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York University
PSYC 3140
Joel Goldberg

ABNORMAL PSYCH LECTURE: FEB 26TH, 2013 TOPIC: SCHIZOPHRENIA th ➔ Final exam Monday April 15 → Rexall Center ➔ Schizophrenia and the Nobel Prize ◦ John Nash (answer) ◦ Michael Smith ◦ Arvid Carlsson ▪ John Nash p. 375 • Book and Movie “A Beautiful Mind” • Nobel prize in Economics – 1994 (almost homeless by this time) • Developed Mathematical Game Theory 1949 (age 21) • Later onset of schizophrenia ◦ Schizophrenics → misinterpretations of staring for example not exactly hallucinations ◦ Age that it typically strikes people – late teens early twenties ◦ Nash started with schizophrenia in his mid-late twenties ▪ Michael Smith • Won Nobel Prize in Chemistry 1993 • Struggled initially in school • B average as undergrad • Completed PhD in chemistry • Donations ◦ Donated half of his prize to be put towards schizophrenia (helped put schizophrenia on the map) ◦ He also donated the other half to helping women be part of learning science and math etc ◦ He died of leukemia ▪ Arvid Carlsson • Born in Uppsala, Sweden in 1923 • Pharmacologist • Won Nobel Prize (co-winner) in 2000 for Medicine/Physiology • Developed the 'dopamine theory of schizophrenia' • Helped understand the role of dopamine in the development of extra........ ➔ Should those with schizophrenia be considered to have a disability? ◦ Majority of class says yes, 30% say no ▪ Yes because it affects how they take part in daily functioning ➔ Leading Causes of Disability ages 15-44 in Developed Regions ◦ Both Sexes schizophrenia is number 4 ◦ Young Men – number 5 ◦ Young Women – number 2 ➔ p. 381 Positive Symptoms ◦ Hallucinations – Voices commenting/voices conversing ◦ Delusions ◦ Disorganized Behaviour ◦ Disorganized thoughts and speech ▪ Use head set to help them learn coping strategies because of their auditory hallucinations (hear voices) • 1) Voices Commenting – you are doing a good job • 2) Hearing voices which are in conversation with each other – he is doing a good job, no he isn't ◦ PTSD – it could be accompanied by similar voice hearing symptoms from being a victim ◦ Hearing voices does not mean you are automatically schizophrenic ▪ Why positive symptoms? • These are things that are there that should not be present • Negative symptoms – things are not there that should be ➔ Thematic Appercepton Test ◦ Look at pic and make a story ▪ Woman looking back at a man behind her • Schizophrenia answer – man comes behind a woman with a knife and says she has to do what he says and she does but he still kills her ◦ There is no knife in the picture so it is coming from their paranoid imagination ➔ Example of Catatonic Behaviour ◦ Waxy Flexibility – their movements are as if they are made out of wax. Very stiff movements. This is quite rare. More frequent in 50's/60's. Do not know why this has become rare now. ➔ Negative Symptoms (p. 387) ◦ Affective Flattening – monotone, expressionless in voice ( such as how a lecturer speaks), normal speech has animation ◦ Alogia – lacking in spontaneity of speech ◦ Avolition – lacking in will power ▪ The letter A in front of a word means not ➔ Social Dysfunction ◦ Impaired social skills – example: just walking up to someone in the middle of a lecture and invading their space and just started a conversation out of no where – picking the wrong time, too close to person ➔ Which of these problems are considered by family members to be most common? ◦ Hear voices ◦ Has unusual beliefs ◦ Lacks conversation ◦ Has few friends (answer) ➔ Problem behaviours identified by family members when their SCZ relative lives at home ◦ Most frequent/common ▪ Has few hobbies, friends, underactive, lacks initiative ◦ Most Difficult ▪ Unusual beliefs, hear voices, does not take meds regularly, denies having an illness ➔ DSM-V-TR Diagnostic Types p. 391 ◦ Paranoid Schizophrenia ◦ Disorganized Schizophrenia ◦ Catatonic Schizophrenia ◦ Undifferentiated Schizophrenia ◦ Residual schizophrenia ➔ Case Study ◦ 24 year old man – second eldest of four boys ◦ Underactive ◦ Several previous hospitalizations ◦ Born in rural Ontario ◦ Family – highly educated, father was a physician and mother had a PhD in philosophy (therefore SCZ do not just come from poor families) ◦ Shy, always a loner, spent hours day dreaming ◦ Sketches ◦ Discovered the guitar and would strum random chords for hours ◦ School performance – average ◦ Rarely spoke up in class ◦ Gave vague answers that were off topic to teachers ◦ Articulate vocabulary ◦ Unfocused ◦ Enjoyed sitting at window seat ◦ Trouble making eye contact ◦ No friends at all ◦ Girl
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