attention to a specialist. o Between these episodes they will have negative episodes o As each acute episode occurs they get further and further away from normality  Illness is extremely heterogeneous- lots of variety from someone who’s homeless to someone who has a university of degree  50% of patients have a comorbid disorder o Typically a personality disorder  Dependent personality disorder- they can’t meet the demands of their daily activities so they depend on others  Paranoid personality disorder  Avoidance personality disorder- stems from the fact that they miss a lot of social aspects.  Substance abuse is also common- cigarettes, cannabis  Predictors of outcome o Predictor of positive outcome- early remission of acute episode. That is within the first three months of the onset of disorder, the symptoms go away, they probably have a good outcome. o Predictor of negative outcome- cognitive impairments making it difficult to maintain a job, a family and school  Schizophrenia is not a one person disorder, it affects the people around the individual and requires more attention. Clinical Symptoms of Schizophrenia  Positive symptoms of schizophrenia- too much of a behavior that is not apparent in most people (added to personality thus positive) o Excesses or distortions o Disorganized speech (thought disorder)  Incoherence  Loose associations- problems in organizing ideas and in speaking so that a listener understands  Make up fake words  Repetitive speaking because they get stuck in set  Echolalia- is when they echo what is said to them o Delusions- you have beliefs that are held contrary to reality  Persecutory Delusions- someone is after them or something bad will happen  Thought broadcasting- If a patient in watching TV they may think the caster is stealing their thoughts and repeating them on television.  They may believe their behavior is controlled by others o Hallucinations – sensory (any senses) in the absence of any stimulation from the environment  Most common is auditory hallucinations - hearing voices  Negative symptoms – residual stages of schizophrenia (which are just as bad). We should have these, but we don’t.  Strong predictors of quality of life o Behavioral deficits o Avolition- lack of energy and absence of interest or inability to persist routine tasks such as dressing or cleaning o Alogia-poverty of speech where the patient is either lacking in amount of speech or content of speech o Anhedonia- describe inability to experience pleasure o Flat Affect- inability to experience pleasure, shown externally, by not showing emotion. However, internally they can experience pleasure o Asociality – lose social skills, few friends, shy. Stem from paranoia quality  Other symptoms o Catatonia- illustrate motor abnormalities  Catatonic immobility- hysterical posturing and hands and legs moving all over the place having no purpose to the observer but may have a purpose to the person. For example neil felt that moving left or right dictated his political views.  Waxy flexibility- putting these individual in a strange position and they will stay that way for long. Rare these days due to medication  Inappropriate affect- reacting strangely to situations such as laughing when parents die or crying when winning the lottery. Inappropriate affect is highly specific to this illness.  Schizophrenia: It’s Diagnosis o DSM requires at least six months of disturbance  Must include one month of the active (acute)phase- that is those positive symptoms  Remaining time must be negative phases during prodromal (before active phase) or residual (after active phase).  Examples include social withdrawl impaired role functioning, lack of initia
More Less

Related notes for PSYB32H3

Log In


Don't have an account?

Join OneClass

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

Sign up

Join to view


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.