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Week 10 Tutorial.docx

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Western University
Psychology 2310A/B
Rod Martin

Schizophrenia - Tutorial Crtiereon A 1. Delusions 2. Hallucinations 3. Disorganized and/or catatonic behavior (motor behavior) 4. Disorganized speech 5. Negative Symptoms (lack of motivation (avolition), lack of pleasure (anhedonia), withdrawal, lack of speech/conversation (alogia) VIDEO - Delusional thoughts, bizarre, not plausible, - Thinking there’s meaning in something normal - “Eagle” after her - Disorganized, nonsensical speech - Don’t answer phone or doorbell, irrational fears - May have seen visions, said she was “confused” - Jesus tells her what to do to keep from evil, ideas of reference - Answers disconnected from questions - Special messages in news - Auditory hallucinations? Most things are possible, dogs barking, kmart bag - Husband died, has a son - Son does grocery shopping - Been put in psychiatric hospitals before - Can’t have any fun, always worried and scared - Fidgeting – tardive dyskinesia because of antipsychotics - Nothing that can be said to really be hallucinations - Asked if she was sad to figure out if she had some other disorder like bipolar, schizoaffective or major depressive Can tell something is a hallucination, if it defies law of physics, if voices occur when alone Environmental / Psychosocial Factors in Schizophrenia Prenatal/Perinatal Factors Hypoxia at birth- loss oxygen at birth Influenza during pregnancy- babies born at certain times of year, coincides with flu Stress – Diathesis-stress model Psychotic episodes often follow periods of high stress Interaction between life stress and genetic vulnerability Family communication patterns “Expressed emotion”- living in a family where there is a lot of emotional communication (mostly negative), overly critical, always finding faults, lack of unconditional positive regard. In terms of relapse, this can predict how soon they will return to hospital Critical comments, hostility, emotional over involvement, lack of warmth Increased risk of relapse Social Class Strong negative association between SES and risk of schizophrenia Sociogenic theory Social drift hypothesis Poverty was stress that precipitated, but more evidence for social drift, tend to do poorly, family with history wil
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